Diphenhydramine Hydrochloride 50 mg/mL Injection, 25 vials — NDC 23155-264-41 (Billing 23155-0264-41)
This is a package of 25 vials of Diphenhydramine Hydrochloride 50 mg/mL Injection from Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc., marketed since Jun 2025 and currently FDA-listed; retail pharmacies pay about $0.8980 per mL (NADAC). It is this product's only package size.
NDC database record
One package, one record: these facts belong to NDC 23155-264-41 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 23155 labeler · 264 product · 41 package
- Package marketed since
- Jun 30, 2025
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2026
- Barcode (UPC)
- 0323155264319
- Medicaid fills, this package
- 1,086 prescriptions in the last four reported quarters
- FDA record last changed
- Jul 24, 2026
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 011590
- GCN: 46013
- GPI-14 (Medi-Span): 41200030102010
- HICL (First Databank): 004480
- AHFS class code: 04:04.00.00
- RxCUI (RxNorm): 1723740
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 8, 2026
- FDA label on DailyMed · label index refreshed Oct 6, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 8, 2026
RxNorm drug class
This medicine belongs to the Histamine-1 Receptor Antagonist class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
Diphenhydramine injection is used to treat allergic reactions, motion sickness and to control abnormal movements in people who have Parkinsonian syndrome (a disorder of the nervous system that causes difficulties with movement, muscle control, and balance). Diphenhydramine injection is in a class of medications called antihistamines. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
Read the full MedlinePlus article ↗- Oral products temporarily relieve hay fever and other upper respiratory allergy symptoms like runny nose, sneezing and itchy, watery eyes. They also ease runny nose and sneezing fr...
- Oral forms are generally taken every 4 to 6 hours, with no more than 6 doses in 24 hours. The amount depends on age and the product, so check the package chart or ask me or your do...
- It can. Drowsiness is common, so be careful driving or using machinery. Alcohol, sedatives and tranquilizers make it worse, so avoid them.
- Oral products are not for children under 2 years, and some are not for children under 6. Children can become excitable, and overdose can be very dangerous. Always follow the age di...
Patient education
Supplement & herbal interactions
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 6, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per mL | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | $0.898 | $22.45 / 25 ml |
| Medicaid paysCMS SDUD · 12 mo | $9.73 | $243.20 / 25 ml |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
| Medicare Part B allowsASP · J1200 | $0.752 / J1200 unit | — |
Where does this data come from?
- CMS NADAC weekly file · file of Oct 7, 2026
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · through Q1 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Billing & reimbursement
Where does this data come from?
- CMS ASP NDC-HCPCS crosswalk · refreshed Sep 22, 2026
- DMEPDAC NDC-HCPCS crosswalk
- openFDA NSDE billing units · refreshed Oct 7, 2026
Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Marketing end | Status |
|---|---|---|---|---|
| 23155-0264-41 You're viewing this Main listing | 25 VIAL, GLASS in 1 PACKAGE / 1 mL in 1 VIAL, GLASS | 2025-06-30 | — | Active |
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Diphenhydramine Hydrochloride 50 mg/mL 23155-0263-31 | Heritage | 1 vial | $0.790 | AP | FDA listed | save 12% |
| Diphenhydramine hydrochloride 50 mg/mL 00641-6282-25 | Hikma | 25 vials | $0.898 | AP | Availability likely | — |
| Diphenhydramine Hydrochloride 50 mg/mLthis 23155-0264-41 | Heritage | 25 vials | $0.898 | AP | Availability likely | — |
| Diphenhydramine Hydrochloride 50 mg/mL 25021-0481-01 | Sagent | 25 vials | $0.898 | AP | Availability likely | — |
| Diphenhydramine 50 mg/mL 42571-0337-87 | Micro | 25 vials | $0.898 | AP | Availability likely | — |
| Diphenhydramine 50 mg/mL 63323-0664-01 | Fresenius | 25 vials | $0.898 | AP | Availability likely | — |
| Diphenhydramine Hydrochloride 50 mg/mL 72485-0101-25 | Armas | 25 vials | $0.898 | AP | Availability likely | — |
| Diphenhydramine 50 mg/mL 83634-0781-01 | Avenacy, | 25 vials | $0.898 | AP | Availability likely | — |
| Diphenhydramine Hydrochloride 50 mg/mL 00641-0376-25 | Hikma | 25 vials | $0.898 | AP | Availability likely | — |
| Diphenhydramine Hydrochloride 50 mg/mL 00404-9851-01 | Henry | 1 vial | — | AP | FDA listed | — |
