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    NDC 00904-6985-16 Diphenhydramine HCl 12.5 mg/5mL Details

    Diphenhydramine HCl 12.5 mg/5mL

    Diphenhydramine HCl is a ORAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is DIPHENHYDRAMINE HYDROCHLORIDE.

    Product Information

    NDC 00904-6985
    Product ID 0904-6985_5e2bea25-9aad-45e0-b506-6d999247a566
    Associated GPIs 41200030100920
    GCN Sequence Number 016675
    GCN Sequence Number Description diphenhydramine HCl LIQUID 12.5MG/5ML ORAL
    HIC3 Z2P
    HIC3 Description ANTIHISTAMINES - 1ST GENERATION
    GCN 48831
    HICL Sequence Number 004480
    HICL Sequence Number Description DIPHENHYDRAMINE HCL
    Brand/Generic Generic
    Proprietary Name Diphenhydramine HCl
    Proprietary Name Suffix n/a
    Non-Proprietary Name Diphenhydramine HCl
    Product Type HUMAN OTC DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 12.5
    Active Ingredient Units mg/5mL
    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 00904-6985-16 (00904698516)

    NDC Package Code 0904-6985-16
    Billing NDC 00904698516
    Package 473 mL in 1 BOTTLE, PLASTIC (0904-6985-16)
    Marketing Start Date 2019-08-27
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.0167
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description DIPHENHYDRAMINE 12.5 MG/5 ML
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1, 5
    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