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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CARBOPLATIN(R) Intra-Venus VIAL 450mg /45ml | 700324 | 541014087 | 79.3 | |||
0 | CARDIOPINE ORAL CAPSUL 10 mg | 700325 | 0.82 | ||||
0 | BANOCIDE(R) ORAL TABLET 50 mg Box | 700228 | 540041750 | 17.05 | |||
0 | BARACLUDE ORAL TABLET 0.5 MG Tab | 700229 | 540052690 | 85.63 | |||
0 | BATRAMYCIN(R) TOPICAL POWDER | 700230 | 9.7 | ||||
0 | BCG VACCINE SSI (R) Intra-Venus Vial 10 Doses / Amp | 700231 | 542014010 | 63.58 | |||
0 | BECLAZONE 50 (R) INHALATION INHALER 50 mcg/puff | 700232 | 549066400 | 21.05 | |||
Inhaler | |||||||
0 | BECONASE(R) NASAL SPARY 50 mcg/MS | 700233 | 15.7 | ||||
0 | BECOTIDE(R) INHALATION INHALER 200 metered | 700234 | 42 | ||||
0 | BECOTIDE(R) INHALATION POWDER 50 mcg/inh | 700235 | 549066400 | 0.15 | |||
0 | BECOTIDE(R) ORAL TABLET 100 mcg | 700236 | 42 |
CARBOPLATIN(R) Intra-Venus VIAL 450mg /45ml
79.3
CARDIOPINE ORAL CAPSUL 10 mg
0.82
BANOCIDE(R) ORAL TABLET 50 mg Box
17.05
BARACLUDE ORAL TABLET 0.5 MG Tab
85.63
BATRAMYCIN(R) TOPICAL POWDER
9.7
BCG VACCINE SSI (R) Intra-Venus Vial 10 Doses / Amp
63.58
BECLAZONE 50 (R) INHALATION INHALER 50 mcg/puff
21.05
Inhaler
BECONASE(R) NASAL SPARY 50 mcg/MS
15.7
BECOTIDE(R) INHALATION INHALER 200 metered
42
BECOTIDE(R) INHALATION POWDER 50 mcg/inh
0.15
BECOTIDE(R) ORAL TABLET 100 mcg
42
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