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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
ROFENAC(R) ORAL TABLET 50 mg
701862
545021250
1.45
0
ROFENAC(R) RECTAL SUPPOSITORY 100 mg
701863
3.17
0
ROFENAC(R) RECTAL SUPPOSITORY 12.5 mg
701864
0.85
0
ROFENAC(R) RECTAL SUPPOSITORY 50 mg
701865
1.73
0
ROFENAC(R) TOPICAL GEL 1%
701866
13.45
0
ROFENAC-D(R) ORAL TABLET 50 mg
701867
545021250
1.45
0
ROLAN Intra-Venus INJECTION 50 mg/2 ml
701868
546034232
3.54
0
ROUVAX LYOPH(R) Intra-Venus VIAL
701869
23
0
REVANIN(R) RECTAL SUPPOSITORY 125 mg
701774
0.3
0
REVANIN(R) RECTAL SUPPOSITORY 250 mg
701775
0.36
0
Revatio COATED ORAL TABLET 20mg
701776
551104571
21.28
0
REYATAZ Oral Capsule 200 mg 30
701777
540051761
29.52
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