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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SCORPION ANTIVENOM(R) Intra-Venus VIAL | 701912 | 542034410 | 51.35 | |||
0 | SEDERGINE EFF(R) ORAL TABLET mg | 701913 | 0.24 | ||||
0 | SEDOFAN(R) ORAL TABLET mg | 701914 | 0.21 | ||||
0 | SEMBRINA(R) ORAL TABLET 250 mg | 701915 | 544101700 | 0.76 | |||
0 | SENNA LAX(R) ORAL TABLET 12 mg 20 Tab | 701916 | 546061500 | 0.17 | |||
0 | SENSIPAR ORAL TABLET 30 MG | 701917 | 547084802 | 31.59 | |||
0 | RIMACTANE(R) ORAL CAPSUL 300 mg | 701821 | 540041655 | 6.04 | |||
0 | RIMACTANE(R) ORAL TABLET 150 mg | 701822 | 540041650 | 3.18 | |||
0 | RIMACTANE(R) ORAL TABLET 300 mg | 701823 | 540041655 | 6.04 | |||
0 | RIMACTAZID(R) ORAL TABLET 300 mg | 701824 | 540230680 | 6.05 | |||
0 | RIMIFON(R) ORAL TABLET 100 mg | 701825 | 0.18 | ||||
0 | RINGER LACTATE Intra-Venus SOLUTION 500 ml | 701826 | 548024445 | 5 |
SCORPION ANTIVENOM(R) Intra-Venus VIAL
51.35
SEDERGINE EFF(R) ORAL TABLET mg
0.24
SEDOFAN(R) ORAL TABLET mg
0.21
SEMBRINA(R) ORAL TABLET 250 mg
0.76
SENNA LAX(R) ORAL TABLET 12 mg 20 Tab
0.17
SENSIPAR ORAL TABLET 30 MG
31.59
RIMACTANE(R) ORAL CAPSUL 300 mg
6.04
RIMACTANE(R) ORAL TABLET 150 mg
3.18
RIMACTANE(R) ORAL TABLET 300 mg
6.04
RIMACTAZID(R) ORAL TABLET 300 mg
6.05
RIMIFON(R) ORAL TABLET 100 mg
0.18
RINGER LACTATE Intra-Venus SOLUTION 500 ml
5
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