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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | LEXIN(R) CHEWABLE SUSPENSION 125 mg/5ml | 701177 | 10.85 | ||||
0 | LEXIN(R) CHEWABLE SUSPENSION 250 mg/5ml | 701178 | 18.85 | ||||
0 | LIDAPRIM FORTE(R) ORAL TABLET mg | 701179 | 3.81 | ||||
0 | LIDAPRIM PEDIATRIC(R) ORAL TABLET 20 mg | 701180 | 0.92 | ||||
0 | LIDAPRIM(R) ORAL SYRUP 40+200 mg Syrups | 701181 | 30.95 | ||||
0 | LIDAPRIM(R) ORAL TABLET mg | 701182 | 1.1 | ||||
0 | LIDOCAINE HCL(R) Intra-Venus AMPOULE 1 % 50MG/AMP(FREE PRESERVATIVE | 701183 | 544064385 | 1.49 | |||
0 | LIDOCAINE HCL(R) Intra-Venus AMPOULE 2% (20mg) | 701184 | 551064427 | 1.49 | |||
0 | LIDOCAINE HCL(R) Intra-Venus SYRINGE 20 % (5ML) | 701185 | 551064425 | 1.49 | |||
0 | LIDOCAINE HCL(R) Intra-Venus SYRINGE 20MG/ML (2%) | 701186 | 544064388 | 1.49 | |||
5ML PREFILLED | |||||||
0 | LIDOCAINE HCL(R) Intra-Venus VIAL 1% (20 ml) | 701187 | 551064415 | 4 |
LEXIN(R) CHEWABLE SUSPENSION 125 mg/5ml
10.85
LEXIN(R) CHEWABLE SUSPENSION 250 mg/5ml
18.85
LIDAPRIM FORTE(R) ORAL TABLET mg
3.81
LIDAPRIM PEDIATRIC(R) ORAL TABLET 20 mg
0.92
LIDAPRIM(R) ORAL SYRUP 40+200 mg Syrups
30.95
LIDAPRIM(R) ORAL TABLET mg
1.1
LIDOCAINE HCL(R) Intra-Venus AMPOULE 1 % 50MG/AMP(FREE PRESERVATIVE
1.49
LIDOCAINE HCL(R) Intra-Venus AMPOULE 2% (20mg)
1.49
LIDOCAINE HCL(R) Intra-Venus SYRINGE 20 % (5ML)
1.49
LIDOCAINE HCL(R) Intra-Venus SYRINGE 20MG/ML (2%)
1.49
5ML PREFILLED
LIDOCAINE HCL(R) Intra-Venus VIAL 1% (20 ml)
4
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