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
TOBRAMYCIN 80 MG/2ML 11 VIAL11 TOBRAMYCIN 0.3% EYE 0 OINT 0 TOBRAMYCIN 0.3% EYE 3 DROPS 3 TOBRAMYCIN SULF 1.2 0 GM VL 0 TIOTROPIUM 18 MCG 19INHALER19 TOLBUTAMIDE 500 MG 0 TAB 0 TOLNAFTATE 1% POWDER 0 45 G 0 TOLNAFTATE 1% CR 15GM 0 TUB 0 TORSEMIDE 20 MG TAB 0 0 TRAZODONE 50 MG 98 TAB 98 KENALOG 40 MG/ML 0INJ MDV 0 TRIAMCINOLONE 0.1% 2 CR 15G 2 TRIAMCINOLONE 0.1% 1 OINT 1 1 TRIAMCINOLONE 55MCG 0 NASAL0 TRYPAN BLUE 1 SYRINGE 1 1 TRIAZOLAM 0.125 MG 0 TAB 0 TRIFLUOPERAZINE 1 MG 0 TAB 0 TRIHEXYPHENIDYL 2 MG 0 TAB 0 TRIHEXYPHENIDYL 5 MG 0 TAB 0 TRIMETHOBENZ 100 1MG/ML SY 1 TROPICACYL 0.5% EYE 0DROPS 0 TROPICAMIDE 1% EYE 93 DROPS 93 AMPICILLIN/SULB 1.5GM 0 VIA 0 DIVALPROEX 250 MG 5ER TAB 5 DIVALPROEX EC 50017 MG TAB 17 DIVALPROEX EC 25017 MG TAB 17 VASOPRESSIN 20 U/ML 0 VIAL 0 VANCOMYCIN 1 GM ADDV 0 VL 0 VANCOMYCIN 500 MG 0 ADDV VL 0 VANCOMYCIN 1 GM 188 VIAL 188 VERAPAMIL 80 MG TAB 0 0 VASOPRESSIN 10 UNIT 2 VIAL 2 VECURONIUM 10 MG 1VIAL 1 VERAPAMIL 5MG/2ML 0 VIAL 0 VERAPAMIL SR 240 11 MR TAB 11 VORICONAZOLE 200 MG 0 VIAL 0 VORICONAZOLE 200 MG 0 TAB 0 WITCH HAZEL PADS40 40 WARFARIN 2.5 MG TAB 31 31 WARFARIN 2 MG TAB41 41 WARFARIN 5 MG TAB69 69 BACTERIOSTATIC WATER 0 VIAL 0 STERILE WATER INJ VL 4 20ML 4 STERILE WATER INJ 19 FLIPTOP 19 ZIDOVUDINE 100 MG 0CAP 0 ZIPRASIDONE 20 MG 0VIAL 0 ZINC OXIDE 20% OINT 330GM 3
ISOPROPYL ALCOHOL 070% GAL 0 CALCITONIN 400 U/2ML 0 VIAL 0 CEFUROXIME 1.5 GM 0VIAL 0 CEFUROXIME 750 MG 0VIAL 0 ZINC OXIDE 40% OINT.(DESI 5 5 D-AMPHETAMINE 100MG SR CA 0 DOBUTAMINE 250MG/D5W 0 250M0 EPHEDRINE 50 MG/ML 36 AMP 36 HYDROXYZINE 10 MG/5ML 0 LIQ 0 ISOPROTERENOL 0.2MG/ML 0 AM0 KETAMINE 500MG/10ML 0 VIAL 0 MEDROXYPROGEST 2.5 2 MG TAB 2 PEDIAZOLE 200/600MG 0 GENER 0 PROPOFOL 1% SINGLE 549 USE VI 549 FLUCONAZOLE 100 MG 13 TAB 13 DIHYDROERGOTAMINE 0 1 MG AM0 ADVAIR DISKUS 100/50 3 3 ADVAIR DISKUS 250/50 17 17 ADVAIR DISKUS 500/50 7 7 PIROXICAM 10 MG CAP 0 0 SOD POLYSTYRENE 30GM 0 ENEM0 VERAPAMIL SR 180 MG 2 TAB 2 ACETYLCYSTEINE 4000MG/4ML 0 CEFTAZIDIME 1 GM VIAL 0 0 ARGATROBAN 250MG/2.5ML 0 SD0 NALBUPHINE 10 MG/ML 24 AMP 24 FLUCONAZOLE 200MG/NS 0 100M0 FLUCONAZOLE 200MG/D5W 0 1000 NAPROXEN SODIUM 550 MG TA 5 NITROGLYCERIN 50MG 0 IV BTL 0 KETOROLAC 15 MG/ML 34 AMP VL34 KETOROLAC 60 MG/2ML 264 VIAL264 CLONAZEPAM 2 MG TAB 0 0 KETOROLAC 30 MG 1020 VIAL 1020 MENOMUNE-A/C/Y/W-135 0 VIAL0 METRONIDAZOLE 0.75% 0 VAG G 0 MORPHINE SR 100 MG 0 TAB 0 OMEPRAZOLE 20 MG 0EC CAP 0 SODIUM ACETATE 400MEQ SDV 0 TRIAMCINOLONE ACET 1 0.1% C 1 WARFARIN 1 MG TAB37 37 FLUDROCORTISONE 66 0.1 MG TA66 MORPHINE SULFATE 01 M 0 MORPHINE SULF/PF 18 1MG/ML A18 MEASLES/MUMPS/RUBELLA 1 VAC1 RUBELLA VACCINE 0.5ML/VIA 0 0 TRIAMCIN ACET 0.1% 0PASTE 0
