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NDC 121176230

00121-1762-30 - Al hydroxide/Mg hydroxide/simethic

Reported by 50 hospitals in the network.

National pricing summary

Low

$2

Average

$9

Median

$5

High

$22

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$5$10$11$19$4
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$3$6$6$12$2
3St. Joseph Health System, LLCIN 46802, IN$8$19$20$33$7
4Campbell County HMA, LLCLaFollette, TN——$0——
5Foley Hospital Company LLCFoley, AL$1$5$4$6$1
6HMA Santa Rosa Medical Center LLCMilton, FL$3$8$22$318$65
7Carlsbad Medical Center LLCCarlsbad, NM$1$4$4$5$1
8Moberly Hospital Company LLCMoberly, MO$1$5$5$6$1
9Longview Medical Center LPLongview, TX$0$2$2$7$2
10Piney Woods Healthcare System LPTX 75904, TX$0$1$3$7$2
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