Diphenhydramine 12.5 mg/5 ml oral elixir cost in Louisiana

DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR · HCPCS Q0163

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $0.03 – $1.35 3
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $0.03 – $1.35 3
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $0.03 – $1.35 3
CHRISTUS Louisiana Surgical Hospital Alexandria not published $0.03 – $0.03 1
CHRISTUS Coushatta Health Care Center Coushatta not published $0.03 – $1.35 2