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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | PROVISC(R) Intraocular SYRINGE 10 mg/ml Injection | 701705 | 550014460 | 158.9 | |||
0 | PROZAC(R) ORAL CAPSUL 20 mg 28 Box | 701706 | 545034638 | 5.07 | |||
0 | PULMICORT(R) NEBULISATION SOLUTION 500 mcg/2ml | 701707 | 549066412 | 119.25 | |||
Solutions | |||||||
0 | PURINETHOL(R) ORAL TABLET 50 mg scored 25 Tab | 701708 | 541021150 | 2.65 | |||
0 | PURINOL(R) ORAL TABLET 100 mg | 701709 | 0.17 | ||||
0 | PURINOL(R) ORAL TABLET 300 mg | 701710 | 0.38 | ||||
0 | PYLORID(R) ORAL TABLET 10 mg | 701711 | 5.5 | ||||
0 | PYLORID(R) ORAL TABLET 400 mg | 701712 | 2.84 | ||||
0 | PYRIDOXIN(R) ORAL TABLET 40 mg Tab | 701713 | 548011130 | 5.35 | |||
0 | PZA(R) ORAL TABLET 500 mg Box | 701714 | 540041700 | 0.67 | |||
0 | QUESTRAN(R) ORAL POWDER 4 gm/SACHET | 701715 | 544121850 | 1.77 |
PROVISC(R) Intraocular SYRINGE 10 mg/ml Injection
158.9
PROZAC(R) ORAL CAPSUL 20 mg 28 Box
5.07
PULMICORT(R) NEBULISATION SOLUTION 500 mcg/2ml
119.25
Solutions
PURINETHOL(R) ORAL TABLET 50 mg scored 25 Tab
2.65
PURINOL(R) ORAL TABLET 100 mg
0.17
PURINOL(R) ORAL TABLET 300 mg
0.38
PYLORID(R) ORAL TABLET 10 mg
5.5
PYLORID(R) ORAL TABLET 400 mg
2.84
PYRIDOXIN(R) ORAL TABLET 40 mg Tab
5.35
PZA(R) ORAL TABLET 500 mg Box
0.67
QUESTRAN(R) ORAL POWDER 4 gm/SACHET
1.77
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