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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
VISIPAQUE(R) Intra-Venus VIAL 270 mg/ml
702234
134.3
0
VITA - C ORAL TABLET 500 mg
702235
0.32
0
VITA-C CHEWABLE TABLET 500 MG 30 Box
702236
548011151
9.2
0
VITA-C(R) CHEWABLE TABLET 500 mg
702237
0.36
0
VITAMIN D3 ORAL CAPSUL 10,000 IU
702238
9.85
0
VITAMIN B-COMPLEX(R) ORAL TABLET mg
702239
548011290
0.1
0
VITANERVE FILM COATED ORAL TABLET ( 1 + 1 + 2 ) MG
702240
548011200
0.23
100 Box
0
VITB-COMPLEX(R) ORAL TABLET mg
702241
0.1
0
VIVIDRIN(R) EYE DROPS 2%
702242
19.2
0
VOLTAREN RECTAL SUPPOSITORY 12.5 MG Supps
702243
545023263
1.27
0
VOLTAREN EMUGEL(R) TOPICAL GEL 1%
702244
17.05
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