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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | INDOMIN(R) ORAL CAPSUL 25 mg 20 Capsule | 701042 | 545021225 | 0.11 | |||
0 | INDOMIN(R) RECTAL SUPPOSITORY 100 mg 6 Supps | 701043 | 545023230 | 0.4 | |||
0 | INFANRIX Intra-Muscular Injection 0.5 ml ( Single Dose ) | 701044 | 542014221 | 67.35 | |||
0 | INFANRIX-HIB(R) SYRINGE | 701045 | 108.65 | ||||
0 | INFASURF INJECTION SUSPENSION 35 MG / ML ( 6 ML ) | 701046 | 549086751 | 1,726.20 | |||
Vial | |||||||
0 | INFLA-BAN(R) Intra-muscular INJECTION 75 MG Injection | 701047 | 1.55 | ||||
0 | INFLA-BAN(R) Intra-Venus AMPOULE | 701048 | 1.55 | ||||
0 | INFLA-BAN(R) ORAL TABLET 50 mg | 701049 | 545021250 | 1.48 | |||
0 | INFLA-BAN(R) RECTAL SUPPOSITORY 100 mg | 701050 | 1.42 | ||||
0 | INFLA-BAN(R) RECTAL SUPPOSITORY 12.5 mg | 701051 | 0.52 | ||||
0 | INFLA-BAN(R) RECTAL SUPPOSITORY 50 mg | 701052 | 0.71 |
INDOMIN(R) ORAL CAPSUL 25 mg 20 Capsule
0.11
INDOMIN(R) RECTAL SUPPOSITORY 100 mg 6 Supps
0.4
INFANRIX Intra-Muscular Injection 0.5 ml ( Single Dose )
67.35
INFANRIX-HIB(R) SYRINGE
108.65
INFASURF INJECTION SUSPENSION 35 MG / ML ( 6 ML )
1,726.20
Vial
INFLA-BAN(R) Intra-muscular INJECTION 75 MG Injection
1.55
INFLA-BAN(R) Intra-Venus AMPOULE
1.55
INFLA-BAN(R) ORAL TABLET 50 mg
1.48
INFLA-BAN(R) RECTAL SUPPOSITORY 100 mg
1.42
INFLA-BAN(R) RECTAL SUPPOSITORY 12.5 mg
0.52
INFLA-BAN(R) RECTAL SUPPOSITORY 50 mg
0.71
No plans availableOnce there are plans available for purchase, you’ll see them here.
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