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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
AGRIPPAL S1(R) SYRINGE 45 mg/0.5ml
700045
27.75
0
ALBENDA(R) ORAL SUSPENSION 100 mg/5ml Bottle
700046
540032580
7.15
0
ALBENDA(R) ORAL TABLET 200 mg
700047
540031578
3.08
0
ALBUMAN Intra-Venus INJECTION 5 % ( 250 ML ) Bottle
700048
543074505
270.85
0
ALBUMAN BERNA(R) Intra-Venus VIAL 20-25 % 50 ml Vial
700049
543074510
171.15
0
ALCAIN(R) OPHTHALMIC DROPS 0.5% Box
700050
550013001
9.3
0
ALCOMICIN(R) EYE DROPS 0.3%
700051
550013030
3.4
0
ALDACTONE(R) FILM COATED ORAL TABLET 100 mg 10
700052
544071510
2.51
Tab
0
ALDACTONE(R) ORAL TABLET 25 mg
700053
544071510
0.3
0
ALDOMET(R) ORAL TABLET 250 mg 30 Tab
700054
544101700
0.44
0
ALEXAN Intra-Venus INJECTION 500 mg/mL
700055
541024140
74.35
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