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Non-Formulary Medication Cost Comparison

36608566 (CDM)

Cash prices (without insurance) for Non-Formulary Medication (CPT 36608566) range from $10 to $10 across 1 hospitals in 1 state. The national average cash price is $10.

A non-formulary medication is a prescription drug that is not included on the list of medications typically covered by a patient's health insurance plan. Patients may need a non-formulary medication if their doctor determines it is the best treatment option for their condition, even though it is not on the insurance plan's approved list. In this case, the patient's doctor will need to request approval from the insurance provider before the medication can be prescribed and covered.

$10$10 · 1 hospitals

1 hospital
Cash Price
(No Insurance)
$10
Gross Charge
$21

No payer-negotiated rates available

Prices shown are sourced from hospital price transparency files published under the Hospital Price Transparency Rule. Actual costs may vary based on your insurance plan, specific clinical circumstances, and additional services required. These prices are not a quote or guarantee.

This site does not provide medical advice. Always consult with your healthcare provider and insurance company before making decisions about medical care. Learn more about our data sources.