NDC 904650861
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
hydroxychloroquine 200 mg Tab
Low
$3
Average
$3
Median
$3
High
$3
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwest Sahurita Hospital LLC Tucson, AZ | $3 | $3 | — | — | — | $0 – $3 |
| 2 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $3 | $3 | — | — | — | $0 – $3 |
| 3 | Oro Valley Hospital LLC Tucson, AZ | $3 | $3 | — | — | — | $1 – $3 |
| 4 | Northwest Hospital LLC Tucson, AZ | $3 | $3 | — | — | — | $1 – $3 |
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