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NDC 121177505

00121-1775-05 - codeine-guaifenesin 10 mg-100 mg/5

Reported by 81 hospitals in the network.

National pricing summary

Low

$0

Average

$12

Median

$6

High

$70

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$2$4$5$8$2
2Bluffton Health System LLCBluffton, IN$28$72$70$104$24
3Dukes Health System LLCPeru, IN$3$7$7$14$3
4Warsaw Health System LLCWarsaw, IN$4$11$11$17$4
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$4$8$9$16$3
6St. Joseph Health System, LLCIN 46802, IN$2$6$6$10$2
7Dupont Hospital LLCIN 46825, IN$2$4$4$6$1
8Durant HMA LLCDurant, OK$7$36$30$44$13
9Northwest Sahurita Hospital LLCAZ 85748, AZ$3$7$8$24$6
10Northwest Sahurita Hospital LLCAZ 85629, AZ$3$7$8$24$6
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