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HANK Price Transparency. (n.d.).
ACYCLOVIR 5% 30GM TOP (CDM 4460093) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved July 3, 2026 , from http://ppman.hank.ai/transparency/procedure/4460093/by-state?code_type=CDM
“ACYCLOVIR 5% 30GM TOP (CDM 4460093) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/4460093/by-state?code_type=CDM. Accessed
July 3, 2026 .
“ACYCLOVIR 5% 30GM TOP (CDM 4460093) by State,” HANK Price Transparency ,
accessed July 3, 2026 ,
http://ppman.hank.ai/transparency/procedure/4460093/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
4460093 — Acyclovir 5% 30gm Top
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$2,832
National median
$2,236 – $3,465
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 4460093 (CDM), with interquartile range
State Median p25 p75
MS $11,303 $11,303 $11,303
CA $2,720 $2,217 $3,186