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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
KINIDIN DURULES(R) ORAL TABLET 200 mg 100 Tab
701126
544061300
0.35
0
KLACID XL(R) ORAL TABLET 500 mg
701127
8.44
0
KLARIBAC(R) ORAL TABLET 250 mg
701128
540011345
2.58
0
KLARIBAC(R) ORAL TABLET 500 mg
701129
540011345
3.65
0
KLAVOX(R) ORAL SUSPENSION 156 mg/5ml 100 Bottle
701130
17.95
0
KLAVOX(R) ORAL SUSPENSION 228 mg/5ml 70 Bottle
701131
15.25
0
KLAVOX(R) ORAL SUSPENSION 312.5 mg/5m 100 Bottle
701132
33.6
0
KLAVOX(R) ORAL TABLET 1 gm
701133
5.05
0
KLAVOX(R) ORAL TABLET 375 mg
701134
1.9
0
KLAVOX(R) ORAL TABLET 625 mg
701135
3.3
0
KOGENATE - FS Intra-Venus VIAL 1000 international unit
701136
543054303
2,711.75
0
KOGENATE - FS Intra-Venus VIAL 250 international unit
701137
543054302
689.55
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