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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
CLOVIR(R) TOPICAL CREAM 5% 10 Tube
700450
550063700
20.75
0
CLOZOLE(R) Topical Cream 0.1 % 1 ?????
700451
540021492
11.9
0
COBRA ANTIVENOM (EQUINE)(R) Intra-Venus AMPOULE
700452
145.14
0
CO-DIOVAN F.C(R) ORAL TABLET 400 mg
700453
4.35
0
COLIFURAN(R) ORAL TABLET 100 mg 20 Tab
700454
540061800
0.78
0
COLIMEXR) ORAL TABLET mg
700455
3.51
0
COLIR CUSI CHLORAMPHENICOL(R) EYE DROPS 0.5%
700456
550013050
2.4
0
COLIR CUSI CICLOPLEGIC(R) EYE DROPS 1%
700457
15.35
0
COLIR CUSI GENTAMYCIN(R) EYE DROPS 0.3%
700458
550013030
8.1
0
COLIR CUSI H.C(R) EYE DROPS 1.5%
700459
16.3
0
COLISTOP(R) CHEWABLE SUSPENSION
700460
24.1
0
COLMEDITEN(R) ORAL TABLET 0.5mg 20 Tab
700461
545021310
0.1
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