180349 — Pku Periflex Early Years 13.5 Gram-473 Kcal/100 Gram Oral Powder
$39,857
All-payer median here
$41,955
Cash / self-pay here
8
payer/plan-name variants
Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.