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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | POLYTAR(R) HAIR SHAMPOO 1 % | 701630 | 12.35 | ||||
0 | POLYVALENT SCORPION ANTIVENOM Intra-Venus AMPOULE 1 ml | 701631 | 542034410 | 51.35 | |||
0 | POLYVALENT SNAKE(R) Intra-Venus AMPOULE | 701632 | 290.24 | ||||
0 | PONSTAN FORTE(R) ORAL TABLET 500 mg | 701633 | 501002 | 0.45 | |||
0 | POTASSIUM ACETATE(R) Intra-Venus INJECTION 40 | 701634 | 548024451 | 6.05 | |||
meq ( 2 meq/ml ) | |||||||
0 | ORAL REHYDRATION(R) ORAL POWDER | 701543 | 0.54 | ||||
0 | ORASOL(R) Oral Powder 100 Sachet | 701544 | 548041700 | 0.78 | |||
0 | ORENCIA Intra-Venus Injection 250 mg 1 | 701545 | 546081709 | 1,710.70 | |||
0 | ORVEK(R) ORAL CAPSUL 250 mg/5ml 100 Bottle | 701546 | 540012050 | 10.2 | |||
0 | ORVEK(R) CHEWABLE SUSPENSION 125 mg/5ml | 701547 | 4.8 | ||||
0 | OS-CAL(R) ORAL TABLET 500 mg | 701548 | 551031200 | 0.68 |
POLYTAR(R) HAIR SHAMPOO 1 %
12.35
POLYVALENT SCORPION ANTIVENOM Intra-Venus AMPOULE 1 ml
51.35
POLYVALENT SNAKE(R) Intra-Venus AMPOULE
290.24
PONSTAN FORTE(R) ORAL TABLET 500 mg
0.45
POTASSIUM ACETATE(R) Intra-Venus INJECTION 40
6.05
meq ( 2 meq/ml )
ORAL REHYDRATION(R) ORAL POWDER
0.54
ORASOL(R) Oral Powder 100 Sachet
0.78
ORENCIA Intra-Venus Injection 250 mg 1
1,710.70
ORVEK(R) ORAL CAPSUL 250 mg/5ml 100 Bottle
10.2
ORVEK(R) CHEWABLE SUSPENSION 125 mg/5ml
4.8
OS-CAL(R) ORAL TABLET 500 mg
0.68
No plans availableOnce there are plans available for purchase, you’ll see them here.
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