NDC 71266-6641-01
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
COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED
Low
$15
Average
$25
Median
$25
High
$34
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Glendale Adventist Medical Center Glendale, CA | $27 | $34 | $13 | 39% | — | $6 – $60 |
| 2 | The Children's Hospital of Alabama Birmingham, AL | $15 | $15 | — | — | — | $15 – $15 |
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