NDC 00187-0993-95
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
acyclovir 5% Oint 30 g
Low
$448
Average
$3.2k
Median
$625
High
$8.5k
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | White Memorial Medical Center Angeles, CA | $646 | $625 | $30 | 5% | — | $341 – $5.0k |
| 2 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
| 3 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
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