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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MAGNESIUM SULPHATE(R) Intra-Venus Injection 10 % | 701250 | 548024460 | 0.65 | |||
0 | MALAREX(R) ORAL SYRUP 75 mg/5ml | 701251 | 540032545 | 8.75 | |||
0 | MALUGEL(R) CHEWABLE TABLET mg | 701252 | 0.05 | ||||
0 | MANNITOL(R) Intra-Venus INJECTION 20% (250 ml) | 701253 | 544074535 | 9.1 | |||
Injection | |||||||
0 | MARCAINE(R) INJECTION 0.5 % spinal 5 mg/ml (4ml) | 701254 | 551064451 | 15.56 | |||
0 | MATERNA(R) ORAL TABLET 1.6 mg | 701255 | 0.28 | ||||
0 | MAXIDEX(R) EYE DROPS 0.1% | 701256 | 16.3 | ||||
0 | MAXIL(R) Intra-Venus VIAL | 701257 | 540014245 | 22.05 | |||
0 | MAXIL(R) Intra-Venus VIAL 1500 mg | 701258 | 22.05 | ||||
0 | MAXIL(R) Intra-Venus VIAL 750 mg | 701259 | 11.85 | ||||
0 | MAXIPIME(R) Intra-Venus VIAL 1 gm | 701260 | 540014248 | 40.45 |
MAGNESIUM SULPHATE(R) Intra-Venus Injection 10 %
0.65
MALAREX(R) ORAL SYRUP 75 mg/5ml
8.75
MALUGEL(R) CHEWABLE TABLET mg
0.05
MANNITOL(R) Intra-Venus INJECTION 20% (250 ml)
9.1
Injection
MARCAINE(R) INJECTION 0.5 % spinal 5 mg/ml (4ml)
15.56
MATERNA(R) ORAL TABLET 1.6 mg
0.28
MAXIDEX(R) EYE DROPS 0.1%
16.3
MAXIL(R) Intra-Venus VIAL
22.05
MAXIL(R) Intra-Venus VIAL 1500 mg
22.05
MAXIL(R) Intra-Venus VIAL 750 mg
11.85
MAXIPIME(R) Intra-Venus VIAL 1 gm
40.45
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