| Diphenhydramine 50 mg/mL 42571-0169-55 | Micro | 10 ampules | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 51662-1219-01 | HF | 1 ml | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 51662-1348-01 | HF | 1 ml | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 51662-1374-01 | HF | 1 ml | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 55154-9363-05 | Cardinal | 5 vials | — | AP | FDA listed | — |
| Diphenhydramine 50 mg/mL 65219-0820-01 | Fresenius | 25 vials | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 68083-0611-25 | Gland | 25 vials | — | AP | FDA listed | — |
| Diphenhydramine hydrochloride 50 mg/mL 70518-4455-00 | REMEDYREPACK | 25 vials | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 70518-4536-00 | REMEDYREPACK | 25 vials | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 71872-7005-01 | Medical | 1 vial | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 71872-7180-01 | Medical | 1 vial | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 71872-7373-01 | Medical | 1 vial | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 84549-0101-25 | ProPharma | 1 ml | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 55154-5102-05 | Cardinal | 5 vials | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 70518-1082-01 | REMEDYREPACK | 25 vials | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 76045-0235-10 | Fresenius | 1 syringe | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 42571-0511-56 | Micro | 1 vial | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 76045-0102-10 | Fresenius | 1 syringe | — | AP | FDA listed | — |
| Diphenhydramine Hydrochloride 50 mg/mL 85766-0253-25 | Sportpharm | 25 vials | — | AP | FDA listed | — |
| Diphenhydramine 50 mg/mL 70518-4765-01 | REMEDYREPACK | 25 vials | — | AP | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 8, 2026
- FDA Orange Book · refreshed Oct 3, 2026
- CMS NADAC weekly file · file of Oct 7, 2026
Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
- FDA Orange Book · refreshed Oct 3, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
🧪 Avoiding an ingredient? See Diphenhydramine inactive ingredients by manufacturer: every current product's list side by side, so you can ask your pharmacy for the version that does not list it.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII QTT17582CB
A strong acid used to adjust and maintain the proper pH level in liquid medicines, ensuring stability and preventing breakdown of active ingredients.
-
UNII 55X04QC32I
A strong alkaline chemical used to adjust and maintain the pH balance of liquid medicines. It helps keep the medicine stable and ensures it stays effective during storage.
-
UNII 059QF0KO0R
Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.
3 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.- FDA label on DailyMed · label index refreshed Oct 6, 2026
- FDA openFDA NDC Directory · synced Oct 8, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from Heritage Pharmaceuticals Inc. d/b/a Avet Pharmac... labeler code 23155
- Venlafaxine 37.5 mg Tablet NDC 23155-247-01
- Venlafaxine 50 mg Tablet NDC 23155-248-01
- Venlafaxine 75 mg Tablet NDC 23155-249-01
- Venlafaxine 100 mg Tablet NDC 23155-250-01
- Adenosine 3 mg/mL Injection, Solution NDC 23155-258-31
- Diphenhydramine Hydrochloride 50 mg/mL Injection NDC 23155-263-31
- acetazolamide 125 mg Tablet NDC 23155-287-01
- acetazolamide 250 mg Tablet NDC 23155-288-01
- Amikacin Sulfate 250 mg/mL Injection, Solution NDC 23155-290-41
- Prochlorperazine Edisylate 5 mg/mL Injection NDC 23155-294-41
- Acetazolamide 500 mg/5mL Injection, Powder, Lyophilized, For Solution NDC 23155-313-31
- Ibutilide Fumarate 1 mg/10mL Injection, Solution NDC 23155-326-31
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 8, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
INDICATIONS AND USAGE Diphenhydramine hydrochloride injection, USP is effective in adults and pediatric patients, other than premature infants and neonates, for the following conditions when the oral form is impractical. Antihistaminic For amelioration of allergic reactions to blood or plasma, in anaphylaxis as an adjunct to epinephrine and other standard measures after the acute symptoms have been controlled and for other uncomplicated allergic conditions of the immediate type when oral therapy is impossible or contraindicated.
Motion Sickness For active treatment of motion sickness. Antiparkinsonism For use in parkinsonism, when oral therapy is impossible or contraindicated, as follows: parkinsonism in the elderly who are unable to tolerate more potent agents, mild cases of parkinsonism in other age groups and in other cases of parkinsonism in combination with centrally acting anticholinergic agents.
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION THIS PRODUCT IS FOR INTRAVENOUS OR INTRAMUSCULAR ADMINISTRATION ONLY. Diphenhydramine hydrochloride injection, USP is indicated when the oral form is impractical. DOSAGE SHOULD BE INDIVIDUALIZED ACCORDING TO THE NEEDS AND THE RESPONSE OF THE PATIENT.
