ALLERGY RELIEF 25 MG TABLET

Drug Details

General

Brand Name: ALLERGY RELIEF 25 MG TABLET
Generic Name: diphenhydramine HCl
Manufacturer: LEADER
NDC: 70000013602
Package size: 48EA
Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: No
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 75%

Drug Pricing

Retail Pharmacy Cost: .03352
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .03293
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .03271
Long-term Care Pharmacy Eff Date: 03/23/2021
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 11/13/2019
Compound-only use: No

CHIP

Compound-only use: No

CSHCN

Effective date: 11/13/2019
Compound-only use: No