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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
NOLVADEX(R) ORAL TABLET 10 mg 30 Box
701441
541031275
1.61
0
NOLVADEX-D(R) ORAL TABLET 20 mg
701442
2.11
0
NOMAL(R) ORAL CAPSUL 50 mg
701443
0.71
0
NORACIN(R) ORAL TABLET 400 mg
701444
1.74
0
NORACTONE(R) ORAL TABLET 25 mg Tab
701445
544071510
0.3
0
NORDITROPIN(R) SUBCUTANEOUS INJECTION 5
701446
547024203
479.35
MG/1.5 ML(prefilled syringe) 1
0
NORMOTEN FC(R) ORAL TABLET 25 mg
701447
544071510
0.73
0
NORMOTEN FC(R) ORAL TABLET 50 mg
701448
0.73
0
NORMOTEN(R) ORAL TABLET 100 mg Tab
701449
544051171
1.2
0
NORTRIME(R) ORAL TABLET 480 mg
701450
0.26
0
NORVIR(R) FILM COATED ORAL TABLET 100 mg
701451
540052787
795.4
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