NDC 65628-0050-04
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
DIPHENHYD 25 MG-LIDO 200 MG-MAG,AL 400 MG-SIMETH 40 MG/30 ML MOUTHWASH
Leominster, MA
See all hospitals reporting NDC 65628-0050-04 →Price type
HealthAlliance - Clinton Hospital’s median price of $110 is 43% above the median hospital's median price ($77), higher than 64% of the 188 hospitals reporting NDC 65628-0050-04. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Mar 26, 2026
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