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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
ISORDIL(R) SUBLINGUAL TABLET 5 mg 100 ????
701090
0.16
0
JECTOFER(R) Intra-Venus AMPOULE 100 mg
701091
3.98
0
JLUCARE ORAL TABLET 500 mg Tab
701092
547061640
0.17
0
JULMENTIN(R) CHEWABLE SUSPENSION 156.25 mg/5
701093
14.55
0
JULMENTIN(R) CHEWABLE SUSPENSION 312.5 mg/5m
701094
27.2
0
JULMENTIN(R) ORAL TABLET 375 mg
701095
1.71
0
JULMENTIN(R) ORAL TABLET 625 mg
701096
2.67
0
JULMENTINE (R) Oral Suspension 156 mg / 5 ml
701097
540012175
13.1
0
JULMENTINE (R) Oral Tablet 375 mg
701098
540011170
1.21
0
JULPHAMOX(R) CHEWABLE SUSPENSION 125 mg/5ml
701099
10.2
0
JULPHAMOX(R) CHEWABLE SUSPENSION 250 mg/5ml
701100
16.7
0
JULPHAMOX(R) EYE DROPS 100 mg/ml
701101
540012165
10.9
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