33 October 14, 2014
PANTOPRAZOLE SODIUM DR TB 40MG 1000 | Real Value Rx
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Kootenai Health Standard Charges Effective as of January 1, 2019 ProcedureID BillDescription Charge 1NO0000102 APHERESIS PLASMA
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2 2 JAN. 2021
2 2 JAN. 2021
Other Multienzymes (lipase protease etc.)| Broker in non prescription medicines chemical precursors and active pharmaceutical ingredients - 39
Other Multienzymes (lipase protease etc.)| Broker in non prescription medicines chemical precursors and active pharmaceutical ingredients - 39
Charge Code Description Price 998 R & B OBS DTX $6,227.00 999 R & B MED MAN WITHDR $6,227.00 1000 R & B MED SUP
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