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HANK Price Transparency. (n.d.).
AMOX-CLAV 500-125 MG TABLET (CDM 4301289) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 30, 2026 , from http://ppman.hank.ai/transparency/procedure/4301289/by-state?code_type=CDM
“AMOX-CLAV 500-125 MG TABLET (CDM 4301289) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/4301289/by-state?code_type=CDM. Accessed
June 30, 2026 .
“AMOX-CLAV 500-125 MG TABLET (CDM 4301289) by State,” HANK Price Transparency ,
accessed June 30, 2026 ,
http://ppman.hank.ai/transparency/procedure/4301289/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CDM · across United States
4301289 — Amox-clav 500-125 Mg Tablet
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$2
National median
$2 – $3
IQR (p25 – p75)
2
hospitals filing
2
states
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 4301289 (CDM), with interquartile range
State Median p25 p75
NE $6,541 $4,853 $6,681
OH $2 $2 $3