NDC 904630521
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
00904-6305-21 - phenol topical 1.4 Spray
Fort Wayne, IN
See all hospitals reporting NDC 904630521 →Price type
IOM Health System LP’s median price of $6 is 40% below the median hospital's median price ($10), higher than 33% of the 98 hospitals reporting NDC 904630521. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Apr 1, 2026
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