Hydroxyzine pamoate 25 mg capsule cost in Wisconsin

HYDROXYZINE PAMOATE 25 MG CAPSULE · HCPCS Q0177

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $5.28 – $5.28 1
SSM Health Monroe Hospital Monroe not published $5.28 – $5.28 1
UnityPoint Health - Meriter Hospital Madison not published $0.10 – $0.52 2
SSM Health Waupun Memorial Hospital Waupun not published $5.28 – $5.28 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $5.28 – $5.28 1