NDC 904705261
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.
Generation details were not recorded for this description.
Original text from hospital filings
doxepin 10 mg Cap 100 each BLIST PACK
Low
$0
Average
$1
Median
$1
High
$2
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems Ulm, MN | $2 | $2 | $0 | 4% | — | $1 – $4 |
| 2 | Hillsdale Hospital Hillsdale, MI | $0 | $0 | — | — | — | $0 – $4 |
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