Table of Contents

Drug Details

General

Brand Name: DIPHENHYDRAMINE 12.5 MG/5 ML

Generic Name: diphenhydramine HCl

Manufacturer: MAJOR PHARMACEU

Package size: 473ML

Long-acting reversible contraception product: No

Refill-to-soon Utilization*: 75%

Drug Pricing

Retail Pharmacy Cost: .01773

Retail Pharmacy Eff Date: 01/25/2022

Specialty Pharmacy Cost: .01741

Specialty Pharmacy Eff Date: 01/25/2022

Long-term Care Pharmacy Cost: .0173

Long-term Care Pharmacy Eff Date: 01/25/2022

Premium Preferred Generic Incentive†: Yes

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