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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | PROSCAR(R) ORAL TABLET 5 mg | 701694 | 547011025 | 4.28 | |||
0 | PROSTAPHLIN-A(R) Intra-Venus VIAL 250mg/vial | 701695 | 540011110 | 5.74 | |||
0 | PROSTIN E(R) VAGINAL TABLET 3 mg 4 Box | 701696 | 547015190 | 54.5 | |||
0 | PROSTIN E2(R) Intra-Venus AMPOULE 10 mg/ml | 701697 | 547014180 | 112.6 | |||
0 | PROSTIN VR(R) Intra-Venus Ampoule 0.5 mg / ml | 701698 | 551104570 | 112.6 | |||
0 | PROTAMINE SULPHATE(R) Intra-Venus AMPOULE 10 | 701699 | 543034240 | 3.15 | |||
mg/ml 5ML/AMP Ampule | |||||||
0 | PROTIGUMIN Intra-Venus INJECTION 0.5 mg/ml | 701700 | 545064860 | 1.86 | |||
0 | PROTOPIC TOPICAL OINTMENT 0.03 % Tube | 701701 | 551081590 | 195.4 | |||
0 | PROTOPIC TOPICAL OINTMENT 0.1 % | 701702 | 551081595 | 228.05 | |||
0 | PROVERA(R) ORAL TABLET 5 mg 24 Tab | 701703 | 547011015 | 0.72 | |||
0 | PROVISC(R) EYE DROPS 0.2 % 1 Bottle | 701704 | 550014462 | 33.9 |
PROSCAR(R) ORAL TABLET 5 mg
4.28
PROSTAPHLIN-A(R) Intra-Venus VIAL 250mg/vial
5.74
PROSTIN E(R) VAGINAL TABLET 3 mg 4 Box
54.5
PROSTIN E2(R) Intra-Venus AMPOULE 10 mg/ml
112.6
PROSTIN VR(R) Intra-Venus Ampoule 0.5 mg / ml
112.6
PROTAMINE SULPHATE(R) Intra-Venus AMPOULE 10
3.15
mg/ml 5ML/AMP Ampule
PROTIGUMIN Intra-Venus INJECTION 0.5 mg/ml
1.86
PROTOPIC TOPICAL OINTMENT 0.03 % Tube
195.4
PROTOPIC TOPICAL OINTMENT 0.1 %
228.05
PROVERA(R) ORAL TABLET 5 mg 24 Tab
0.72
PROVISC(R) EYE DROPS 0.2 % 1 Bottle
33.9
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