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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | NOVO-RANIDINE(R) ORAL TABLET 150 mg | 701477 | 546031230 | 1.83 | |||
0 | NOVO-RANIDINE(R) ORAL TABLET 300 mg | 701478 | 546031230 | 2.96 | |||
0 | NovoSeven Intra-Venus INJECTION 1 mg (50 KIU) | 701479 | 543054315 | 3,688.95 | |||
0 | NovoSeven Intra-Venus INJECTION 2 MG ( 100 KIU ) | 701480 | 543054316 | 7,377.85 | |||
Solutions | |||||||
0 | NovoSeven Intra-Venus INJECTION 5 MG ( 250 KIU ) | 701481 | 543054317 | 18,444.70 | |||
Ampule | |||||||
0 | NUFEN(R) ORAL TABLET 200 mg | 701482 | 545021200 | 0.14 | |||
0 | NUFEN(R) ORAL TABLET 400 mg | 701483 | 545021200 | 0.25 | |||
0 | NUFEN(R) ORAL TABLET 600 mg | 701484 | 545021200 | 0.31 | |||
0 | NYOLOL(R) EYE DROPS 0.5% | 701485 | 10.5 | ||||
0 | OCCULAC OPHTHALMIC DROPS - | 701486 | 550013455 | 5 |
NOVO-RANIDINE(R) ORAL TABLET 150 mg
1.83
NOVO-RANIDINE(R) ORAL TABLET 300 mg
2.96
NovoSeven Intra-Venus INJECTION 1 mg (50 KIU)
3,688.95
NovoSeven Intra-Venus INJECTION 2 MG ( 100 KIU )
7,377.85
Solutions
NovoSeven Intra-Venus INJECTION 5 MG ( 250 KIU )
18,444.70
Ampule
NUFEN(R) ORAL TABLET 200 mg
0.14
NUFEN(R) ORAL TABLET 400 mg
0.25
NUFEN(R) ORAL TABLET 600 mg
0.31
NYOLOL(R) EYE DROPS 0.5%
10.5
OCCULAC OPHTHALMIC DROPS -
5
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