Mylan

DIPHENHYDRAMINE HCL - Cost

Last Updated: April 1st, 2024

HCPCS:

J1200

HCPCS Code Descriptor:

Injection, diphenhydramine hcl, up to 50 mg

Medicare Payment Limit:

The DIPHENHYDRAMINE HCL Medicare Payment Limit is $0.823

Average Sale Price:

DIPHENHYDRAMINE HCL ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The DIPHENHYDRAMINE HCL Medicare Co-insurance percentage is 20%. DIPHENHYDRAMINE HCL's Medicare Co-insurance amount is $0.16 per HCPCS unit.

APC Code:

The Diphenhydramine Hcl APC Code is: not available

APC Payment Limit:

The APC Payment Limit for DIPHENHYDRAMINE HCL is not available.

Diphenhydramine Hcl Cost Information:

DIPHENHYDRAMINE HCL, became effective on January 1, 1997 and is associated with HCPCS J1200. There are eight NDCs aligned to J Code: J1200 with multiple errors in these mappings found. Between 2022 and 2024, ASP has declined by nearly 50% and remains slightly below WAC.

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Diphenhydramine Hcl’s wholesale acquisition cost (WAC) information was last updated on:
February 21, 2024
Diphenhydramine Hcl’s average wholesale price (AWP) information was last updated on:
May 4, 2023