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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SUREPTIL(R) ORAL TABLET 50 mg | 702010 | 0.36 | ||||
0 | SURVANTA INTRATRACHEAL(R) Intra-Venus VIAL 25 | 702011 | 549086750 | 1,837.25 | |||
mg/1ml | |||||||
0 | SUSTANON(R) Intra-muscular AMPOULE 250 mg/ml | 702012 | 547014090 | 23.45 | |||
0 | SYLADOR(R) Intra-Venus AMPOULE | 702013 | 3.1 | ||||
0 | SYLADOR(R) ORAL TABLET 0.5 mg | 702014 | 545031605 | 0.23 | |||
0 | SYLADOR(R) ORAL TABLET 2 mg | 702015 | 545031605 | 0.4 | |||
0 | SYLADOR(R) ORAL TABLET 5 mg | 702016 | 545031605 | 0.95 | |||
0 | SYMBICORT(R) Turbohaler INHALER 160 mcg +4.5 | 702017 | 549066409 | 129.55 | |||
mcg/puff | |||||||
0 | SYNACPHEN Intra-muscular INJECTION 1mg/1ml | 702018 | 547054350 | 23.05 | |||
0 | SYNACTHEN Intra-muscular INJECTION 0.25 mg/1ml ( | 702019 | 547014117 | 23.05 |
SUREPTIL(R) ORAL TABLET 50 mg
0.36
SURVANTA INTRATRACHEAL(R) Intra-Venus VIAL 25
1,837.25
mg/1ml
SUSTANON(R) Intra-muscular AMPOULE 250 mg/ml
23.45
SYLADOR(R) Intra-Venus AMPOULE
3.1
SYLADOR(R) ORAL TABLET 0.5 mg
0.23
SYLADOR(R) ORAL TABLET 2 mg
0.4
SYLADOR(R) ORAL TABLET 5 mg
0.95
SYMBICORT(R) Turbohaler INHALER 160 mcg +4.5
129.55
mcg/puff
SYNACPHEN Intra-muscular INJECTION 1mg/1ml
23.05
SYNACTHEN Intra-muscular INJECTION 0.25 mg/1ml (
23.05
No plans availableOnce there are plans available for purchase, you’ll see them here.
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