The short version
Only one company currently supplies this market — there is no backup if it stumbles.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Recarbrio
imipenem anhydrous, cilastatin, and relebactam anhydrous · IMIPENEM ANHYDROUS 500 mg/100mL; CILASTATIN 500 mg/100mL; RELEBACTAM ANHYDROUS 250 mg/100mL · Injection, Powder, For Solution · Intravenous · Merck Sharp & Dohme LLC
NDC 00006-3856-02 · 25 VIAL, SINGLE-DOSE in 1 CARTON / 20 mL in 1 VIAL, SINGLE-DOSE · NDA · View full market →
One drug, every price
The same NDC has different prices depending on who is paying. Units differ between rungs — compare within a rung over time, not rung against rung, unless the units match.
ⓘ How this was built
Data sources
- CMS NADAC (pharmacy acquisition, weekly)
- CMS Part B ASP quarterly payment limits
- CMS Maximum Fair Prices (IRA negotiated, NDC-level)
- Medicare Part D Spending by Drug (data.cms.gov, name-matched)
- VA FSS / Big4 federal contract prices (va.gov, twice monthly)
- ACA Federal Upper Limits + weighted AMP (data.medicaid.gov, monthly)
- California SB-17 WAC filings (list price, per package)
Method
Each rung is the newest figure for this NDC from one federal price system, shown with its own unit. Part D is matched by drug name because CMS publishes no NDCs there; it is gross spending, before confidential rebates.
Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.
- Medicare Part B pays (ASP+6%)$2.69per billing unit (4 MG-4 MG-2 MG)HCPCS J0742 · Jul 1, 2026
- Part D plans paid (avg)$163.65per dosage unitgross, before rebates — matched by drug name · 2024
- Federal ceiling (Big4)$225.64per unitMerck Sharp & Dohme LLC · Jan 1, 2026
Medicare Part D
No Medicare Part D plan in CMS's quarterly files lists this product. That usually means it is discontinued, a repackager's listing, or a product no plan has added to its formulary.
How Part D pricing works →NADAC price per unit
No NADAC pricing on file for this NDC — NADAC covers drugs dispensed by retail community pharmacies.
Estimated fill cost
WAC per package, as filed
$7,903.50
Reported to Texas DSHS · 2026 annual filing · Merck Sharp & Dohme LLC
Manufacturer list price as filed — not what pharmacies actually pay after discounts.
Medicare Part B (ASP)
Payment limit per 4 MG-4 MG-2 MG
$2.691
HCPCS J0742 · Jul 1, 2026 quarter · typically ASP + 6%
Medicaid spend (2025)
$1.5M
164 prescriptions paid by Medicaid nationally · all Medicaid spend →
Supply fragility
Not scored — fragility is computed for NADAC-priced NDCs.
Is this a "specialty" drug?
There's no legal definition — it meets 2 of 6 public criteria. Why that matters →
- Part D specialty tier
- Costs ≥ $950/fill · avg $6,890.89 per prescription
- Biologic (BLA)
- Injectable / infused
- Orphan-drug exclusivity
- REMS program
Regulatory
- Application
- NDA212819
- TE code
- —
- Approval date
- Jul 16, 2019
- Patents / exclusivity
- 1 patents, 3 exclusivities
| Type | Number / code | Expires |
|---|---|---|
| exclusivity | GAIN | Jul 16, 2029 |
| exclusivity | NPP | Dec 9, 2028 |
| exclusivity | NCE | Jul 16, 2024 |
| patent | 8487093 | Mar 21, 2033 |
Shortage history
No FDA shortage reports for this drug or its presentations.
Recalls (this NDC)
No enforcement reports list this package NDC.
Manufacturers of imipenem anhydrous, cilastatin, and relebactam anhydrous (Injection, Powder, For Solution)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| Merck Sharp & Dohme LLC | IMIPENEM ANHYDROUS 500 mg/100mL; CILASTATIN 500 mg/100mL; RELEBACTAM ANHYDROUS 250 mg/100mL | Jul 22, 2026 | Aug 28, 2026 |
| Merck Sharp & Dohme LLC | CILASTATIN 500 mg/100mL; IMIPENEM ANHYDROUS 500 mg/100mL; RELEBACTAM ANHYDROUS 250 mg/100mL | Jul 15, 2026 | Jul 18, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "Recarbrio — NDC 00006-3856-02," retrieved September 3, 2026, https://drugdashboards.com/drug/00006385602.
Free to cite with attribution — see how the data is put together.