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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
DEXAMETHASONE Intra-Venus AMPOULE 4 mg/ml
700563
547054480
2.13
0
DEXAMETHASONE OPHTHALMIC OINTMENT 5mg (0.05%)
700564
550013220
3.85
0
DEXOFAN(R) ORAL SYRUP 15 mg/5ml 100 Bottle
700565
7.05
0
DEXT/SOD.CHOLRIDE(R) Intra-Venus GLASS BOTTLE
700566
548034598
4.55
0
CONFORTID(R) RECTAL SUPPOSITORY 50 mg
700470
545023230
1.58
0
CONJUNCTIN OPTH(R) OPHTHALMIC DROPS
700471
550013070
16.3
10,000+3.5 gm 10 Drop
0
CONRAY(R) Intra-Venus AMPOULE 420 mg
700472
428.09
0
CONVULEX(R) ORAL CAPSUL 150 mg
700473
0.54
0
CONVULEX(R) ORAL CAPSUL 200 mg Capsule
700474
0.54
0
CONVULEX(R) ORAL CAPSUL 500 mg
700475
0.95
0
CORACTEN ORAL CAPSUL 20 mg
700476
544031102
0.82
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