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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
TRITANRIX-HB(R) Intra-Venus VIAL 10 ug/ml
702131
42.65
0
TRIZIVIR ORAL TABLET 300+150+300 mg
702132
540051764
37.28
0
TRUSOPT(R) EYE DROPS 2%
702133
550014163
58.65
0
TRYPTIZOL ORAL TABLET 10 mg
702134
545031400
0.55
0
TRYPTIZOL ORAL TABLET 25 mg
702135
545031410
0.55
0
TRYPTIZOL ORAL TABLET 50 mg
702136
545031420
0.69
0
TRYPTIZOL ORAL TABLET 25 mg Tab
702137
0.55
0
TUNOLOL(R) EYE DROPS 0.25%
702138
22.8
0
TAXOTERE(R) Intra-Venus VIAL 80 mg
702043
541061505
2,147.45
0
TAZOCIN(R) Intra-Venus VIAL 2.25 gm Vial
702044
540014197
57.4
0
TAZOCIN(R) Intra-Venus VIAL 4.5 gm Vial
702045
540014199
101.8
0
TE ANATOXAL BERNA(R) Intra-Venus AMPOULE
702046
15.7
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