chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
METHENAMINE 1 GM 0TAB 0 METHOCARBAMOL 500 4 MG TAB4 METHOTREXATE 2.5 MG 0 TAB 0 METHYLDOPATE 250MG/5ML 0 VL0 METHYLERGONOVINE 5 0.2 MG A 5 METHYLERGONOVINE 1 0.2MG TA1 METHYLENE BLUE 200 100MG AMP 200 METHYLPHENIDATE 128 5 MG TAB128 ISOSULFAN BLUE 1% 4VIAL 4 METOCLOPRAMIDE 28 10 MG TAB28 METOCLOPRAMIDE 51 10MG/2ML 51 V METOPROLOL 25 MG 279TAB 279 METOLAZONE 2.5 MG 8 TAB 8 METOPROLOL 5 MG/5ML 148 INJ A148 METOPROLOL 100 MG 29 TAB 29 METOPROLOL 25 MG 87XL TAB 87 METRONIDAZOLE 500MG 140 IV BA 140 METRONIDAZOLE 250 28 MG TAB 28 METRONIDAZOLE 5009 MG TAB 9 MEXILETINE 200 MG 0CAP 0 MICONAZOLE 7 VAG 1CR 45 GM 1 MICONAZOLE NITRATE 0 2% CR 0 MICONAZOLE 7 VAG 2SUPP 2 MIDAZOLAM 5 MG/ML 0 VIAL 0 MIDAZOLAM 5MG/2.5ML 0 SYRUP0 MIDAZOLAM 5MG/5ML 945 SDV 945 MINERAL OIL LAXATIVE 0 30 M 0 MINERAL OIL ENEMA 0133 ML 0 MINERAL OIL- HEAVY0 0 MILK OF MAGNESIA CONC 0 10M 0 SOLU MEDROL 1 GM 0VIAL 0 METHYLPREDNISOLONE 2 4 MG T 2 METHYLPREDNIS 40 128 MG VIAL 128 METHYLPRED SUCC 500MG 2 VL 2 METHYLPREDNIS 125 242MG VIAL242 METHYLPREDN 80 MG 1 DEPOT V 1 METHYLPREDN 40 MG 3 DEPOT V 3 MOEXIPRIL 7.5 MG TAB 0 0 MORPHINE 10 MG/ML 115 CARPUJC 115 MORPHINE 4 MG/ML 493CARPUJEC 493 MORPHINE 2 MG/ML 229CARPUJEC 229 MORPHINE 30MG PCA 30 PUMP SY30 MORPHINE SR 30 MG 3TAB 3 MORPHINE 100MG/100ML 0 KIT 0 MORPHINE IR 15 MG 2TAB 2 MOXIFLOXACIN 0.5% 0EYE DRO 0 MULTIVITAMIN TAB 83 PLAIN 83
MULTIVITAMIN ORAL 0LIQ 0 VITAMIN B COMP W/VIT 0 C TA 0 MULTIVITAMIN W/MINERAL 16 TA16 MUPIROCIN 2% OINT 0U/D PCK 0 MUPIROCIN 2% OINT 0TUBE 0 SODIUM CL 0.9% IRRIG 0 500M 0 SODIUM CL IRRIG SOLN 0 00 0 NACL 0.9% 50 ML 78 PVC 78 SODIUM CHLORIDE 24 1 GM TAB 24 SODIUM CL 0.9% INH 3 ML V 3 SODIUM CL 0.65% NASAL 3 3 SODIUM CHLORIDE 23.4% 0 VIA 0 NACL 0.9% 10 ML VIAL 0 0 NADOLOL 40 MG TAB0 0 NAFCILLIN 2 GM ADDV 0 VIAL 0 NAFCILLIN 1 GM VIAL 28 28 NAFCILLIN 2 GM VIAL2 2 NAFCILLIN 1 GM ADDV 0 VIAL 0 NALOXONE 1MG/ML 4SYRINGE 4 NALOXONE 0.4 MG/ML 0 AMP 0 NATEGLINIDE 120 MG 0 TAB 0 NAPROXEN 500 MG 26 TAB 26 NAPROXEN 375 MG TAB 8 8 NAPROXEN 250 MG TAB 0 0 CORTISPORIN EYE OINT 0 GNRC 0 TRIPLE ANTIB OINT 30GM 0 TB 0 TRIPLE ANTIBIOTIC EYE 0 OIN 0 NEOSPORIN G.U. IRRIGANT 0 0 NEOMYCIN SULF 5000MG TAB 0 NEOMYCIN/POLY/HC 0EYE DROP 0 NEOSTIGMINE 5MG/10ML 330 VIAL 330 NEVIRAPINE 50MG/5ML 0 SUSP 0 NIACIN 500 MG SR TAB 22 22 NICOTINE 2 MG GUM81 81 NIFEDIPINE 10 MG CAP 4 4 NIFEDIPINE 30 ER TAB0 0 NITRATEST PAPER-URINE 0 TES 0 NITROFURANTOIN MACRO 13 50MG 13 NORTRIPTYLINE 10 MG 0 CAP 0 NORTRIPTYLINE 25 MG 5 CAP 5 NITROPRUSSIDE 50MG/ML 0 VIA 0 NITROGLYCERIN 50MG/10ML 0 V 0 NITROGLYCERIN SR 2.5 0 MG C 0 NITROGLYCERIN ER 6.5 0 MG C 0 NITROGLYCERIN 0.3MG 13 TB SL 13 NITROGLYCERIN 0.466 MG SL T 66 NITROGLYCERIN SL 0.6 0 MG 0
