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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0.5ml/dose
0
TETRACYCLIN(R) Intra-Venus INJECTION 250 mg Vial
702070
540014310
5.48
0
TETRACYCLIN(R) ORAL CAPSUL 250 mg 24 Capsule
702071
540011300
0.57
0
TETRADAR(R) ORAL CAPSUL 250 mg
702072
0.11
0
TETRAMUNE VACCINE(R) Intra-Venus VIAL
702073
76.7
0
TFT THILO(R) EYE DROPS 1%
702074
550013150
29.5
0
THEO-DUR(R) ORAL TABLET 200 mg
702075
549011230
0.43
0
THEO-DUR(R) ORAL TABLET 300 mg
702076
549011230
0.52
0
THEOPED(R) ORAL SYRUP 60 mg/5ml
702077
549012240
8.3
0
THEOPED(R) ORAL TABLET 300 mg scored
702078
549011230
0.45
0
THEOPHAR(R) ORAL SYRUP 60MG/5ML Syrups
702079
8.3
0
THEOPHAR(R) ORAL CAPSUL 100 mg
702080
548011290
0.15
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