NDC 00054-0379-51

sod polysty sulf 15 gm/60 mL Susp 60 mL at Lodi Memorial Hospital Association Inc

Lodi, CA

Pricing by billing methodology

Price type

All methodologies

$190

25–52 samples

Case rate

Not reported

Fee schedule

$314

Per diem

Not reported

Percent of billed charges

$138

25–52 samples

Other

Not reported

Last updated: Aug 2, 2026

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