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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
CARVIDOL(R) ORAL TABLET 6.25 mg Box
700328
544051172
0.59
0
CAVERJECT(R) Intra-Venus VIAL 20 mcg
700329
73.1
0
CECLOR MR(R) Oral Suspension 125 mg/5ml 75 ??????
700330
20.85
0
CECLOR MR(R) Oral Suspension 250 mg/5ml 75 ??????
700331
41.65
0
CECLOR MR(R) ORAL TABLET 750 mg
700332
5.23
0
CEFADIN(R) ORAL CAPSUL 250 mg 12 ????
700333
1.33
0
CEFADIN(R) ORAL CAPSUL 500 mg 15 ????
700334
2.62
0
CEFAMEZIN(R) Intra-Venus VIAL 1 gm/10ml
700335
8.3
0
CEFAMEZIN(R) Intra-Venus VIAL 250 mg/10ml
700336
3.15
0
CEFAMEZIN(R) Intra-Venus VIAL 500 mg/10ml
700337
5.75
0
CEFIZOLIN(R) Intra-Venus INJECTION 500 MG Vial
700338
540011200
6.4
0
CEFIZOLIN(R) Intra-Venus INJECTION 1 gm Vial
700339
540011229
11.2
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