NDC 00121-0595-30

bicitra Oral Soln 30 mL at Adventist Health Tulare

Name: bicitra Oral Soln 30 mL
Price: 20.05 USD

Tulare, CA

Pricing by billing methodology

Price type

All methodologies

$18

Case rate

$13

Fee schedule

$30

Per diem

Not reported

Percent of billed charges

$17

Other

Not reported

Last updated: May 22, 2026

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