- Page 566 and 567: MUMPS ANTIBODIES, 0IGG 0 MYCOPLASMA
- Page 568 and 569: C1 ESTERASE INHIB, FUNC 0 0 CCP ANT
- Page 570 and 571: UREAPLASMA MYCOPLASMA 0 HOM 0 MYCOB
- Page 572 and 573: COCONUT, IGE 0 0 ONIONS, IGE 0 0 PI
- Page 574 and 575: PARAINFLUENZA TYPE 0 I 0 PARAINFLUE
- Page 576 and 577: MRI KEN KNEE WO CONT 9 LT 9 MRI KEN
- Page 578 and 579: MRI KEN UPEXT W/WO 0 CON RT 0 MRI K
- Page 580 and 581: PRO FEE STRESS MD SUPERVS 0 0 PRO F
- Page 582 and 583: LOWER LEG-LEFT 7 7 LOWER LEG-RIGHT
- Page 584 and 585: GASTRO TUBE REPLACEMENT 1 1 INSERT
- Page 586 and 587: MAMMO DUCT PROC-RT 1 1 HIP-2 VIEWS
- Page 588 and 589: PYROPHOSPHATE 7 7 I 123 - 200 2 2 S
- Page 590 and 591: US-BIOPSY PROC-PANCR 0 0 US-BIOPSY-
- Page 592 and 593: MRI-LS SPINE W/O CON 43 43 MRI-LS S
- Page 594 and 595: CT CHEST HIGH RESOLU 0 W/O 0 CT CHE
- Page 596 and 597: CT INTRAPERI CATHETER 0 0 CT INTRAP
- Page 598 and 599: FOOT LT(2 VIEWS) 0 0 FOOT RT(2 VIEW
- Page 600 and 601: CERV SPINE TWO VIEW0 0 CERV SPINE W
- Page 602 and 603: LS SPINE&OBL&FLEX&EX 0 6 VW 0 LS SP
- Page 604 and 605: MRI WRIST WO CON 0LT PLF 0 MRI-WRIS
- Page 606 and 607: CALCITRIOL 0.25 MCG 5 CAP 5 ALLOPUR
- Page 608 and 609: CALCIUM CHLORIDE 10% 0 VIAL 0 CANDE
- Page 610 and 611: DEXAMETHASONE 492 4MG/ML VIAL 492 D
- Page 612 and 613: FIORINAL CAP GENERIC 2 CAP 2 FLUNIS
- Page 614 and 615: HUMALOG MIX 75/250 INSULIN 0 ITRACO
- Page 618 and 619: NITROGLYCERIN 0.4MG 0 SL SP 0 NITRO
- Page 620 and 621: PROCHLORPERAZINE 110 MG VI 1 PROCAI
- Page 622 and 623: TOBRAMYCIN 80 MG/2ML 11 VIAL11 TOBR
- Page 624 and 625: AMIODARONE 200 MG 16 TAB 16 CAFFEIN
- Page 626 and 627: VITAMIN E 200 UNIT 0CAP 0 LAMOTRIGI
- Page 628 and 629: ATORVASTATIN 40205 MG TAB 205 GUAIF
- Page 630 and 631: FLUVASTATIN 20 MG 0CAP 0 CASTOR OIL
- Page 632 and 633: PRAMIPEXOLE .25MG 0TAB 0 AMOXICILLI
- Page 634 and 635: ERTAPENEM 1GM ADDV 0 0 GLYCOPYRROLA
- Page 636 and 637: FOSPROPOFOL 1050MG/30ML 0 0 HAVRIX
- Page 638 and 639: BACITRACIN 50 MU INJ 4 VIAL 4 DRONE
