NDC 904043004
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
00904-0430-04 - doxycycline hyclate 100 mg Tab
Fort Wayne, IN
See all hospitals reporting NDC 904043004 →Price type
Lutheran Musculoskeletal Center LLC’s median price of $11 is 81% above the median hospital's median price ($6), higher than 65% of the 49 hospitals reporting NDC 904043004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Apr 1, 2026
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