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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
ml ) pen | |||||||
0 | APIFLOX(R) EYE DROPS 0.3% | 700128 | 13.85 | ||||
0 | APIFRIN-Z(R) EYE DROPS % | 700129 | 3.15 | ||||
0 | APIGEN(R) EYE OINTMENT 0.3% | 700130 | 550013035 | 3.25 | |||
0 | APIGEN(R) EYE/EAR DROPS 0.3% | 700131 | 550013030 | 4.6 | |||
0 | APIMOL(R) OPHTHALMIC DROPS 0.25% Box | 700132 | 9.15 | ||||
0 | APISAL(R) EYE OINTMENT 5 % 10 Bottle | 700133 | 550014503 | 3.8 | |||
0 | APISULFA(R) EYE DROPS 20% | 700134 | 550013100 | 2.45 | |||
0 | APO-AMILZIDE(R) ORAL TABLET 50 mg | 700135 | 0.53 | ||||
0 | APO-ATENOL(R) ORAL TABLET 100 mg | 700136 | 1.08 | ||||
0 | AFIMOCIL(R) ORAL TABLET 500 mg | 700043 | 0.52 | ||||
0 | AGGRASTAT Intra-Venus VIAL 0.25mg | 700044 | 544041150 | 1,225.20 |
ml ) pen
APIFLOX(R) EYE DROPS 0.3%
13.85
APIFRIN-Z(R) EYE DROPS %
3.15
APIGEN(R) EYE OINTMENT 0.3%
3.25
APIGEN(R) EYE/EAR DROPS 0.3%
4.6
APIMOL(R) OPHTHALMIC DROPS 0.25% Box
9.15
APISAL(R) EYE OINTMENT 5 % 10 Bottle
3.8
APISULFA(R) EYE DROPS 20%
2.45
APO-AMILZIDE(R) ORAL TABLET 50 mg
0.53
APO-ATENOL(R) ORAL TABLET 100 mg
1.08
AFIMOCIL(R) ORAL TABLET 500 mg
0.52
AGGRASTAT Intra-Venus VIAL 0.25mg
1,225.20
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