Pediatric Patients, Other Than Premature Infants and Neonates 5 mg/kg/24 hours or 150 mg/m 2 /24 hours. Maximum daily dosage is 300 mg. Divide into four doses, administered intravenously at a rate generally not exceeding 25 mg/min, or deep intramuscularly.
Adults 10 mg to 50 mg intravenously at a rate generally not exceeding 25 mg/min, or deep intramuscularly; 100 mg if required; maximum daily dosage is 400 mg. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.
⛔ Contraindications ▾
CONTRAINDICATIONS Use in Neonates or Premature Infants This drug should not be used in neonates or premature infants. Use in Nursing Mothers Because of the higher risk of antihistamines for infants generally, and for neonates and prematures in particular, antihistamine therapy is contraindicated in nursing mothers. Use as a Local Anesthetic Because of the risk of local necrosis, this drug should not be used as a local anesthetic.
Antihistamines are also Contraindicated in the Following Conditions Hypersensitivity to diphenhydramine hydrochloride and other antihistamines of similar chemical structure.
⚠️ Warnings ▾
WARNINGS Antihistamines should be used with considerable caution in patients with narrow-angle glaucoma, stenosing peptic ulcer, pyloroduodenal obstruction, symptomatic prostatic hypertrophy or bladder-neck obstruction. Local necrosis has been associated with the use of subcutaneous or intradermal use of intravenous diphenhydramine. Use in Pediatric Patients In pediatric patients, especially, antihistamines in overdosage may cause hallucinations, convulsions or death.
As in adults, antihistamines may diminish mental alertness in pediatric patients. In the young pediatric patient, particularly, they may produce excitation. Use in the Elderly (approximately 60 years or older) Antihistamines are more likely to cause dizziness, sedation and hypotension in elderly patients.
🤒 Adverse Reactions ▾
ADVERSE REACTIONS The most frequent adverse reactions are italicized. General Urticaria; drug rash; anaphylactic shock; photosensitivity; excessive perspiration; chills; dryness of mouth, nose and throat. Cardiovascular System Hypotension, headache, palpitations, tachycardia, extrasystoles.
Hematologic System Hemolytic anemia, thrombocytopenia, agranulocytosis. Nervous System Sedation , sleepiness , dizziness , disturbed coordination , fatigue, confusion, restlessness, excitation, nervousness, tremor, irritability, insomnia, euphoria, paresthesia, blurred vision, diplopia, vertigo, tinnitus, acute labyrinthitis, neuritis, convulsions. Gastrointestinal System Epigastric distress , anorexia, nausea, vomiting, diarrhea, constipation.
Genitourinary System Urinary frequency, difficult urination, urinary retention, early menses. Respiratory System Thickening of bronchial secretions , tightness of chest and wheezing, nasal stuffiness.
🔄 Drug Interactions ▾
Drug Interactions Diphenhydramine hydrochloride has additive effects with alcohol and other CNS depressants (hypnotics, sedatives, tranquilizers, etc.) MAO inhibitors prolong and intensify the anticholinergic (drying) effects of antihistamines.
🤰 Pregnancy ▾
Pregnancy Teratogenic Effects Reproduction studies have been performed in rats and rabbits at doses up to 5 times the human dose and have revealed no evidence of impaired fertility or harm to the fetus due to diphenhydramine hydrochloride. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.
🧒 Pediatric Use ▾
Pediatric Use Diphenhydramine should not be used in neonates and premature infants (see CONTRAINDICATIONS ). Diphenhydramine may diminish mental alertness, or in the young pediatric patient, cause excitation. Overdosage may cause hallucinations, convulsions or death (see WARNINGS and OVERDOSAGE ). See also DOSAGE AND ADMINISTRATION section.
🆘 Overdosage ▾
OVERDOSAGE Antihistamine overdosage reactions may vary from central nervous system depression to stimulation. Stimulation is particularly likely in pediatric patients. Atropine-like signs and symptoms, dry mouth; fixed, dilated pupils; flushing, and gastrointestinal symptoms may also occur. Stimulants should not be used. Vasopressors may be used to treat hypotension.
🧬 Clinical Pharmacology ▾
CLINICAL PHARMACOLOGY Diphenhydramine hydrochloride is an antihistamine with anticholinergic (drying) and sedative side effects. Antihistamines appear to compete with histamine for cell receptor sites on effector cells. Diphenhydramine hydrochloride in the injectable form has a rapid onset of action.
