NDC 51672-4047-04
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
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
Low
$2
Average
$79
Median
$2
High
$232
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nebraska Medical Center Omaha, NE | $2 | $2 | $0 | 14% | — | $0 – $4 |
| 2 | Bellevue Medical Center Llc Bellevue, NE | $2 | $2 | $0 | 14% | — | $0 – $4 |
| 3 | Nemours Children's Hospital Wilmington, DE | $232 | $232 | — | — | — | $46 – $232 |
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