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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | OMIZ(R) ORAL TABLET 25 mg | 701513 | 545021250 | 5.14 | |||
0 | OMIZ(R) ORAL TABLET 50 mg | 701514 | 545021250 | 5.14 | |||
0 | OMNIC(R) ORAL TABLET 0.4 mg Box | 701515 | 551031244 | 3.33 | |||
0 | OMNICEF(R) CHEWABLE SUSPENSION 125 mg/5ml 80 | 701516 | 89.35 | ||||
?????? | |||||||
0 | OMNIPAQUE(R) Intra-Venus INJECTION 300 mg I /ml | 701517 | 551154770 | 43.95 | |||
(10ML VAIL ) 10 | |||||||
0 | OMNIPAQUE(R) Intra-Venus INJECTION 300 mg I /ml (50 | 701518 | 551154771 | 39.97 | |||
ML VAIL ) 50 | |||||||
0 | OMNIPAQUE(R) Intra-Venus INJECTION 350 mg I /ml ( 50 | 701519 | 551154740 | 81.68 | |||
MLVAIL ) 50 | |||||||
0 | OMNISCAN(R) Intra-Venus VIAL 0.5 MMOL/ML 20 Injection | 701520 | 551151850 | 314.62 |
OMIZ(R) ORAL TABLET 25 mg
5.14
OMIZ(R) ORAL TABLET 50 mg
5.14
OMNIC(R) ORAL TABLET 0.4 mg Box
3.33
OMNICEF(R) CHEWABLE SUSPENSION 125 mg/5ml 80
89.35
??????
OMNIPAQUE(R) Intra-Venus INJECTION 300 mg I /ml
43.95
(10ML VAIL ) 10
OMNIPAQUE(R) Intra-Venus INJECTION 300 mg I /ml (50
39.97
ML VAIL ) 50
OMNIPAQUE(R) Intra-Venus INJECTION 350 mg I /ml ( 50
81.68
MLVAIL ) 50
OMNISCAN(R) Intra-Venus VIAL 0.5 MMOL/ML 20 Injection
314.62
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