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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ROFENAC(R) ORAL TABLET 50 mg | 701862 | 545021250 | 1.45 | |||
0 | ROFENAC(R) RECTAL SUPPOSITORY 100 mg | 701863 | 3.17 | ||||
0 | ROFENAC(R) RECTAL SUPPOSITORY 12.5 mg | 701864 | 0.85 | ||||
0 | ROFENAC(R) RECTAL SUPPOSITORY 50 mg | 701865 | 1.73 | ||||
0 | ROFENAC(R) TOPICAL GEL 1% | 701866 | 13.45 | ||||
0 | ROFENAC-D(R) ORAL TABLET 50 mg | 701867 | 545021250 | 1.45 | |||
0 | ROLAN Intra-Venus INJECTION 50 mg/2 ml | 701868 | 546034232 | 3.54 | |||
0 | ROUVAX LYOPH(R) Intra-Venus VIAL | 701869 | 23 | ||||
0 | REVANIN(R) RECTAL SUPPOSITORY 125 mg | 701774 | 0.3 | ||||
0 | REVANIN(R) RECTAL SUPPOSITORY 250 mg | 701775 | 0.36 | ||||
0 | Revatio COATED ORAL TABLET 20mg | 701776 | 551104571 | 21.28 | |||
0 | REYATAZ Oral Capsule 200 mg 30 | 701777 | 540051761 | 29.52 |
ROFENAC(R) ORAL TABLET 50 mg
1.45
ROFENAC(R) RECTAL SUPPOSITORY 100 mg
3.17
ROFENAC(R) RECTAL SUPPOSITORY 12.5 mg
0.85
ROFENAC(R) RECTAL SUPPOSITORY 50 mg
1.73
ROFENAC(R) TOPICAL GEL 1%
13.45
ROFENAC-D(R) ORAL TABLET 50 mg
1.45
ROLAN Intra-Venus INJECTION 50 mg/2 ml
3.54
ROUVAX LYOPH(R) Intra-Venus VIAL
23
REVANIN(R) RECTAL SUPPOSITORY 125 mg
0.3
REVANIN(R) RECTAL SUPPOSITORY 250 mg
0.36
Revatio COATED ORAL TABLET 20mg
21.28
REYATAZ Oral Capsule 200 mg 30
29.52
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