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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
ZITHROMAX(R) Oral Capsule 250 mg 6 ????
702336
12.24
0
ZITHROMAX(R) Oral Suspension 200 mg / 5 ml 15 ??????
702337
43.6
0
ZOCIN(R) ORAL CAPSUL 250 mg
702338
7.44
0
ZOCOR(R) ORAL TABLET 20 mg 28 ????
702339
544121902
4.24
0
ZOFRAN(R) Intra-Venus AMPOULE 4 mg Ampule
702340
546054382
47.78
0
ZOFRAN(R) ORAL SYRUP 4 mg/5ml 50 Syrups
702341
546031440
207.55
0
ZOFRAN(R) ORAL TABLET 4 mg 10 Tab
702342
546031435
20.28
0
ZOLADEX DEPOT(R) Intra-muscular INJECTION 3.6 mg Injection
702343
547014123
797
0
ZOLPIGEN COATED ORAL TABLET 10 MG Box
702344
545030451
1.04
0
ZOMETA(R) Intra-Venus VIAL 4 mg ( ZOMETA )
702345
547081812
1,488.95
0
ZOTRIM FORTE(R) ORAL TABLET mg
702346
1.08
0
ZYDAC(R) ORAL TABLET 150 mg
702347
546031230
1.45
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