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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
(250 ml) Bag | |||||||
0 | SODIUM BICARBONATE(R) Intra-Venus INFUSION 8.4 % | 701957 | 548024420 | 10.15 | |||
(50 ml) | |||||||
0 | SODIUM BICARBONATE(R) Intra-Venus INJECTION 8.4 % | 701958 | 548024435 | 13.1 | |||
0 | ROXCEF(R) Intra-Venus INJECTION 1 gm | 701870 | 540014256 | 46.65 | |||
0 | ROXCEF(R) Intra-Venus INJECTION 2 gm | 701871 | 46.65 | ||||
0 | ROZEX(R) TOPICAL GEL 0.75 % 1 Tube | 701872 | 547011091 | 22.55 | |||
0 | RYNACROM(R) NASAL DROPS 2% | 701873 | 19.2 | ||||
0 | RYNACROM(R) TOPICAL SPARY 2% | 701874 | 10.35 | ||||
0 | RYTHINATE(R) CHEWABLE SUSPENSION 200 mg/5ml | 701875 | 6 | ||||
0 | SABRIL(R) FILM COATED ORAL TABLET 500 mg 100 ???? | 701876 | 545051783 | 2.14 | |||
0 | SAIZEN(R) Intra-Venus VIAL | 701877 | 101.35 |
(250 ml) Bag
SODIUM BICARBONATE(R) Intra-Venus INFUSION 8.4 %
10.15
(50 ml)
SODIUM BICARBONATE(R) Intra-Venus INJECTION 8.4 %
13.1
ROXCEF(R) Intra-Venus INJECTION 1 gm
46.65
ROXCEF(R) Intra-Venus INJECTION 2 gm
46.65
ROZEX(R) TOPICAL GEL 0.75 % 1 Tube
22.55
RYNACROM(R) NASAL DROPS 2%
19.2
RYNACROM(R) TOPICAL SPARY 2%
10.35
RYTHINATE(R) CHEWABLE SUSPENSION 200 mg/5ml
6
SABRIL(R) FILM COATED ORAL TABLET 500 mg 100 ????
2.14
SAIZEN(R) Intra-Venus VIAL
101.35
No plans availableOnce there are plans available for purchase, you’ll see them here.
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