NDC 65143105

Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3% at Sanford Vermillion Hospital

Vermillion, SD

Reported pricing

Low

$7

Average

$16

Median

$18

High

$23

Aggregated across all available billing methodologies for this code.

Last updated: Mar 4, 2026

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