NDC 61314070101

Sulfacetamide Sodium Ophth Soln 10 at Longview Medical Center LP

Name: Sulfacetamide Sodium Ophth Soln 10
Price: 107.41 USD

Longview, TX

Pricing by billing methodology

Price type

All methodologies

$89

Case rate

Not reported

Fee schedule

$14

Per diem

$13

Percent of billed charges

$147

Other

$31

Last updated: Apr 1, 2026

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