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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | GENTAMYCIN(R) IP AMPOULE 40 mg Ampule | 700909 | 5.22 | ||||
0 | GENURIN FORT(R) ORAL TABLET 200 mg | 700910 | 0.39 | ||||
0 | GENURIN(R) ORAL TABLET 100 mg Box | 700911 | 551031240 | 0.28 | |||
0 | GILENYA FILM COATED ORAL TABLET 0.5 MG Box | 700912 | 541074520 | 368.17 | |||
0 | GINSAVIT(R) ORAL CAPSUL mg | 700913 | 0.4 | ||||
0 | GLAZE(R) ORAL CAPSUL mg | 700914 | 0.58 | ||||
0 | GLAZE(R) ORAL TABLET 80 mg | 700915 | 547061600 | 0.66 | |||
0 | GLEEVEC ORAL TABLET 100 mg | 700916 | 541011075 | 6,283.75 | |||
0 | GLIBIL(R) ORAL TABLET 5 mg | 700917 | 547061620 | 0.33 | |||
0 | GLIVEC(R) ORAL CAPSUL 100 mg | 700918 | 541011075 | 6,283.75 | |||
0 | GLOBUMAN BERNA(R) Intra-muscular VIAL 16 % | 700919 | 7.7 | ||||
0 | Glucagon (pre-filled) Intra-Venus Injection 1 mg ( prefiled syringe ) Syringe | 700920 | 547064655 | 63.3 |
GENTAMYCIN(R) IP AMPOULE 40 mg Ampule
5.22
GENURIN FORT(R) ORAL TABLET 200 mg
0.39
GENURIN(R) ORAL TABLET 100 mg Box
0.28
GILENYA FILM COATED ORAL TABLET 0.5 MG Box
368.17
GINSAVIT(R) ORAL CAPSUL mg
0.4
GLAZE(R) ORAL CAPSUL mg
0.58
GLAZE(R) ORAL TABLET 80 mg
0.66
GLEEVEC ORAL TABLET 100 mg
6,283.75
GLIBIL(R) ORAL TABLET 5 mg
0.33
GLIVEC(R) ORAL CAPSUL 100 mg
6,283.75
GLOBUMAN BERNA(R) Intra-muscular VIAL 16 %
7.7
Glucagon (pre-filled) Intra-Venus Injection 1 mg ( prefiled syringe ) Syringe
63.3
No plans availableOnce there are plans available for purchase, you’ll see them here.
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