NDC 58657045401

58657-0454-01 - hyoscyamine/methenam/m-blue/sodium at IOM Health System LP

Fort Wayne, IN

Pricing by billing methodology

Price type

All methodologies

$27

Case rate

Not reported

Fee schedule

Not reported

Per diem

Not reported

Percent of billed charges

$27

Other

Not reported

Last updated: Apr 1, 2026

See 58657-0454-01 - hyoscyamine/methenam/m-blue/sodium pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.