Code: Q0163

Description:

Description: Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen
HCPCS Category: Temporary codes (limited use and guidelines specific)

Other Descriptions:

DIPHENHYDRAMINE 50MG CAP OP CH

DIPHENHYDRAMINE 25 MG TABLET

DIPHENHYDRAMINE PER 50 MG

DIPHENHYDRAMINE 50MG CAP (BENADRYL)

DIPHENHYDRAMINE 25MG CAP(BENADRYL)

DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX

Diphenhydramine 50mg cap

DIPHENHYDRAMINE 50 MG CAP

Related codes:

Code: Q0161

CHLORPROMAZINE 100 MG PO

Code: Q0162

ONDANSETRON 4 MG PO

Code: Q0164

PROCHLORPER MAL 5 MG PO

Code: Q0166

GRANISETRON 1 MG PO

Code: Q0167

DRONABINOL 2.5 MG PO

Code: Q0169

PROMETHAZINE 12.5 MG PO

Wisconsin

Hospital	Address	Code	Price	Last Updated
Watertown Regional Medical Center	125 Hospital Drive, Watertown	Q0163	$1 [source]	4 years ago
Essentia Health St. Mary's Hospital-Superior	3500 Tower Ave, Superior	Q0163	$3 [source]	4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.