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