- Page 640 and 641: ACETAMINOPH 100MG/ML 0 DROP0 REPAGL
- Page 642 and 643: FLUCONAZOLE 400 MG/200 0 ML 0 ZOSYN
- Page 644 and 645: SP-CANCEL VISIT DLS0 0 SP-ABSENT DL
- Page 646 and 647: CHCKOT ORTH PROS 0PER 15 0 WHEELCHA
- Page 648 and 649: OT AQUATIC REHAB/15 0 MIN 0 OT ORTH
- Page 650 and 651: HIP STRAP (PROC) PLF0 0 SENSORY INT
- Page 652 and 653: M V V 0 0 METHACHOLINE EVAL5 5 ARTE
- Page 654 and 655: SWALLOW D/C STATUS 1 1 SWALLOW D/C
- Page 656 and 657: VOICE CURRENT STATUS 0 0 VOICE CURR
- Page 658 and 659: CARRY CURRENT STATUS 2 2 CARRY CURR
- Page 660 and 661: CARRY D/C STATUS 0 0 SELF CARE CURR
- Page 662 and 663: SUPP BLUE CROSS -237 ALLOW -237 SUP
- Page 664 and 665: GOLDEN RULE ALLOW -38 -38 GREAT WES
MULTIVITAMIN ORAL 0LIQ<br />
0<br />
VITAMIN B COMP W/VIT 0 C TA 0<br />
MULTIVITAMIN W/MINERAL 16 TA16<br />
MUPIROCIN 2% OINT 0U/D PCK 0<br />
MUPIROCIN 2% OINT 0TUBE<br />
0<br />
SODIUM CL 0.9% IRRIG 0 500M 0<br />
SODIUM CL IRRIG SOLN 0 00 0<br />
NACL 0.9% 50 ML 78 PVC 78<br />
SODIUM CHLORIDE 24 1 GM TAB 24<br />
SODIUM CL 0.9% INH 3 ML V 3<br />
SODIUM CL 0.65% NASAL 3 3<br />
SODIUM CHLORIDE 23.4% 0 VIA 0<br />
NACL 0.9% 10 ML VIAL 0 0<br />
NADOLOL 40 MG TAB0 0<br />
NAFCILLIN 2 GM ADDV 0 VIAL 0<br />
NAFCILLIN 1 GM VIAL 28 28<br />
NAFCILLIN 2 GM VIAL2 2<br />
NAFCILLIN 1 GM ADDV 0 VIAL 0<br />
NALOXONE 1MG/ML 4SYRINGE<br />
4<br />
NALOXONE 0.4 MG/ML 0 AMP 0<br />
NATEGLINIDE 120 MG 0 TAB 0<br />
NAPROXEN 500 MG 26 TAB 26<br />
NAPROXEN 375 MG TAB 8 8<br />
NAPROXEN 250 MG TAB 0 0<br />
CORTISPORIN EYE OINT 0 GNRC 0<br />
TRIPLE ANTIB OINT 30GM 0 TB 0<br />
TRIPLE ANTIBIOTIC EYE 0 OIN 0<br />
NEOSPORIN G.U. IRRIGANT 0 0<br />
NEOMYCIN SULF 5000MG TAB 0<br />
NEOMYCIN/POLY/HC 0EYE DROP 0<br />
NEOSTIGMINE 5MG/10ML 330 VIAL 330<br />
NEVIRAPINE 50MG/5ML 0 SUSP 0<br />
NIACIN 500 MG SR TAB 22 22<br />
NICOTINE 2 MG GUM81 81<br />
NIFEDIPINE 10 MG CAP 4 4<br />
NIFEDIPINE 30 ER TAB0 0<br />
NITRATEST PAPER-URINE 0 TES 0<br />
NITROFURANTOIN MACRO 13 50MG 13<br />
NORTRIPTYLINE 10 MG 0 CAP 0<br />
NORTRIPTYLINE 25 MG 5 CAP 5<br />
NITROPRUSSIDE 50MG/ML 0 VIA 0<br />
NITROGLYCERIN 50MG/10ML 0 V 0<br />
NITROGLYCERIN SR 2.5 0 MG C 0<br />
NITROGLYCERIN ER 6.5 0 MG C 0<br />
NITROGLYCERIN 0.3MG 13 TB SL 13<br />
NITROGLYCERIN 0.466 MG SL T 66<br />
NITROGLYCERIN SL 0.6 0 MG 0
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