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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
AUGMENTIN(R) ORAL TABLET 1 mg
700188
6.99
0
AUGMENTIN(R) ORAL TABLET 375 mg
700189
540011170
2.3
0
AUGMENTIN(R) ORAL TABLET 625 mg
700190
3.99
0
AUGMENTIN(R) TOPICAL DROPS 62.5 mg/ml
700191
40.7
0
AURORIX(R) ORAL TABLET 150 mg 30 Box
700192
545031478
1.96
0
AVALOX FILM COATED ORAL TABLET 400 MG Box
700193
540011327
16.41
0
AVAXIM(R) SYRINGE 160
700194
66.25
0
AVLOCLOR (R) ORAL TABLET 250 mg (150mg base) Tab
700195
540031540
0.53
0
AVOBAN TOPICAL OINTMENT 2 % 1
700196
550064632
19.4
0
AVOCOM NASAL SPARY 0.05% 1 Box
700197
550063768
41.6
0
AVOLEN S.R(R) ORAL TABLET 300 mg
700198
549011230
0.51
0
AVOMACK TOPICAL SOLUTION 16.7 + 16.7 ( external
700199
550063718
4.7
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