NDC 51079-0161-21

acetam-codeine 300-30 mg Tab #6 PP at White Memorial Medical Center

Name: acetam-codeine 300-30 mg Tab #6 PP
Price: 64.42 USD

Angeles, CA

Pricing by billing methodology

Price type

All methodologies

$59

92 samples

Case rate

$36

Fee schedule

$79

Per diem

Not reported

Percent of billed charges

$40

92 samples

Other

$96

Last updated: May 23, 2026

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