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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | DEXAMETHASONE Intra-Venus AMPOULE 4 mg/ml | 700563 | 547054480 | 2.13 | |||
0 | DEXAMETHASONE OPHTHALMIC OINTMENT 5mg (0.05%) | 700564 | 550013220 | 3.85 | |||
0 | DEXOFAN(R) ORAL SYRUP 15 mg/5ml 100 Bottle | 700565 | 7.05 | ||||
0 | DEXT/SOD.CHOLRIDE(R) Intra-Venus GLASS BOTTLE | 700566 | 548034598 | 4.55 | |||
0 | CONFORTID(R) RECTAL SUPPOSITORY 50 mg | 700470 | 545023230 | 1.58 | |||
0 | CONJUNCTIN OPTH(R) OPHTHALMIC DROPS | 700471 | 550013070 | 16.3 | |||
10,000+3.5 gm 10 Drop | |||||||
0 | CONRAY(R) Intra-Venus AMPOULE 420 mg | 700472 | 428.09 | ||||
0 | CONVULEX(R) ORAL CAPSUL 150 mg | 700473 | 0.54 | ||||
0 | CONVULEX(R) ORAL CAPSUL 200 mg Capsule | 700474 | 0.54 | ||||
0 | CONVULEX(R) ORAL CAPSUL 500 mg | 700475 | 0.95 | ||||
0 | CORACTEN ORAL CAPSUL 20 mg | 700476 | 544031102 | 0.82 |
DEXAMETHASONE Intra-Venus AMPOULE 4 mg/ml
2.13
DEXAMETHASONE OPHTHALMIC OINTMENT 5mg (0.05%)
3.85
DEXOFAN(R) ORAL SYRUP 15 mg/5ml 100 Bottle
7.05
DEXT/SOD.CHOLRIDE(R) Intra-Venus GLASS BOTTLE
4.55
CONFORTID(R) RECTAL SUPPOSITORY 50 mg
1.58
CONJUNCTIN OPTH(R) OPHTHALMIC DROPS
16.3
10,000+3.5 gm 10 Drop
CONRAY(R) Intra-Venus AMPOULE 420 mg
428.09
CONVULEX(R) ORAL CAPSUL 150 mg
0.54
CONVULEX(R) ORAL CAPSUL 200 mg Capsule
0.54
CONVULEX(R) ORAL CAPSUL 500 mg
0.95
CORACTEN ORAL CAPSUL 20 mg
0.82
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