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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | OMNISCAN(R) Intra-Venus VIAL 2.87 mg/ml | 701521 | 139.85 | ||||
0 | OMOL (R) ORAL TABLET 500 mg Tab | 701522 | 0.11 | ||||
0 | ONCOVIN(R) Intra-Venus VIAL 1 mg/10ml | 701523 | 541054401 | 31.96 | |||
0 | ONE-ALPHA(R) Intra-Venus INJECTION 1 mcg Ampule | 701524 | 551031175 | 11.14 | |||
0 | ONE-ALPHA(R) ORAL CAPSUL 1 mcg | 701525 | 551031150 | 2.19 | |||
0 | ONE-ALPHA(R) Oral Capsule 0.25 mcg 100 Capsule | 701526 | 551031160 | 0.96 | |||
0 | ONE-ALPHA(R) Oral Capsule 0.25 mcg 30 ???? | 701527 | 551031160 | 0.85 | |||
0 | ONE-ALPHA(R) Oral Drops 2 mcg / ml | 701528 | 551032170 | 101.25 | |||
0 | OPHTAMOLOL(R) EYE DROPS 0.25% | 701529 | 12.35 | ||||
0 | OPHTAMOLOL(R) EYE DROPS 0.5% | 701530 | 550013315 | 11.3 | |||
0 | OPRAZOLE(R) ORAL TABLET 20 mg | 701531 | 546031236 | 1.86 | |||
0 | OPTASONE(R) EYE OINTMENT 0.1% | 701532 | 5.15 |
OMNISCAN(R) Intra-Venus VIAL 2.87 mg/ml
139.85
OMOL (R) ORAL TABLET 500 mg Tab
0.11
ONCOVIN(R) Intra-Venus VIAL 1 mg/10ml
31.96
ONE-ALPHA(R) Intra-Venus INJECTION 1 mcg Ampule
11.14
ONE-ALPHA(R) ORAL CAPSUL 1 mcg
2.19
ONE-ALPHA(R) Oral Capsule 0.25 mcg 100 Capsule
0.96
ONE-ALPHA(R) Oral Capsule 0.25 mcg 30 ????
0.85
ONE-ALPHA(R) Oral Drops 2 mcg / ml
101.25
OPHTAMOLOL(R) EYE DROPS 0.25%
12.35
OPHTAMOLOL(R) EYE DROPS 0.5%
11.3
OPRAZOLE(R) ORAL TABLET 20 mg
1.86
OPTASONE(R) EYE OINTMENT 0.1%
5.15
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