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NDC 65143105

Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%

Reported by 2 hospitals in the network.

National pricing summary

Low

$16

Average

$17

Median

$17

High

$17

Hospitals reporting this code

#HospitalLocation
1Sanford Mayville Medical CenterMayville, ND$6$19$17$21$4
2Sanford Vermillion HospitalVermillion, SD$7$18$16$23$6

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