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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | FOLICUM(R) Oral Tablet 1 mg ( Scored ) 200 Tablet | 700859 | 543011051 | 0.17 | |||
0 | FOLICUM(R) Oral Tablet 5 mg 20 Tablet | 700860 | 543011050 | 0.18 | |||
0 | FOLIVITA(R) ORAL TABLET mg | 700861 | 543011051 | 0.22 | |||
0 | FORMIT(R) ORAL TABLET 500 mg | 700862 | 547061640 | 0.16 | |||
0 | FORMIT(R) ORAL TABLET 850 mg | 700863 | 547061640 | 0.21 | |||
0 | FORTEO SC INJECTION 20 MICROGRAMS | 700864 | 547084810 | 2,079.80 | |||
0 | FORTEPEN(R) Intra-Venus VIAL | 700865 | 540014015 | 2.1 | |||
0 | FORTEPEN(R) Intra-Venus VIAL 0.4 mg | 700866 | 1.75 | ||||
0 | FORTUM(R) Intra-Venus VIAL 1 gm | 700867 | 540014260 | 57.3 | |||
0 | FORTUM(R) Intra-Venus VIAL 2 gm | 700868 | 114.6 | ||||
0 | FORTUM(R) Intra-Venus VIAL 500 mg | 700869 | 29.95 | ||||
0 | FOSAMAX(R) ORAL TABLET 70 mg 4 Box | 700870 | 547081810 | 12.94 |
FOLICUM(R) Oral Tablet 1 mg ( Scored ) 200 Tablet
0.17
FOLICUM(R) Oral Tablet 5 mg 20 Tablet
0.18
FOLIVITA(R) ORAL TABLET mg
0.22
FORMIT(R) ORAL TABLET 500 mg
0.16
FORMIT(R) ORAL TABLET 850 mg
0.21
FORTEO SC INJECTION 20 MICROGRAMS
2,079.80
FORTEPEN(R) Intra-Venus VIAL
2.1
FORTEPEN(R) Intra-Venus VIAL 0.4 mg
1.75
FORTUM(R) Intra-Venus VIAL 1 gm
57.3
FORTUM(R) Intra-Venus VIAL 2 gm
114.6
FORTUM(R) Intra-Venus VIAL 500 mg
29.95
FOSAMAX(R) ORAL TABLET 70 mg 4 Box
12.94
No plans availableOnce there are plans available for purchase, you’ll see them here.
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