NDC 121177505
00121-1775-05 - codeine-guaifenesin 10 mg-100 mg/5 at Dupont Hospital LLC
IN 46825, IN
Reported pricing
Low
$2
Average
$4
Median
$4
High
$6
Aggregated across all available billing methodologies for this code.
Last updated: Apr 1, 2026
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