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    NDC 00904-5551-59 Banophen 25 mg/1 Details

    Banophen 25 mg/1

    Banophen is a ORAL TABLET, FILM COATED in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is DIPHENHYDRAMINE HYDROCHLORIDE.

    Product Information

    NDC 00904-5551
    Product ID 0904-5551_3fdd1d21-b241-4357-9d8f-01dd16bb4a87
    Associated GPIs 41200030100305
    GCN Sequence Number 011594
    GCN Sequence Number Description diphenhydramine HCl TABLET 25 MG ORAL
    HIC3 Z2P
    HIC3 Description ANTIHISTAMINES - 1ST GENERATION
    GCN 46071
    HICL Sequence Number 004480
    HICL Sequence Number Description DIPHENHYDRAMINE HCL
    Brand/Generic Generic
    Proprietary Name Banophen
    Proprietary Name Suffix n/a
    Non-Proprietary Name Diphenhydramine HCl
    Product Type HUMAN OTC DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 25
    Active Ingredient Units mg/1
    Substance Name DIPHENHYDRAMINE HYDROCHLORIDE
    Labeler Name Major Pharmaceuticals
    Pharmaceutical Class Histamine H1 Receptor Antagonists [MoA], Histamine-1 Receptor Antagonist [EPC]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH DRUG
    Application Number M012
    Listing Certified Through 2024-12-31

    Package

    NDC 00904-5551-59 (00904555159)

    NDC Package Code 0904-5551-59
    Billing NDC 00904555159
    Package 1 BOTTLE, PLASTIC in 1 CARTON (0904-5551-59) / 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
    Marketing Start Date 1990-03-02
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.03271
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description BANOPHEN 25 MG TABLET
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2024-02-21
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis