NDC 65628-0050-04

Magic mouthwash liquid, single unit dose at Saint Francis Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIPHENHYD 25 MG-LIDO 200 MG-MAGAL 400 MG-SIMETH 40 MG/30 ML MOUTHWASH

Grand Island, NE

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How this price compares nationally

Saint Francis Medical Center’s median price of $1 is 99% below the median hospital's median price ($77), higher than 3% 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: Feb 28, 2026

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