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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
RISPERDAL(R) ORAL TABLET 1 mg 6 Box
701838
545031533
3.95
0
RISPERDAL(R) ORAL TABLET 2 mg 20 Box
701839
545031536
5.9
0
RISPERDAL(R) ORAL TABLET 4 mg 20 Box
701840
545031534
11.04
0
RITALIN(R) Oral Tablet 18 mg ( Extended Release ) 30 Tab
701841
545021065
0.65
0
RITALIN(R) Coated Oral Tablet 10 mg 30 Tab
701842
545021066
0.65
0
RIVO(R) ORAL TABLET 320 mg
701843
0.07
0
RIVOTRIL(R) Intra-Venus AMPOULE 1 mg/ml
701844
545054790
3.64
0
RIVOTRIL(R) Oral Drops 2.5 mg / ml 10 ??
701845
545054595
12.1
0
RIVOTRIL(R) Oral Tablet 2 mg scored 30 Tab
701846
545051785
0.42
0
ROACCUTANE(R) ORAL CAPSUL 10 mg 30 Capsule
701847
550061607
3.62
0
ROACCUTANE(R) ORAL CAPSUL 20 mg 30 Capsule
701848
550061608
6.29
0
ROBAXISAL(R) ORAL TABLET mg
701849
0.08
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