NDC 00406-0125-23
Bellevue, NE
Price type
All methodologies
$22
Case rate
Not reported
Fee schedule
$41
Per diem
Not reported
Percent of billed charges
$12
Other
$45
Last updated: Aug 10, 2026
See PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.