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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | VOTREX(R) Intra-Venus AMPOULE | 702257 | 3.26 | ||||
0 | VOTREX(R) ORAL TABLET 25 mg | 702258 | 545021250 | 0.31 | |||
0 | VOTREX(R) ORAL TABLET 50 mg | 702259 | 545021250 | 0.51 | |||
0 | VOTREX(R) RECTAL SUPPOSITORY 100 mg | 702260 | 1.58 | ||||
0 | VOTREX(R) RECTAL SUPPOSITORY 50 mg | 702261 | 0.79 | ||||
0 | WARFARIN SODIUM(R) ORAL TABLET 1 mg | 702262 | 543021230 | 0.41 | |||
0 | WARFARIN SODIUM(R) ORAL TABLET 3 mg | 702263 | 543021230 | 0.56 | |||
0 | WARFARIN SODIUM(R) ORAL TABLET 5 mg | 702264 | 543021230 | 0.94 | |||
0 | WAXSOL EAR DROPS 0.5 % ( WAX REMOVAL ) 1 | 702265 | 550028532 | 6.05 | |||
0 | WINEX(R) CHEWABLE SUSPENSION 100 mg/5ml | 702266 | 40.35 | ||||
0 | WINEX(R) ORAL CAPSUL 200 mg | 702267 | 6.21 | ||||
0 | WINEX(R) ORAL CAPSUL 400 mg | 702268 | 11.33 |
VOTREX(R) Intra-Venus AMPOULE
3.26
VOTREX(R) ORAL TABLET 25 mg
0.31
VOTREX(R) ORAL TABLET 50 mg
0.51
VOTREX(R) RECTAL SUPPOSITORY 100 mg
1.58
VOTREX(R) RECTAL SUPPOSITORY 50 mg
0.79
WARFARIN SODIUM(R) ORAL TABLET 1 mg
0.41
WARFARIN SODIUM(R) ORAL TABLET 3 mg
0.56
WARFARIN SODIUM(R) ORAL TABLET 5 mg
0.94
WAXSOL EAR DROPS 0.5 % ( WAX REMOVAL ) 1
6.05
WINEX(R) CHEWABLE SUSPENSION 100 mg/5ml
40.35
WINEX(R) ORAL CAPSUL 200 mg
6.21
WINEX(R) ORAL CAPSUL 400 mg
11.33
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