OpenBilldrug price receipt

NADAC week of 2026-10-14

DIPHENHYDRAMINE 50 MG/ML VIAL

For 1 mL

Pharmacies pay

$0.90 – $1.05 filed

1 × $0.89801 to $1.0542 per ML (the 10 NDCs differ)

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$1.24 filed

1 × $1.23688 per ML, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

1.2× – 1.4× estimated

Medicare paid between 1.2× and 1.4× what pharmacies pay, depending on the NDC.

Part D averages every strength and form sold under “Diphenhydramine HCl*” / “Diphenhydramine HCl” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$6.04 – $6.21 estimated

NADAC for the pack + 15% + $5.00 fee per fill

This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

DIPHENHYDRAMINE 50 MG/ML VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as diphenhydramine hydrochloride, under the trade name “DIPHENHYDRAMINE”.

FDA gives its dosage form as “injection” and “injection, solution” and its route as intramuscular; intravenous.

FDA lists 7 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. and Sagent Pharmaceuticals.

FDA’s Established Pharmacologic Class for it is Histamine-1 Receptor Antagonist.

The NADAC file of 2026-10-14 prices it under 10 NDCs (National Drug Codes).

NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $0.90 – $1.05 for 1 mL, depending on the NDC ($0.89801 to $1.0542 per ML), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

The 7 labelers

LabelerNDCsPharmacies pay per unit
Armas Pharmaceuticals Inc.2$0.89801 to $1.0542 per ML filed
Fresenius Kabi USA, LLC2$0.89801 per ML filed
Hikma Pharmaceuticals USA Inc.2$0.89801 per ML filed
Avenacy, LLC1$0.89801 per ML filed
Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.1$0.89801 per ML filed
Micro Labs Limited1$0.89801 per ML filed
Sagent Pharmaceuticals1$0.89801 per ML filed
All 10 NDCs, with labeler and price
  • 00641-0376-25 · Hikma Pharmaceuticals USA Inc. · $0.89801 per ML · eff. 2026-09-23 filed
  • 00641-6282-25 · Hikma Pharmaceuticals USA Inc. · $0.89801 per ML · eff. 2026-09-23 filed
  • 23155-0264-41 · Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. · $0.89801 per ML · eff. 2026-09-23 filed
  • 25021-0481-01 · Sagent Pharmaceuticals · $0.89801 per ML · eff. 2026-09-23 filed
  • 42571-0337-87 · Micro Labs Limited · $0.89801 per ML · eff. 2026-09-23 filed
  • 63323-0664-01 · Fresenius Kabi USA, LLC · $0.89801 per ML · eff. 2026-09-23 filed
  • 63323-0664-16 · Fresenius Kabi USA, LLC · $0.89801 per ML · eff. 2026-09-23 filed
  • 72485-0101-05 · Armas Pharmaceuticals Inc. · $1.0542 per ML · eff. 2026-09-23 filed
  • 72485-0101-25 · Armas Pharmaceuticals Inc. · $0.89801 per ML · eff. 2026-09-23 filed
  • 83634-0781-01 · Avenacy, LLC · $0.89801 per ML · eff. 2026-09-23 filed

Other strengths, forms and brands

24 other products in the NADAC file share the FDA nonproprietary name diphenhydramine hydrochloride with DIPHENHYDRAMINE 50 MG/ML VIAL. The 23 below share a strength or dosage form with it first; search OpenBill for the rest.

