NDC 63402030810

LURASIDONE HCL 80 MG PO TABS at The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania

Philadelphia, PA

Pricing by billing methodology

Price type

All methodologies

$105

Case rate

$162

Fee schedule

$162

Per diem

Not reported

Percent of billed charges

$95

Other

$162

Last updated: Feb 10, 2026

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