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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | BACTRIM(R) ORAL SUSPENSION | 700210 | 19 | ||||
0 | BACTRIM(R) ORAL SYRUP 240 mg | 700211 | 540072840 | 19 | |||
0 | BACTRIM(R) ORAL TABLET 960 mg | 700212 | 2.33 | ||||
0 | BACTRIM(R) Intra-Venus AMPOULE | 700213 | 7.69 | ||||
0 | BACTRIM(R) ORAL SYRUP 240 mg Syrups | 700214 | 19 | ||||
0 | BACTROBAN NASAL(R) Nasal Ointment 2 % 3 ????? | 700215 | 550038565 | 27.7 | |||
0 | BALAD Local OINTMENT 2 % | 700216 | 9.1 | ||||
0 | BALAD(R) TOPICAL CREAM 2% | 700217 | 10.8 | ||||
0 | BALAD(R) TOPICAL OINTMENT 2% | 700218 | 550063720 | 9.1 | |||
0 | BALKACYCLINE(R) ORAL CAPSUL 250 mg | 700219 | 540011300 | 0.3 | |||
0 | BALKAPROFEN(R) ORAL CAPSUL 200 mg | 700220 | 0.3 | ||||
0 | BALKAPROFEN(R) ORAL CAPSUL 400 mg | 700221 | 0.3 |
BACTRIM(R) ORAL SUSPENSION
19
BACTRIM(R) ORAL SYRUP 240 mg
19
BACTRIM(R) ORAL TABLET 960 mg
2.33
BACTRIM(R) Intra-Venus AMPOULE
7.69
BACTRIM(R) ORAL SYRUP 240 mg Syrups
19
BACTROBAN NASAL(R) Nasal Ointment 2 % 3 ?????
27.7
BALAD Local OINTMENT 2 %
9.1
BALAD(R) TOPICAL CREAM 2%
10.8
BALAD(R) TOPICAL OINTMENT 2%
9.1
BALKACYCLINE(R) ORAL CAPSUL 250 mg
0.3
BALKAPROFEN(R) ORAL CAPSUL 200 mg
0.3
BALKAPROFEN(R) ORAL CAPSUL 400 mg
0.3
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