- 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 616 and 617: METHENAMINE 1 GM 0TAB 0 METHOCARBAM
- Page 618 and 619: NITROGLYCERIN 0.4MG 0 SL SP 0 NITRO
- Page 620 and 621: PROCHLORPERAZINE 110 MG VI 1 PROCAI
- 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
- Page 666 and 667: H/L SAGA ADMINISTRATION 0 0 H/L SAG
- Page 668 and 669: TFR FROM B/D TO A/R3 3 TFR FROM A/R
- Page 670 and 671: PHYS PRAC ATHENA CASH 0 0 MEDICAL O
ISOPROPYL ALCOHOL 070% GAL 0<br />
CALCITONIN 400 U/2ML 0 VIAL 0<br />
CEFUROXIME 1.5 GM 0VIAL<br />
0<br />
CEFUROXIME 750 MG 0VIAL<br />
0<br />
ZINC OXIDE 40% OINT.(DESI 5 5<br />
D-AMPHETAMINE 100MG SR CA 0<br />
DOBUTAMINE 250MG/D5W 0 250M0<br />
EPHEDRINE 50 MG/ML 36 AMP 36<br />
HYDROXYZINE 10 MG/5ML 0 LIQ 0<br />
ISOPROTERENOL 0.2MG/ML 0 AM0<br />
KETAMINE 500MG/10ML 0 VIAL 0<br />
MEDROXYPROGEST 2.5 2 MG TAB 2<br />
PEDIAZOLE 200/600MG 0 GENER 0<br />
PROPOFOL 1% SINGLE 549 USE VI 549<br />
FLUCONAZOLE 100 MG 13 TAB 13<br />
DIHYDROERGOTAMINE 0 1 MG AM0<br />
ADVAIR DISKUS 100/50 3 3<br />
ADVAIR DISKUS 250/50 17 17<br />
ADVAIR DISKUS 500/50 7 7<br />
PIROXICAM 10 MG CAP 0 0<br />
SOD POLYSTYRENE 30GM 0 ENEM0<br />
VERAPAMIL SR 180 MG 2 TAB 2<br />
ACETYLCYSTEINE 4000MG/4ML<br />
0<br />
CEFTAZIDIME 1 GM VIAL 0 0<br />
ARGATROBAN 250MG/2.5ML 0 SD0<br />
NALBUPHINE 10 MG/ML 24 AMP 24<br />
FLUCONAZOLE 200MG/NS 0 100M0<br />
FLUCONAZOLE 200MG/D5W 0 1000<br />
NAPROXEN SODIUM 550 MG TA 5<br />
NITROGLYCERIN 50MG 0 IV BTL 0<br />
KETOROLAC 15 MG/ML 34 AMP VL34<br />
KETOROLAC 60 MG/2ML 264 VIAL264<br />
CLONAZEPAM 2 MG TAB 0 0<br />
KETOROLAC 30 MG 1020 VIAL 1020<br />
MENOMUNE-A/C/Y/W-135 0 VIAL0<br />
METRONIDAZOLE 0.75% 0 VAG G 0<br />
MORPHINE SR 100 MG 0 TAB 0<br />
OMEPRAZOLE 20 MG 0EC CAP 0<br />
SODIUM ACETATE 400MEQ SDV 0<br />
TRIAMCINOLONE ACET 1 0.1% C 1<br />
WARFARIN 1 MG TAB37 37<br />
FLUDROCORTISONE 66 0.1 MG TA66<br />
MORPHINE SULFATE 01 M 0<br />
MORPHINE SULF/PF 18 1MG/ML A18<br />
MEASLES/MUMPS/RUBELLA 1 VAC1<br />
RUBELLA VACCINE 0.5ML/VIA 0 0<br />
TRIAMCIN ACET 0.1% 0PASTE<br />
0
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