NDC 00069-1101-04
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK
Low
$0
Average
$120
Median
$16
High
$448
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $31 | $31 | — | — | 172 | $12 – $31 |
| 2 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
| 3 | Allina Health Systems Buffalo, MN | $0 | $0 | — | — | — | $0 – $23 |
| 4 | Allina Health Systems Faribualt, MN | $0 | $0 | — | — | — | $0 – $23 |
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