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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
TE ANATOXAL BERNA(R) Intra-Venus VIAL
702047
542014150
15.7
0
TEARS NATURAL FREE(R) SYRINGE
702048
0.83
0
TEARS NATURALE FREE EYE DROPS 0.5 % ( SINGLE
702049
550013457
15.8
DOSE ) 15 ????
0
TEARS NATURALE II(R) EYE DROPS 0.1%
702050
9.5
0
TEBRAZID(R) ORAL TABLET 500 mg
702051
0.67
0
TEGRETOL(R) Oral Suspension 100 mg/5ml 100 ml
702052
545052815
19.9
0
TEGRETOL(R) Oral Tablet 200 mg 50 Tablet
702053
545051810
0.8
0
TEKAM(R) Intra-Venus VIAL 10 mg/ml (20ml) Vial
702055
545044670
6.5
0
TEMPRA(R) ORAL DROPS 100 mg/ml
702056
545022110
6.15
0
TENORETIC(R) ORAL TABLET mg
702057
1.91
0
TENORMIN(R) INJECTION 500 mcg/ml
702058
7.53
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