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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
LIDOCAINE(R) TOPICAL OINTMENT 5%
701188
551066405
8.15
0
LIGNOCAIN(R) Intra-Venus AMPOULE 1 %
701189
551064415
4
0
LIGNOCAIN(R) Intra-Venus AMPOULE 2 %
701190
551064417
1.49
0
LIGNOCAIN(R) TOPICAL GEL 2%
701191
551063410
5.25
0
LIGNOSOL
701192
551066400
16.1
0
LINZ(R) ORAL CAPSUL 20 mg
701193
3.25
0
LIORESAL(R) Oral Tablet 10 mg ( Scored )
701194
545021275
1.12
0
LIPANTHYL(R) FILM COATED ORAL TABLET 145 mg 30
701195
544121911
1.63
Box
0
LIPITOR FC(R) ORAL TABLET 10 mg 50 Tab
701196
544121900
4.18
0
LIPITOR FC(R) ORAL TABLET 25 mg
701197
6.7
0
LIPITOR FILM COATEDS(R) ORAL TABLET 40 mg
701198
7.65
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