NDC 00904-6312-56
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR
La Mesa, CA
See all hospitals reporting NDC 00904-6312-56 →Price type
Grossmont Hospital Corporation’s median price of $0 is 99% below the median hospital's median price ($3), higher than 2% of the 61 hospitals reporting NDC 00904-6312-56. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Apr 1, 2026
See Dextromethorphan extended-release liquid, 1 mL dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.