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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
SINGULAIR PAEDIATRIC(R) CHEWABLE TABLET 4 mg
701947
549021277
4.65
28 Box
0
SINGULAIR(R) CHEWABLE TABLET 5 mg 28 Box
701948
549021275
4.65
0
SINGULAIR(R) FILM COATED ORAL TABLET 10 mg 28 Box
701949
549021278
4.65
0
SINOFREE(R) ORAL TABLET 530 mg
701950
0.19
0
SKAINAR(R) ORAL CAPSUL mg
701951
1.05
0
SKINOREN(R) TOPICAL CREAM 200 mg/g 30 ????
701952
550061609
32.7
0
SLOW K ORAL TABLET 600 mg Tab
701953
548021455
2.05
0
SNAKE ANTIVENOM Intra-Venus AMPOULE 1 ml Ampule
701954
290.24
0
SODIUM ACETATE F.T.V(R) Intra-Venus INJECTION 40
701955
54802441
8.05
mcg
0
SODIUM BICARBONATE(R) Intra-Venus INFUSION 5%
701956
548024430
10.15
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