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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
METAZ(R) TOPICAL LOTION
701286
22.25
0
METFOR(R) ORAL TABLET 500 mg
701287
547061640
0.07
0
METFOR(R) ORAL TABLET 850 mg
701288
547061640
0.11
0
METHACIN(R) ORAL CAPSUL 25 mg
701289
545021225
0.47
0
METHACIN(R) RECTAL SUPPOSITORY 100 mg
701290
545023230
1.12
0
METHERGINE(R) Intra-Venus AMPOULE 0.2 mg/ml
701291
547034270
10.15
Ampule
0
METHERGINE(R) ORAL TABLET 0.125 mg 30 Tab
701292
547031280
0.45
0
METHOTREXATE(R) Intra-Venus VIAL 50 mg
701293
541024120
20.45
0
METHOTREXATE(R) Intra-Venus VIAL 500mg/vial
701294
541024125
76.75
0
METHOTREXATE(R) ORAL TABLET 2.5 mg 100 ????
701295
541021101
0.9
0
METHYLPREDNISOLONE SOD. SUCCI.(R) Intra-Venus VIAL 500 mg
701296
547054460
31.2
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