NDC 51079-0255-01
Bellevue, NE
Price type
All methodologies
$10
Case rate
Not reported
Fee schedule
$23
Per diem
Not reported
Percent of billed charges
$6
Other
$22
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.