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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
international unit | |||||||
0 | RECORMON(R) Intra-Venus INJECTION 2000 | 701742 | 543014124 | 590.86 | |||
international unit | |||||||
0 | RECORMON(R) Intra-Venus INJECTION 5000 | 701743 | 543014125 | 146.53 | |||
international unit | |||||||
0 | REDOXON EFF(R) ORAL TABLET mg | 701744 | 0.95 | ||||
0 | REDOXON(R) CHEWABLE TABLET 500 mg | 701745 | 0.41 | ||||
0 | REFOBACIN(R) EYE OINTMENT 0.5% | 701746 | 3.25 | ||||
0 | REFOBACIN(R) Intra-Venus AMPOULE 10 mg/2ml | 701747 | 5.22 | ||||
0 | REFOBACIN(R) Intra-Venus AMPOULE 40 mg/ml | 701748 | 13.54 | ||||
0 | REFRESH P.M EYE OINTMENT | 701749 | 550063737 | 16.2 | |||
57.3%+42.5%(preservative free) 1 Tube |
international unit
RECORMON(R) Intra-Venus INJECTION 2000
590.86
international unit
RECORMON(R) Intra-Venus INJECTION 5000
146.53
international unit
REDOXON EFF(R) ORAL TABLET mg
0.95
REDOXON(R) CHEWABLE TABLET 500 mg
0.41
REFOBACIN(R) EYE OINTMENT 0.5%
3.25
REFOBACIN(R) Intra-Venus AMPOULE 10 mg/2ml
5.22
REFOBACIN(R) Intra-Venus AMPOULE 40 mg/ml
13.54
REFRESH P.M EYE OINTMENT
16.2
57.3%+42.5%(preservative free) 1 Tube
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