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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | UBRETID(R) ORAL TABLET 5 mg scored | 702147 | 551031230 | 0.67 | |||
0 | UCIDERM(R) TOPICAL OINTMENT 2% | 702148 | 550063720 | 22.95 | |||
0 | ULTRACLOXAM(R) Intra-Venus VIAL | 702149 | 3.98 | ||||
0 | ULTRACORTENOL(R) EYE DROPS 0.5% | 702150 | 9.55 | ||||
0 | ULTRACORTENOL(R) EYE OINTMENT 0.5% | 702151 | 18.1 | ||||
0 | ULTRAMOX FORTE(R) CHEWABLE SUSPENSION 250 | 702152 | 11.15 | ||||
mg/5ml | |||||||
0 | ULTRAMOX(R) Oral Capsule 500 mg | 702153 | 540011155 | 1.27 | |||
0 | ULTRASPORIN FORTE(R) CHEWABLE SUSPENSION 250 | 702154 | 11.3 | ||||
mg/5ml | |||||||
0 | ULTRASPORIN FORTE(R) ORAL CAPSUL 250 mg | 702155 | 0.85 | ||||
0 | ULTRASPORIN FORTE(R) ORAL CAPSUL 500 mg | 702156 | 540011200 | 1.55 |
UBRETID(R) ORAL TABLET 5 mg scored
0.67
UCIDERM(R) TOPICAL OINTMENT 2%
22.95
ULTRACLOXAM(R) Intra-Venus VIAL
3.98
ULTRACORTENOL(R) EYE DROPS 0.5%
9.55
ULTRACORTENOL(R) EYE OINTMENT 0.5%
18.1
ULTRAMOX FORTE(R) CHEWABLE SUSPENSION 250
11.15
mg/5ml
ULTRAMOX(R) Oral Capsule 500 mg
1.27
ULTRASPORIN FORTE(R) CHEWABLE SUSPENSION 250
11.3
mg/5ml
ULTRASPORIN FORTE(R) ORAL CAPSUL 250 mg
0.85
ULTRASPORIN FORTE(R) ORAL CAPSUL 500 mg
1.55
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