Diphenhydramine is widely distributed throughout the body, including the CNS. A portion of the drug is excreted unchanged in the urine, while the rest is metabolized via the liver. Detailed information on the pharmacokinetics of diphenhydramine hydrochloride injection, USP is not available.
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED Diphenhydramine Hydrochloride Injection, USP 50 mg/mL is a sterile, nonpyrogenic, clear colourless solution, and is supplied as 1 mL single dose vial in package of 25s (NDC 23155-264-41). Storage Discard unused portion Protect from light. Keep covered in carton until time of use.
Store at 20 ° to 25 ° C (68 ° to 77 ° F); excursions permitted between 15 ° to 30 ° C (59 ° to 86 ° F) [See USP Controlled Room Temperature]. To report SUSPECTED ADVERSE REACTIONS, contact Avet Pharmaceuticals Inc. at 1-866-901-DRUG (3784 ) , or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Manufactured by: Maiva Pharma Private Limited.
No.32, Sipcot Industrial Complex, Phase-1, Hosur-635126, Tamilnadu, INDIA. Manufactured for: Avet Pharmaceuticals Inc. East Brunswick, NJ 08816 1.866.901.DRUG (3784) Revised: 11/2023 logo
📋 Description ▾
DESCRIPTION Diphenhydramine Hydrochloride Injection, USP is a sterile, nonpyrogenic solution for intravenous or deep intramuscular use as an antihistaminic agent. Each mL contains diphenhydramine hydrochloride 50 mg in Water for Injection. pH 4.0 to 6.5; sodium hydroxide and/or hydrochloric acid added, if needed, for pH adjustment. The chemical name of diphenhydramine hydrochloride is 2-(Diphenylmethoxy)-N,N-dimethylethylamine hydrochloride.
The structural formula is as follows: C 17 H 21 NO • HCl MW 291.82 Diphenhydramine hydrochloride occurs as a white crystalline powder and is freely soluble in water and alcohol. structure
💬 Information for Patients ▾
Information for Patients Patients taking diphenhydramine hydrochloride should be advised that this drug may cause drowsiness and has an additive effect with alcohol. Patients should be warned about engaging in activities requiring mental alertness, such as driving a car or operating appliances, machinery, etc.
⚠️ Precautions ▾
PRECAUTIONS General Diphenhydramine hydrochloride has an atropine-like action and, therefore, should be used with caution in patients with a history of bronchial asthma, increased intraocular pressure, hyperthyroidism, cardiovascular disease or hypertension. Use with caution in patients with lower respiratory disease, including asthma. Information for Patients Patients taking diphenhydramine hydrochloride should be advised that this drug may cause drowsiness and has an additive effect with alcohol.
Patients should be warned about engaging in activities requiring mental alertness, such as driving a car or operating appliances, machinery, etc. Drug Interactions Diphenhydramine hydrochloride has additive effects with alcohol and other CNS depressants (hypnotics, sedatives, tranquilizers, etc.) MAO inhibitors prolong and intensify the anticholinergic (drying) effects of antihistamines. Carcinogenesis, Mutagenesis, Impairment of Fertility Long-term studies in animals to determine mutagenic and carcinogenic potential have not been performed.
Pregnancy Teratogenic Effects Reproduction studies have been performed in rats and rabbits at doses up to 5 times the human dose and have revealed no evidence of impaired fertility or harm to the fetus due to diphenhydramine hydrochloride. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.
Pediatric Use Diphenhydramine should not be used in neonates and premature infants (see CONTRAINDICATIONS ). Diphenhydramine may diminish mental alertness, or in the young pediatric patient, cause excitation. Overdosage may cause hallucinations, convulsions or death (see WARNINGS and OVERDOSAGE ).
See also DOSAGE AND ADMINISTRATION section.
📄 Carcinogenesis, Mutagenesis, Impairment of Fertility ▾
Carcinogenesis, Mutagenesis, Impairment of Fertility Long-term studies in animals to determine mutagenic and carcinogenic potential have not been performed.
📄 Package Label / Principal Display Panel ▾
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL DiphenhydrAMINE Hydrochloride Injection, USP 50 mg/mL NDC 23155- 264 -41 Rx only Discard unused portion. FOR DEEP INTRAMUSCULAR OR SLOW INTRAVENOUS USE HIGH POTENCY 25 x 1mL Single Dose Vials carton
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL DiphenhydrAMINE Hydrochloride Injection, USP 50 mg/mL NDC 23155- 264 -31 Rx only FOR INTRAMUSCULAR OR INTRAVENOUS USE HIGH POTENCY 1 mL Single Dose Vial label