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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | STRESS(R) ORAL TABLET 2 mg | 701998 | 0.46 | ||||
0 | STRESS(R) ORAL TABLET 600 mg | 701999 | 0.38 | ||||
0 | STUGERON FORTE(R) ORAL CAPSUL 75 mg 40 Box | 702000 | 544101718 | 0.41 | |||
0 | STUGERON(R) ORAL TABLET 25 mg | 702001 | 0.22 | ||||
0 | SUCRAZIDE(R) ORAL TABLET 5 mg | 702002 | 547061630 | 0.25 | |||
0 | SUPRAVIRAN Intra-Venus Injection 250 mg / 10 ml | 702003 | 540054760 | 42.47 | |||
0 | SUPRAX(R) Oral Suspension 100 mg/5ml 60 ?????? | 702004 | 44.95 | ||||
0 | SURBEX(R) ORAL CAPSUL 200 mg | 702005 | 0.41 | ||||
0 | SURBEX(R) ORAL CAPSUL 400 mg | 702006 | 0.26 | ||||
0 | SURBEX(R) ORAL TABLET 250 mg | 702007 | 548011290 | 0.1 | |||
0 | SURBEX(R) ORAL TABLET 500 mg | 702008 | 548011290 | 0.1 | |||
0 | SURBEX(R) ORAL TABLET mg | 702009 | 548011290 | 0.26 |
STRESS(R) ORAL TABLET 2 mg
0.46
STRESS(R) ORAL TABLET 600 mg
0.38
STUGERON FORTE(R) ORAL CAPSUL 75 mg 40 Box
0.41
STUGERON(R) ORAL TABLET 25 mg
0.22
SUCRAZIDE(R) ORAL TABLET 5 mg
0.25
SUPRAVIRAN Intra-Venus Injection 250 mg / 10 ml
42.47
SUPRAX(R) Oral Suspension 100 mg/5ml 60 ??????
44.95
SURBEX(R) ORAL CAPSUL 200 mg
0.41
SURBEX(R) ORAL CAPSUL 400 mg
0.26
SURBEX(R) ORAL TABLET 250 mg
0.1
SURBEX(R) ORAL TABLET 500 mg
0.1
SURBEX(R) ORAL TABLET mg
0.26
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