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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | TENORMIN(R) ORAL TABLET 100 mg | 702059 | 544051171 | 1.86 | |||
0 | TENORMIN(R) ORAL TABLET 50 mg | 702060 | 1.1 | ||||
0 | TERACIN(R) EYE/EAR OINTMENT 1% | 702061 | 550013060 | 4 | |||
0 | TERRAMYCIN(R) ORAL CAPSUL 250 mg 16 ???? | 702062 | 540011300 | 0.5 | |||
0 | TESTOVIRON DEPOT(R) Intra-Venus VIAL | 702063 | 547014090 | 26.25 | |||
0 | TETANUS ANTITOXIN(R) Intra-muscular AMPOULE 1500 | 702064 | 542034440 | 8.15 | |||
International-Unit./m | |||||||
0 | TETAVAX(R) Intra-muscular AMPOULE 0.5 ml / 1 dose | 702065 | 542014150 | 15.7 | |||
0 | TETAVAX(R) Intra-Venus INJECTION 40 International-Unit | 702066 | 542014155 | 15.7 | |||
0 | TETRA COQ VACCINE(R) Intra-Venus VIAL | 702067 | 11.03 | ||||
0 | TETRACAINE(R) EYE DROPS 0.5% | 702068 | 3 | ||||
0 | TETRACT HIB VACCINE SD(R) Intra-muscular VACCINE | 702069 | 542014225 | 76.7 |
TENORMIN(R) ORAL TABLET 100 mg
1.86
TENORMIN(R) ORAL TABLET 50 mg
1.1
TERACIN(R) EYE/EAR OINTMENT 1%
4
TERRAMYCIN(R) ORAL CAPSUL 250 mg 16 ????
0.5
TESTOVIRON DEPOT(R) Intra-Venus VIAL
26.25
TETANUS ANTITOXIN(R) Intra-muscular AMPOULE 1500
8.15
International-Unit./m
TETAVAX(R) Intra-muscular AMPOULE 0.5 ml / 1 dose
15.7
TETAVAX(R) Intra-Venus INJECTION 40 International-Unit
15.7
TETRA COQ VACCINE(R) Intra-Venus VIAL
11.03
TETRACAINE(R) EYE DROPS 0.5%
3
TETRACT HIB VACCINE SD(R) Intra-muscular VACCINE
76.7
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