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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
PREMOSANS(R) ORAL TABLET 10 mg
701656
0.18
0
PRETERAX(R) ORAL TABLET mg
701657
2.39
0
PREVENAR Intra-muscular INJECTION 16 MCG (TOTAL )
701658
542014040
274.55
0.5
0
PRILA 5 % TOPICAL CREAM 2.5 % + 2.5 % 1 ?????
701659
551063412
11
0
PRIMOCEF(R) Intra-muscular VIAL
701660
32.9
0
PRIMOCEF(R) Intra-Venus VIAL
701661
20.4
0
PRIMOGONYL(R) Intra-Venus AMPOULE
701662
13.75
0
PRIMOGONYL(R) Intra-Venus AMPOULE 1000 I.U.
701663
5.23
0
PRIMOLUT-N(R) ORAL TABLET 5 mg 30 Box
701664
547011060
0.61
0
PRIMPERAN(R) Intra-Venus AMPOULE 10 mg/2ml
701665
0.76
0
PRIMPERAN(R) Intra-Venus AMPOULE 5 mg/ml
701666
0.76
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