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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
ROBITUSSIN-CF(R) ORAL SYRUP 000 Bottle
701850
8.8
0
ROCALTROL (R) Oral Capsule 0.25 mcg
701851
551031160
1.79
0
ROCALTROL(R) ORAL CAPSUL 1 mcg Capsule
701852
1.79
0
ROCEPHIN(R) Intra-muscular VIAL 1 gm
701853
59.32
0
ROCEPHIN(R) Intra-Venus VIAL 1 gm
701854
540014256
59.32
0
ROCEPHIN(R) Intra-Venus VIAL 250 mg
701855
24.25
0
ROCEPHIN(R) Intra-Venus VIAL 500 mg
701856
44.25
0
ROFENAC GEL TOPICAL GEL 1 % 1
701857
545023267
13.45
0
ROFENAC(R) EYE DROPS 0.1%
701858
545021256
14.75
0
ROFENAC(R) Intra-Venus AMPOULE
701859
6.57
0
ROFENAC(R) ORAL TABLET 100 mg
701860
545021250
2.38
0
ROFENAC(R) ORAL TABLET 25 mg
701861
545021250
0.75
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