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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
DIGEL(R) ORAL SYRUP
700610
4.05
0
DIGELS(R) ORAL CAPSUL 150 mg
700611
0.22
0
D.T.COQ VACCINE(R) Intra-Venus VIAL
700517
11.03
0
DADCROME(R) EYE DROPS 2%
700518
14.35
0
DAGRAVIT A-E(R) ORAL CAPSUL 50 mg
700519
548011001
0.33
0
DAGRAVIT B-COMPLEX(R) ORAL TABLET mg
700520
548011290
0.11
0
DAIVOBET TOPICAL OINTMENT 50 MCG + 0.5 MG 1 ?????
700521
550063745
128.1
0
DAIVONEX(R) TOPICAL OINTMENT 0.05% 30 Ointment
700522
550063743
45.55
0
DAKTACORT(R) TOPICAL CREAM 20 mg/g
700523
15.85
0
DAKTARIN(R) ORAL GEL 2 %
700524
540023503
17.75
0
DAKTARIN(R) TOPICAL CREAM 2%
700525
550063730
21.45
0
DAKTARIN(R) TOPICAL LOTION 2%
700526
550028520
10.45
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