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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
SOLPADEINE(R) ORAL CAPSUL mg
701973
0.11
0
SOLUVIT-N (ADULT) Intra-Venus INJECTION 00
701974
548014280
1.47
0
SORTIVA ORAL TABLET 50 MG 1
701975
544101749
3.55
0
SPERSACARPINE(R) EYE DROPS 1%
701976
4.05
0
SPERSACARPINE(R) EYE DROPS 2%
701977
550013320
4.05
0
SPERSACARPINE(R) EYE DROPS 4%
701978
7.75
0
SPERSACARPINE(R) EYE OINTMENT 2%
701979
4.05
0
SPERSADEX(R) EYE DROPS 0.1%
701980
7.8
0
SPERSANICOL(R) EYE DROPS 0.5%
701981
550013050
7
0
SPERSANICOL(R) EYE OINTMENT 1%
701982
2.25
0
SPIRONOLACTON ORAL SOLUTION 5 MG / ML ( 100 ML
701983
544071513
2.51
) Bottle
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