NDC 00409-5922-01

AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS

INDIANAPOLIS, IN

Pricing by billing methodology

Price type

All methodologies

$104

2–20 samples

Case rate

Not reported

Fee schedule

$45

2–20 samples

Per diem

Not reported

Percent of billed charges

$115

Other

Not reported

Last updated: Jan 1, 2026

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