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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ULTRASPORIN(R) CHEWABLE SUSPENSION 125 mg/5ml | 702157 | 11.3 | ||||
0 | ULTRASPORIN(R) ORAL CAPSUL 250 mg | 702158 | 540011200 | 0.85 | |||
0 | ULTRATARD HM(R) Intra-Venus VIAL 100 I.U. | 702159 | 53.55 | ||||
0 | UNICROM(R) EYE DROPS 2% | 702160 | 10.6 | ||||
0 | UNIVIT-A FORT(R) ORAL CAPSUL 50,000 | 702161 | 548011001 | 0.29 | |||
International\Unit ???? | |||||||
0 | UPSA-C EFFER GM(R) ORAL TABLET 1 gm | 702162 | 0.58 | ||||
0 | URBASON(R) ORAL TABLET 4 mg | 702163 | 0.65 | ||||
0 | URDOX Oral Capsule 250 mg Capsule | 702164 | 546012000 | 2.82 | |||
0 | UROGRAFIN 76% Intra-Venus INJECTION 370-400 MG/50 | 702165 | 551154760 | 428.09 | |||
ML Injection | |||||||
0 | UROMITEXAN(R) Intra-Venus AMPOULE 400 mg | 702166 | 541014064 | 5.48 |
ULTRASPORIN(R) CHEWABLE SUSPENSION 125 mg/5ml
11.3
ULTRASPORIN(R) ORAL CAPSUL 250 mg
0.85
ULTRATARD HM(R) Intra-Venus VIAL 100 I.U.
53.55
UNICROM(R) EYE DROPS 2%
10.6
UNIVIT-A FORT(R) ORAL CAPSUL 50,000
0.29
International\Unit ????
UPSA-C EFFER GM(R) ORAL TABLET 1 gm
0.58
URBASON(R) ORAL TABLET 4 mg
0.65
URDOX Oral Capsule 250 mg Capsule
2.82
UROGRAFIN 76% Intra-Venus INJECTION 370-400 MG/50
428.09
ML Injection
UROMITEXAN(R) Intra-Venus AMPOULE 400 mg
5.48
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