NDC 00054-0379-51

sod polysty sulf 15 gm/60 mL Susp 60 mL at Adventist Health Medical Center Tehachapi

Tehachapi, CA

Pricing by billing methodology

Price type

All methodologies

$75

Case rate

$88

Fee schedule

$151

Per diem

Not reported

Percent of billed charges

$64

Other

Not reported

Last updated: May 21, 2026

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