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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | DIAZEPAM(R) Oral Tablet 5 mg 30 Tab | 700586 | 545031370 | 0.26 | |||
0 | DICLOFEN(R) Intra-muscular AMPOULE 75 mg | 700587 | 3.26 | ||||
0 | DICLOFEN(R) TOPICAL GEL 1% | 700588 | 13.45 | ||||
0 | Diclofenac (supp) RECTAL SUPPOSITORY 50 mg | 700589 | 545023266 | 1.99 | |||
0 | DICLOGESIC RECTAL SUPPOSITORY 12.5 MG 10 Supps | 700590 | 545023263 | 0.46 | |||
0 | DICLOGESIC RETARD(R) ORAL CAPSUL 100 mg | 700591 | 545021250 | 1.43 | |||
0 | DICLOGESIC RETARD(R) ORAL TABLET 100 mg | 700592 | 545021250 | 0.91 | |||
0 | DICLOGESIC RETARD(R) ORAL TABLET 50 mg | 700593 | 0.86 | ||||
0 | DICLOGESIC(R) Intra-Venus AMPOULE | 700594 | 3.26 | ||||
0 | DICLOGESIC(R) ORAL TABLET 25 mg | 700595 | 545021250 | 0.33 | |||
0 | DICLOGESIC(R) ORAL TABLET 50 mg | 700596 | 545021250 | 0.86 | |||
0 | DICLOGESIC(R) RECTAL SUPPOSITORY 100 mg | 700597 | 2.28 |
DIAZEPAM(R) Oral Tablet 5 mg 30 Tab
0.26
DICLOFEN(R) Intra-muscular AMPOULE 75 mg
3.26
DICLOFEN(R) TOPICAL GEL 1%
13.45
Diclofenac (supp) RECTAL SUPPOSITORY 50 mg
1.99
DICLOGESIC RECTAL SUPPOSITORY 12.5 MG 10 Supps
0.46
DICLOGESIC RETARD(R) ORAL CAPSUL 100 mg
1.43
DICLOGESIC RETARD(R) ORAL TABLET 100 mg
0.91
DICLOGESIC RETARD(R) ORAL TABLET 50 mg
0.86
DICLOGESIC(R) Intra-Venus AMPOULE
3.26
DICLOGESIC(R) ORAL TABLET 25 mg
0.33
DICLOGESIC(R) ORAL TABLET 50 mg
0.86
DICLOGESIC(R) RECTAL SUPPOSITORY 100 mg
2.28
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