NDC 904122800
Wayne, IN
Price type
All methodologies
$2
Case rate
Not reported
Fee schedule
Not reported
Per diem
Not reported
Percent of billed charges
$2
Other
Not reported
Last updated: Apr 1, 2026
See 00904-1228-00 - diphenhydrAMINE 12.5 mg/5 mL Liqui pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.