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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | REFRESH PLUS EYE DROPS 0.5 % (PRESERVATIVE FREE) 30 Box | 701750 | 550013456 | 0.61 | |||
0 | REGITINE(R) Intra-Venus AMPOULE 10 mg/ml | 701751 | 544104750 | 15.95 | |||
0 | REMERON(R) ORAL TABLET 30 mg 30 Box | 701752 | 545031635 | 6.03 | |||
0 | REMICADE Intra-Venus VIAL 100 mg/vial | 701753 | 546081705 | 2,791.35 | |||
0 | REMIN(R) ORAL TABLET 300 mg | 701754 | 0.03 | ||||
0 | REMOX(R) ORAL CAPSUL 250 mg Capsule | 701755 | 540011150 | 0.91 | |||
0 | REMOX(R) ORAL CAPSUL 500 mg 20 Box | 701756 | 540011155 | 1.82 | |||
0 | REMOX(R) Oral Suspension 250 mg / 5 ml 100 ?????? | 701757 | 540012160 | 22.55 | |||
0 | RENAGEL ORAL TABLET 800 mg | 701758 | 551031192 | 5.45 | |||
0 | RENITEC(R) ORAL TABLET 10 mg | 701759 | 544101746 | 2.69 | |||
0 | RENITEC(R) ORAL TABLET 20 mg | 701760 | 544101746 | 2.27 | |||
0 | RENITEC(R) ORAL TABLET 5 mg | 701761 | 544101746 | 2.69 |
REFRESH PLUS EYE DROPS 0.5 % (PRESERVATIVE FREE) 30 Box
0.61
REGITINE(R) Intra-Venus AMPOULE 10 mg/ml
15.95
REMERON(R) ORAL TABLET 30 mg 30 Box
6.03
REMICADE Intra-Venus VIAL 100 mg/vial
2,791.35
REMIN(R) ORAL TABLET 300 mg
0.03
REMOX(R) ORAL CAPSUL 250 mg Capsule
0.91
REMOX(R) ORAL CAPSUL 500 mg 20 Box
1.82
REMOX(R) Oral Suspension 250 mg / 5 ml 100 ??????
22.55
RENAGEL ORAL TABLET 800 mg
5.45
RENITEC(R) ORAL TABLET 10 mg
2.69
RENITEC(R) ORAL TABLET 20 mg
2.27
RENITEC(R) ORAL TABLET 5 mg
2.69
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