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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
GLUCAGON(R) Intra-Venus VIAL 1 mg/ml Vial
700921
547064650
57.45
0
GLUCARE(R) ORAL TABLET 500 mg
700922
0.14
0
GLUCARE(R) ORAL TABLET 5 mg
700923
547061620
0.7
0
GLUCARE(R) ORAL TABLET 500 mg
700924
547061640
0.14
0
GLUCARE(R) ORAL TABLET 80 mg
700925
547061600
0.16
0
GLUCARE(R) ORAL TABLET 850 mg
700926
0.23
0
GLUCOFER(R) ORAL TABLET 300 mg
700927
0.19
0
GLUCOPHAGE XL Enteric Coated Oral Tablet 750 MG
700928
547061648
0.83
0
GLUCOPHAGE(R) ORAL TABLET 500 mg
700929
547061640
0.33
0
GLUCOPHAGE(R) ORAL TABLET 850 mg
700930
547061640
0.51
0
GLUCOSE(R) Intra-Venus INJECTION 10 %
700931
4.45
0
GLYCERINE Lab Prep CHEMICAL 5 KG Chemical
700932
552033450
36.85
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