NDC 15082-0221-53
Glendale, CA
Price type
All methodologies
$103
3–30 samples
Case rate
$99
Fee schedule
$196
Per diem
Not reported
Percent of billed charges
$99
3–30 samples
Other
$185
Last updated: Jul 30, 2026
See COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.