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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
PROF(R) ORAL TABLET 400 mg
701679
545021200
0.62
0
PROF(R) ORAL TABLET 600 mg
701680
545021200
0.44
0
PROFASI(R) Intra-Venus AMPOULE 5000 I.U.
701681
47.43
0
PROFINAL(R) CHEWABLE SUSPENSION 100 mg/5ml
701682
6.6
0
PENAMOX(R) CHEWABLE SUSPENSION 250 mg/5ml
701592
12.2
0
PENAMOX(R) ORAL CAPSUL 250 mg
701593
0.86
0
PENAMOX(R) ORAL CAPSUL 500 mg
701594
0.94
0
PENICILLIN G Intra-Venus INJECTION 1
701595
540014001
2.1
Million\Internationa\Unit
0
PENTASA SLOW RELEASE(R) ORAL TABLET 500 mg
701596
2.05
0
PENTASA(R) RECTAL SUPPOSITORY 1 gm
701597
8.04
0
PENTOSTAM(R) Intra-muscular INJECTION 100 mg / ml 1
701598
540034620
10.69
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