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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MYAMBUTOL(R) ORAL TABLET 400 mg | 701380 | 540041690 | 0.86 | |||
0 | MYCOHEAL HC(R) ORAL GEL | 701381 | 12.65 | ||||
0 | MYCOHEAL HC(R) TOPICAL CREAM 20 mg | 701382 | 3.1 | ||||
0 | MYCOHEAL(R) VAGINAL CREAM 2% | 701383 | 550063730 | 19.1 | |||
0 | MYCOHEAL(R) VAGINAL SUPPOSITORY 200 mg | 701384 | 550053595 | 1.94 | |||
0 | MYCOHEAL(R) VAGINAL SUPPOSITORY 400 mg | 701385 | 550053595 | 4.08 | |||
0 | MYCOSTATIN(R) TOPICAL CREAM 100,000 UNIT 1 | 701386 | 540045745 | 6.5 | |||
0 | MYCOSTATIN(R) VAGINAL TABLET 100,000 unit Tab | 701387 | 550053590 | 0.38 | |||
0 | MYDFRIN(R) EYE DROPS 2.5% | 701388 | 9.3 | ||||
0 | MYDRIACYL(R) OPHTHALMIC DROPS 1% | 701389 | 550013420 | 28.6 | |||
0 | MYFORTIC Film Coated Oral Tablet 360 mg mg | 701390 | 551081514 | 11.29 | |||
0 | MYLERAN(R) ORAL TABLET 2 mg scored 100 Box | 701391 | 541011070 | 1.24 |
MYAMBUTOL(R) ORAL TABLET 400 mg
0.86
MYCOHEAL HC(R) ORAL GEL
12.65
MYCOHEAL HC(R) TOPICAL CREAM 20 mg
3.1
MYCOHEAL(R) VAGINAL CREAM 2%
19.1
MYCOHEAL(R) VAGINAL SUPPOSITORY 200 mg
1.94
MYCOHEAL(R) VAGINAL SUPPOSITORY 400 mg
4.08
MYCOSTATIN(R) TOPICAL CREAM 100,000 UNIT 1
6.5
MYCOSTATIN(R) VAGINAL TABLET 100,000 unit Tab
0.38
MYDFRIN(R) EYE DROPS 2.5%
9.3
MYDRIACYL(R) OPHTHALMIC DROPS 1%
28.6
MYFORTIC Film Coated Oral Tablet 360 mg mg
11.29
MYLERAN(R) ORAL TABLET 2 mg scored 100 Box
1.24
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