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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MYOGESIC(R) ORAL TABLET mg | 701392 | 0.12 | ||||
0 | MYSOLINE(R) ORAL TABLET 250 mg | 701393 | 8.05 | ||||
0 | NALOXONE HCL(R) Intra-Venus AMPOULE 40 mcg/2 ml | 701394 | 15.54 | ||||
0 | NALOXONE HCL(R) Intra-Venus AMPOULE 400 mcg/ml | 701395 | 15.05 | ||||
0 | NAPHAZOLINE (R) NASAL DROPS 0.05%+0.05% | 701396 | 550038540 | 4.85 | |||
0 | NAPHCON FORTE(R) EYE DROPS 0.1% | 701397 | 550013440 | 17.3 | |||
0 | NARAPRIL(R) ORAL TABLET 10 mg | 701398 | 544101746 | 1.2 | |||
0 | NARCAN(R) Intra-Venus AMPOULE 0.02 mg/ml | 701399 | 13.39 | ||||
0 | NARCAN(R) Intra-Venus AMPOULE 0.4 mg/ml | 701400 | 15.54 | ||||
0 | NAROPIN(R) Intra-Venus AMPOULE 7.5 mg/ml | 701401 | 15.56 | ||||
0 | NATRILIX(R) Film Coated Oral Tablet 1.5 mg 30 Tablet | 701402 | 544071470 | 1.26 | |||
0 | NAVELBINE(R) Intra-Venus VIAL 50mg/vial | 701403 | 541054405 | 118.75 |
MYOGESIC(R) ORAL TABLET mg
0.12
MYSOLINE(R) ORAL TABLET 250 mg
8.05
NALOXONE HCL(R) Intra-Venus AMPOULE 40 mcg/2 ml
15.54
NALOXONE HCL(R) Intra-Venus AMPOULE 400 mcg/ml
15.05
NAPHAZOLINE (R) NASAL DROPS 0.05%+0.05%
4.85
NAPHCON FORTE(R) EYE DROPS 0.1%
17.3
NARAPRIL(R) ORAL TABLET 10 mg
1.2
NARCAN(R) Intra-Venus AMPOULE 0.02 mg/ml
13.39
NARCAN(R) Intra-Venus AMPOULE 0.4 mg/ml
15.54
NAROPIN(R) Intra-Venus AMPOULE 7.5 mg/ml
15.56
NATRILIX(R) Film Coated Oral Tablet 1.5 mg 30 Tablet
1.26
NAVELBINE(R) Intra-Venus VIAL 50mg/vial
118.75
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