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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SAPOFEN(R) ORAL TABLET 600 mg | 701901 | 545021200 | 0.48 | |||
0 | SAPOFEN(R) TOPICAL GEL 5% | 701902 | 5.25 | ||||
0 | SARF(R) ORAL TABLET 250 mg | 701903 | 540230430 | 3.41 | |||
0 | SARF(R) ORAL TABLET 500 mg | 701904 | 540230433 | 5.59 | |||
0 | SARF(R) ORAL TABLET 750 mg | 701905 | 540230433 | 7.24 | |||
0 | SAROTEN RETARD(R) ORAL TABLET 10 mg Tab | 701906 | 0.55 | ||||
0 | SAROTEN RETARD(R) ORAL CAPSUL 25 mg | 701907 | 0.55 | ||||
0 | SAROTEN RETARD(R) ORAL CAPSUL 50 mg | 701908 | 0.69 | ||||
0 | SCOPINAL(R) Intra-Venus AMPOULE 20 mg 5 | 701909 | 546024130 | 1.35 | |||
0 | SCOPINAL(R) ORAL SYRUP 5 MG / 5 ML 1 Bottle | 701910 | 546024135 | 8.1 | |||
0 | SCOPINAL(R) SUGAR COATED ORAL TABLET 10 mg 20 | 701911 | 546023120 | 0.26 | |||
Tab |
SAPOFEN(R) ORAL TABLET 600 mg
0.48
SAPOFEN(R) TOPICAL GEL 5%
5.25
SARF(R) ORAL TABLET 250 mg
3.41
SARF(R) ORAL TABLET 500 mg
5.59
SARF(R) ORAL TABLET 750 mg
7.24
SAROTEN RETARD(R) ORAL TABLET 10 mg Tab
0.55
SAROTEN RETARD(R) ORAL CAPSUL 25 mg
0.55
SAROTEN RETARD(R) ORAL CAPSUL 50 mg
0.69
SCOPINAL(R) Intra-Venus AMPOULE 20 mg 5
1.35
SCOPINAL(R) ORAL SYRUP 5 MG / 5 ML 1 Bottle
8.1
SCOPINAL(R) SUGAR COATED ORAL TABLET 10 mg 20
0.26
Tab
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