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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
TRECATOR-SC SUGAR COATED ORAL TABLET 250 mg
702120
540041720
24.4
Tab
0
TRIAXONE(R) Intra-muscular VIAL 500 mg
702121
29.3
0
TRI-B(R) ORAL TABLET mg
702122
0.11
0
TRIFED(R) ORAL TABLET mg
702123
0.24
0
TRIHEMIC(R) ORAL TABLET 600 mg
702124
10.95
0
TRIHERPINE(R) EYE DROPS 1%
702125
550013150
29.5
0
TRIHERPINE(R) EYE OINTMENT 1%
702126
29.5
0
TRI-LUMA TOPICAL CREAM 0.01 % + 4 % + 0.05 % 1
702127
550063677
17.4
0
TRIMOL DS ORAL SUSPENSION 240 mg/5ml ????
702128
540072840
6
0
TRIMOL DS ORAL TABLET 960 mg
702129
540071830
0.45
0
TRITANRIX-HB(R) Intra-Venus VIAL
702130
80.75
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