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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ACICARE(R) ORAL TABLET 75 mg | 700008 | 2.16 | ||||
0 | ACIDAL(R) CHEWABLE TABLET 400 mg | 700009 | 0.22 | ||||
0 | ACIVIR(R) COATED ORAL TABLET 800 mg Box | 700010 | 550063708 | 4.76 | |||
0 | ACLASTA Intra-Venus INFUSION 5 MG ( ACLASTA ) 1 Vial | 700011 | 547081813 | 2,033.55 | |||
0 | ACNEZOYL(R) TOPICAL GEL 2.5% | 700012 | 550063620 | 4.1 | |||
0 | ACNEZOYL(R) TOPICAL GEL 5% | 700013 | 550063620 | 6.55 | |||
0 | ACRETIN(R) TOPICAL CREAM 0.05 30 Creams | 700014 | 550063610 | 17.65 | |||
0 | ACT-HIB(R) Intra-Venus VIAL | 700015 | 542014105 | 76.7 | |||
0 | ACTIFED EXPECTORANT(R) ORAL CAPSUL 1 100 Bottle | 700016 | 0.32 | ||||
0 | ACTIFED(R) ORAL SYRUP 00 100 Bottle | 700017 | 6.7 | ||||
0 | ACTIFED(R) ORAL TABLET 2.5 mg | 700018 | 0.32 | ||||
0 | ACTILYSE Intra-Venus Injection 50 mg / Vial 1 | 700019 | 543063182 | 1,615.18 |
ACICARE(R) ORAL TABLET 75 mg
2.16
ACIDAL(R) CHEWABLE TABLET 400 mg
0.22
ACIVIR(R) COATED ORAL TABLET 800 mg Box
4.76
ACLASTA Intra-Venus INFUSION 5 MG ( ACLASTA ) 1 Vial
2,033.55
ACNEZOYL(R) TOPICAL GEL 2.5%
4.1
ACNEZOYL(R) TOPICAL GEL 5%
6.55
ACRETIN(R) TOPICAL CREAM 0.05 30 Creams
17.65
ACT-HIB(R) Intra-Venus VIAL
76.7
ACTIFED EXPECTORANT(R) ORAL CAPSUL 1 100 Bottle
0.32
ACTIFED(R) ORAL SYRUP 00 100 Bottle
6.7
ACTIFED(R) ORAL TABLET 2.5 mg
0.32
ACTILYSE Intra-Venus Injection 50 mg / Vial 1
1,615.18
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