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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
AMRIZOLE(R) ORAL SYRUP 125 mg/5ml Bottle
700106
540032640
3.25
0
AMURETIC(R) ORAL TABLET 5 mg
700107
0.44
0
AMYDRAMINE ORAL SYRUP 13.5 mg + 131.5 mg + 57 mg
700108
549072700
8.3
Bottle
0
ANACIN(R) ORAL TABLET 398 mg
700109
0.18
0
ANAFRANIL(R) ORAL TABLET 10 mg 30 Box
700110
545031430
0.6
0
ANAFRANIL(R) ORAL TABLET 25 mg 30 Box
700111
545031435
0.71
0
ANALUX COLIRCUSI(R) EYE DROPS 0.12%
700112
3.15
0
ANATENSOL DECANOATE(R) Intra-muscular VIAL 25
700113
545034570
12.88
mg/ml
0
ANAZOL(R) CHEWABLE SUSPENSION 200 mg/5ml
700114
10.05
0
ANAZOL(R) ORAL TABLET 250 mg
700115
0.32
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