ProductPharmacies pay per unitMedicare per unit
ALLER-G-TIME 25 MG CAPLET
generic · tablet, film coated
$0.03697 per EA filed
eff. 2026-09-23
We don’t know yet
ALLERGY 25 MG TABLET
generic · tablet, film coated
$0.03697 per EA filed
eff. 2026-09-23
We don’t know yet
ALLERGY (DIPHEN) 25 MG CAPSULE
generic · capsule
$0.05336 per EA filed
eff. 2026-09-23
We don’t know yet
ALLERGY RELIEF 25 MG SOFTGEL
generic · capsule, liquid filled
$0.05336 per EA filed
eff. 2026-09-23
We don’t know yet
BANOPHEN 25 MG CAPSULE
generic · capsule
$0.05336 per EA filed
eff. 2026-09-23
We don’t know yet
DIMETANE 25 MG SOFTGEL
generic · capsule, liquid filled
$0.05336 per EA filed
eff. 2026-09-23
We don’t know yet
DIMETANE 50 MG SOFTGEL
generic · capsule, liquid filled
$0.02976 per EA filed
eff. 2026-09-23
We don’t know yet
DIPHEDRYL 12.5 MG/5 ML ELIXIR
generic · solution
$0.01921 per ML filed
eff. 2026-09-23
We don’t know yet
DIPHENHYDRAMINE 12.5 MG/5 ML
generic · solution / liquid
$0.01744 to $0.01921 per ML filed
eff. 2026-09-23
We don’t know yet
DIPHENHYDRAMINE 25 MG TABLET
generic · tablet, film coated / tablet
$0.03697 per EA filed
eff. 2026-09-23
We don’t know yet
DIPHENHYDRAMINE 50 MG CAPSULE
generic · capsule
$0.02976 per EA filed
eff. 2026-09-23
We don’t know yet
DIPHENHYDRAMINE 50 MG/ML VIAL this page
generic · injection / injection, solution
$0.89801 to $1.0542 per ML filed
eff. 2026-09-23
$1.23688 per ML filed
Part D 2024 average
FT ALLERGY (DIPHEN) 25 MG TAB
generic · tablet, film coated
$0.03697 per EA filed
eff. 2026-09-23
We don’t know yet
FT CHILD ALLERGY 12.5 MG/5 ML
generic · solution
$0.01921 per ML filed
eff. 2026-09-23
We don’t know yet
GNP ALLERGY RELIEF 25 MG SFGL
generic · capsule, liquid filled
$0.05336 per EA filed
eff. 2026-09-23
We don’t know yet
GS ALLERGY (DIPHEN) 25 MG TAB
generic · tablet
$0.03697 per EA filed
eff. 2026-09-23
We don’t know yet
GS NIGHTTIME SLEEP AID 25 MG
generic · tablet, film coated
$0.05997 per EA filed
eff. 2026-09-23
We don’t know yet
M-DRYL 12.5 MG/5 ML SOLUTION
generic · liquid
$0.01744 to $0.01921 per ML filed
eff. 2026-09-23
We don’t know yet
QC ALLERGY (DIPHEN) 25 MG CAP
generic · capsule
$0.05336 per EA filed
eff. 2026-09-23
We don’t know yet
QC ALLERGY (DIPHEN) 25 MG SFGL
generic · capsule, liquid filled
$0.05336 per EA filed
eff. 2026-09-23
We don’t know yet
QC ALLERGY (DIPHEN) 25 MG TAB
generic · tablet, coated
$0.03697 per EA filed
eff. 2026-09-23
We don’t know yet
QC NIGHTTIME SLEEP 25 MG TAB
generic · tablet
$0.05997 per EA filed
eff. 2026-09-23
We don’t know yet
QC REST SIMPLY 25 MG CAPLET
generic · tablet, coated
$0.05997 per EA filed
eff. 2026-09-23
We don’t know yet
SLEEP AID 25 MG SOFTGEL
generic · capsule, liquid filled
$0.21549 per EA filed
eff. 2026-09-23
We don’t know yet

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 10 NDCs’ NADAC prices is $0.89801 per ML filed.

Of the 46 other products in FDA’s Histamine-1 Receptor Antagonist class priced per ML, 17 have a higher middle NADAC price and 29 a lower one. The one in the middle is ITCH RELIEF 2%-0.1% SPRAY, at $0.04712 per ML filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $1.24 for 1 mL, at an average of $1.23688 per ML in 2024 (2024-01-01 to 2024-12-31) for “Diphenhydramine HCl*” and “Diphenhydramine HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 61,123 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for DIPHENHYDRAMINE 50 MG/ML VIAL labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Diphenhydramine HCl* / Diphenhydramine HCl: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on generic name. *: CMS says this average reflects multiple routes of administration, which may have different unit prices. All 10 NADAC NDCs the name join matched to it have an FDA route including INTRAMUSCULAR and INTRAVENOUS.
Why does this page start at 1 mL?
The FDA package descriptions of this product’s NDCs give different amounts (5 mL, 25 mL). So the card starts at 1 ML; change it to match your prescription.