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NDC 472008216

00472-0082-16 - acyclovir 200 mg/5 mL Susp

Reported by 63 hospitals in the network.

National pricing summary

Low

$2

Average

$1298.7k

Median

$9

High

$28571.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$5$10$12$19$4
2Dukes Health System LLCPeru, IN$7$17$18$37$8
3Lutheran Musculoskeletal Center LLCFort Wayne, IN$10$21$22$42$8
4St. Joseph Health System, LLCIN 46802, IN$6$15$28571.4k$25$166598.6k
5Dupont Hospital LLCIN 46825, IN$4$9$10$16$4
6Durant HMA LLCDurant, OK$1$7$5$8$2
7Northwest Hospital LLCAZ 85741, AZ$1$1$2$4$1
8Triad of Alabama LLCAL 36305, AL$4$19$17$25$6
9Affinity Hospital LLCBirmingham, AL$7$29$27$48$11
10Gadsden Regional Medical Center LLCGadsden, AL$10$54$109$1.5k$290
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