Acyclovir 400 mg tablet cost in Pennsylvania
ACYCLOVIR 400 MG TABLET · HCPCS J8499
$13.20
lowest in Pennsylvania
$13.20
state median
$13.20
highest in Pennsylvania
$67.80
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Williamsport | Williamsport | $13.20 | $5.94 – $19.80 | 15 |
| UPMC St. Margaret | Pittsburgh | not published | $0.04 – $0.51 | 12 |
| UPMC Northwest | Seneca | not published | $0.04 – $0.51 | 13 |
| UPMC Mercy | Pittsburgh | not published | $0.15 – $0.54 | 16 |