NDC 00093-5206-01
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
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
Low
$3
Average
$81
Median
$4
High
$347
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Sierra Vista Hospital Inc Obispo, CA | $347 | $347 | — | — | — | $91 – $347 |
| 2 | White Memorial Medical Center Angeles, CA | $49 | $49 | $13 | 26% | — | $10 – $142 |
| 3 | Allina Health Systems Buffalo, MN | $4 | $4 | $2 | 43% | — | $0 – $7 |
| 4 | Allina Health Systems Faribualt, MN | $4 | $4 | $2 | 43% | — | $0 – $7 |
| 5 | Allina Health Systems River Falls, WI | $3 | $3 | $0 | 11% | — | $1 – $7 |
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