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NDC 29033000101

29033-0001-01 - theophylline 400. mg Tab-ER

Reported by 64 hospitals in the network.

National pricing summary

Low

$1

Average

$1242.2k

Median

$7

High

$28571.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$3$6$7$12$3
2Bluffton Health System LLCBluffton, IN$6$16$16$24$6
3Dukes Health System LLCPeru, IN$4$10$11$23$5
4Warsaw Health System LLCWarsaw, IN$6$17$17$27$6
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$6$13$14$26$5
6St. Joseph Health System, LLCIN 46802, IN$4$9$28571.4k$15$166598.6k
7Dupont Hospital LLCIN 46825, IN$3$6$6$10$2
8Durant HMA LLCDurant, OK$2$10$8$11$3
9Northwest Sahurita Hospital LLCAZ 85748, AZ$1$2$2$5$1
10Northwest Sahurita Hospital LLCAZ 85629, AZ$1$2$2$5$1
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