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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
PARAZOLE (R) ORAL SUSPENSION 100 mg/5ml Bottle
701584
540032580
1.13
0
PARLODEL(R) ORAL TABLET 2.5 mg 14 Box
701585
551111590
2.02
0
PATADAY EYE DROPS 0.2 % 1
701586
545031522
56.75
0
PAVULON(R) Intra-Venus AMPOULE 2 mg/ml
701587
545064830
5.84
0
PED-EL(R) Intra-Venus VIAL 20 ml
701588
12.5
0
PEDIAZOLE(R) CHEWABLE SUSPENSION 800 mg/5ml
701589
9.35
0
PEGINTRON SC INJECTION 100 mcg
701590
541074538
1,134.30
0
PENAMOX(R) CHEWABLE SUSPENSION 125 mg/5ml
701591
8.1
OINTMENT 0.3%
0
OFTAN TIMOLOL(R) EYE DROPS 0.25%
701498
22.8
0
OFTAN TIMOLOL(R) EYE DROPS 0.5%
701499
550013315
27.25
0
OLFEN RETARED(R) ORAL CAPSUL 100 mg
701500
545021250
0.98
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