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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
mcg/ Puff | |||||||
0 | SERETIDE EVOHALER(R) Oral Inhaler 125 mcg+ 25mcg | 701927 | 549016046 | 117.5 | |||
/Puff | |||||||
0 | SERETIDE EVOHALER(R) Oral Inhaler 250 mcg+ 25mcg | 701928 | 549016050 | 117.5 | |||
/Puff | |||||||
0 | SERETIDE EVOHALER(R) Oral Inhaler 50 mcg + 25 mcg | 701929 | 549016044 | 165.9 | |||
/Puff | |||||||
0 | SEREVENT(R) INHALATION INHALER 25 mcg/dose | 701930 | 549016042 | 165.9 | |||
0 | SEROQUEL ORAL TABLET 100 MG Tab | 701931 | 545031353 | 5.54 | |||
0 | SEROQUEL ORAL TABLET 200 MG Tab | 701932 | 545031354 | 9.09 | |||
0 | SEROQUEL ORAL TABLET 300 MG Tab | 701933 | 545031356 | 11.62 | |||
0 | SEROQUEL(R) ORAL TABLET 100 mg | 701934 | 5.54 |
mcg/ Puff
SERETIDE EVOHALER(R) Oral Inhaler 125 mcg+ 25mcg
117.5
/Puff
SERETIDE EVOHALER(R) Oral Inhaler 250 mcg+ 25mcg
117.5
/Puff
SERETIDE EVOHALER(R) Oral Inhaler 50 mcg + 25 mcg
165.9
/Puff
SEREVENT(R) INHALATION INHALER 25 mcg/dose
165.9
SEROQUEL ORAL TABLET 100 MG Tab
5.54
SEROQUEL ORAL TABLET 200 MG Tab
9.09
SEROQUEL ORAL TABLET 300 MG Tab
11.62
SEROQUEL(R) ORAL TABLET 100 mg
5.54
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