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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
AMOXIL(R) ORAL CAPSUL 500 mg 20 Capsule
700094
540011155
2.25
0
AMOXIL(R) ORAL SUSPENSION 250 mg/5ml 100 Bottle
700095
540012160
27.85
0
AMOXIL(R) Intra-Venus VIAL 250 mg
700096
6.85
0
AMOXIL(R) Intra-Venus VIAL 500 mg
700097
6.85
0
AMOXIPEN(R) CHEWABLE SUSPENSION 250 mg/5ml
700098
27.85
0
AMOXIPEN(R) ORAL CAPSUL 250 mg
700099
1.12
0
AMOXIPEN(R) ORAL CAPSUL 500 mg
700100
2.25
0
AMOXYDAR(R) CHEWABLE SUSPENSION 125 mg/5ml
700101
6.95
0
AMOXYDAR(R) CHEWABLE SUSPENSION 250 mg/5ml
700102
6.95
0
AMOXYDAR(R) ORAL CAPSUL 250 mg
700103
0.37
0
AMOXYDAR(R) ORAL CAPSUL 500 mg
700104
0.65
0
AMPICLOX(R) Intra-Venus VIAL 500 mg
700105
2.95
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