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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
REFRESH PLUS EYE DROPS 0.5 % (PRESERVATIVE FREE) 30 Box
701750
550013456
0.61
0
REGITINE(R) Intra-Venus AMPOULE 10 mg/ml
701751
544104750
15.95
0
REMERON(R) ORAL TABLET 30 mg 30 Box
701752
545031635
6.03
0
REMICADE Intra-Venus VIAL 100 mg/vial
701753
546081705
2,791.35
0
REMIN(R) ORAL TABLET 300 mg
701754
0.03
0
REMOX(R) ORAL CAPSUL 250 mg Capsule
701755
540011150
0.91
0
REMOX(R) ORAL CAPSUL 500 mg 20 Box
701756
540011155
1.82
0
REMOX(R) Oral Suspension 250 mg / 5 ml 100 ??????
701757
540012160
22.55
0
RENAGEL ORAL TABLET 800 mg
701758
551031192
5.45
0
RENITEC(R) ORAL TABLET 10 mg
701759
544101746
2.69
0
RENITEC(R) ORAL TABLET 20 mg
701760
544101746
2.27
0
RENITEC(R) ORAL TABLET 5 mg
701761
544101746
2.69
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