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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
RANITIDINE ACICARE(R) 150 mg
701726
2.46
0
RANTAG(R) Intra-Venus AMPOULE 50 mg/2ml
701727
3.93
0
POTASSIUM CHLORIDE(R) Intra-Venus Injection 15%
701635
548024450
4.25
2mEq / ml (10 ML) 10 ??
0
PRADAXA ORAL CAPSUL 110 MG 30 Box
701636
543034243
7.53
0
PRADAXA ORAL CAPSUL 150 mg 60
701637
543034242
7.53
0
PRADAXA Oral Capsule 75 MG 60
701638
543034241
7.53
0
Pramipexole ORAL TABLET 0.25mg
701639
2.57
0
PRAVASTATIN ORAL TABLET 40 MG 1 Tab
701640
544121902
3.46
0
Precedex Intra-Venus INFUSION 100mcg/ml (2ml) Vial
701641
545044651
128.1
0
PREDFORTE OPTH(R) EYE DROPS 1%
701642
16.05
0
PREDMILD OPTH(R) EYE DROPS 0.25%
701643
9.55
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