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  4. /NDC 70436005604

NDC 70436005604

MEMANTINE 21 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR at Carolinas Medical Center

Charlotte, NC

Pricing by billing methodology

Price type

All methodologies

$22

16–25 samples

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

Not reported

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$22

16–25 samples

Reflects a negotiated percentage of total billed charges.

Other

—

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Dec 4, 2025

Compare to other hospitals

See MEMANTINE 21 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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