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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
ALEXAN Intra-Venus VIAL 20 mg/ml
700056
541024142
16.15
0
ALFACORT(R) TOPICAL CREAM 1% 15 Tube
700057
550063750
5.95
0
Alimta Intra-Venus INJECTION 500 MG Vial
700058
541044350
5,822.00
0
ALKA-SELTZER EFFERVESCENT(R) ORAL TABLET 324
700059
0.17
mg
0
ALKERAN(R) ORAL TABLET 2 mg 25 Box
700060
541011020
3.46
0
ALLERFIN(R) Intra-Venus AMPOULE 10 mg/ml
700061
1.21
0
ALLERFIN(R) ORAL TABLET 4 mg
700062
549041450
0.09
0
ALLERGETIN ORAL SYRUP 30 mg 2 mg
700063
2.55
0
ALPHANATE(R) Intra-Venus VIAL 250 I.U./10
700064
689.55
0
ALUGEL(R) CHEWABLE SUSPENSION 320 mg/5ml
700065
4.05
0
ALVEOFACT(R) Intra-Venus VIAL 50 mg/1.2 m
700066
1,837.25
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