NDC 00472-0082-16
Bloomington, IN
Price type
All methodologies
$5
Case rate
Not reported
Fee schedule
Not reported
Per diem
$142
Percent of billed charges
$5
Other
Not reported
Last updated: Mar 25, 2026
See Acyclovir Oral Susp 40 mg/mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.