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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | COMBIGAN EYE DROPS 0.2 % + 0.5 % 1 Box | 700462 | 550014168 | 59.65 | |||
0 | COMBIVENT UNIT DOSE(R) Intra-Venus VIAL | 700463 | 3.24 | ||||
0 | COMBIVIR(R) FILM COATED ORAL TABLET 150 mg 60 Box | 700464 | 540051780 | 29.5 | |||
0 | CONCOR(R) ORAL TABLET 5 mg 30 ???? | 700465 | 544051203 | 1.06 | |||
0 | CONCOR-5-PLUS(R) Oral Tablet mg 20 ???? | 700466 | 1.52 | ||||
0 | CONFORTID(R) Intra-Venus INJECTION 50 mg/ml | 700467 | 27.79 | ||||
0 | CONFORTID(R) ORAL CAPSUL 25 mg | 700468 | 545021225 | 0.47 | |||
0 | CONFORTID(R) RECTAL SUPPOSITORY 100 mg | 700469 | 545023230 | 2.16 | |||
0 | CEPOREX(R) ORAL CAPSUL 250 mg | 700376 | 540011200 | 1.16 | |||
0 | CEPOREX(R) ORAL CAPSUL 500 mg | 700377 | 540011200 | 1.97 | |||
0 | CEREPAR(R) ORAL TABLET 75 mg | 700378 | 0.41 | ||||
0 | CERTICAN Oral Tablet 0.25 MG Box | 700379 | 5510815183 | 9.64 |
COMBIGAN EYE DROPS 0.2 % + 0.5 % 1 Box
59.65
COMBIVENT UNIT DOSE(R) Intra-Venus VIAL
3.24
COMBIVIR(R) FILM COATED ORAL TABLET 150 mg 60 Box
29.5
CONCOR(R) ORAL TABLET 5 mg 30 ????
1.06
CONCOR-5-PLUS(R) Oral Tablet mg 20 ????
1.52
CONFORTID(R) Intra-Venus INJECTION 50 mg/ml
27.79
CONFORTID(R) ORAL CAPSUL 25 mg
0.47
CONFORTID(R) RECTAL SUPPOSITORY 100 mg
2.16
CEPOREX(R) ORAL CAPSUL 250 mg
1.16
CEPOREX(R) ORAL CAPSUL 500 mg
1.97
CEREPAR(R) ORAL TABLET 75 mg
0.41
CERTICAN Oral Tablet 0.25 MG Box
9.64
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