DrugDashboards

Butorphanol Tartrate

Butorphanol Tartrate · BUTORPHANOL TARTRATE 10 mg/mL · Spray, Metered · Nasal · Hikma Pharmaceuticals USA Inc.

NDC 00054-3090-36 · 1 BOTTLE, SPRAY in 1 CONTAINER / 2.5 mL in 1 BOTTLE, SPRAY · ANDA · View full market →

The short version

Only one company currently supplies this market — there is no backup if it stumbles. The price is up 15% over the past year, to $15.54 per mL. Put together: worth watching — several of the pressures that precede supply trouble are present at once.

The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.

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.

  • Pharmacies pay (NADAC)$15.54per MLinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D plans paid (avg)$15.11per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$14.74per unitnegotiated price across 2,530 plans — before rebates · Apr 1, 2026
  • Federal contracts pay (FSS)$47.94per package of 2.5MLNationwide Pharmaceutical LLC · Feb 17, 2026
  • Medicaid generic ceiling (FUL)$12.10per MLweighted avg manufacturer price $1.0053 · Mar 1, 202078% of what pharmacies pay — a deeper discount than 95% of drugs with this benchmark

Medicare Part D

All Part D pricing →
ⓘ How this was built
Data sources
  • CMS quarterly Prescription Drug Plan Formulary & Pricing files (SPUF)
Method

Negotiated 30-day point-of-sale unit prices and formulary terms aggregated across every unsuppressed Part D and MA-PD plan for the quarter shown. Point of sale means gross of confidential rebates. CMS publishes one representative NDC per drug concept (RxCUI) rather than every package, so these figures come from CMS's representative package for the same drug — matched on generic name, strength, and dosage form. Estimated from MedPAC's program-wide rebate aggregates (June 2023: DIR = 29% of gross Part D spending; brand rebates ≈ 25–40% of gross, generics minimal). Actual rebates are confidential and vary widely by drug — this is a range, not a fact about this drug.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

Plans pay at point of sale
$14.74per unit
middle half $10.50$18.12 · 2,530 plans · Apr 1, 2026
Est. net of rebates
≈ $14.74
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
46%of plans cover it
tier 4 · prior auth 0% · step therapy 0% · qty limit 97%

*No drug-level rebate is public — the estimate applies MedPAC's program-wide brand rebate range to this drug's gross price. Tracked here for 10 quarters since 2024.

NADAC price per unit

$0$10.00$20.00Nov 2013Sep 2026$15.54
154 price points · per ML · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

WAC per package, as filed
$56.40
Reported to Texas DSHS · 2026 annual filing · Hikma Pharmaceuticals USA Inc.

Manufacturer list price as filed — not what pharmacies actually pay after discounts.

Medicaid spend (2025)

$72,631
1,417 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

30Elevated risk

The score is counting real pressure here. One of these alone is routine; it’s the combination that makes this market worth watching.

  • 1 active manufacturer+30

The score counts pressure that is already visible — fewer makers, shortages, recalls, falling prices. 0 means none of it; 100 means all of it at once. Recomputed daily · as of Sep 3, 2026

90-day shortage risk (model v2)

0.1%chance of a new FDA shortage posting for butorphanol tartrate (other) in the next 90 days

sole-source market · price up 2% YoY

For scale: the typical drug’s chance is about 0.1% — this one is in ordinary territory.

Backtested statistical model over the whole market, not this package alone. Model details →

Where it's made

Establishments this product's FDA label declares, located via FDA registration data. How we built this →

Is this a "specialty" drug?

There's no legal definition — it meets 1 of 6 public criteria. Why that matters →

  • Part D specialty tier · median tier 4 across plans
  • Costs ≥ $950/fill · avg $83.57 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program · Opioid Analgesic REMS Shared System REMS

Regulatory

Application
ANDA075824
TE code
AB
Approval date
Mar 12, 2002
Patents / exclusivity
None on file

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of Butorphanol Tartrate (Spray, Metered)

LabelerStrengthFirst seenLast seen
Hikma Pharmaceuticals USA Inc.BUTORPHANOL TARTRATE 10 mg/mLJul 15, 2026Sep 2, 2026

Roster from daily NDC Directory diffs — first/last seen dates start July 2026.

Cite this page

DrugDashboards, "Butorphanol Tartrate — NDC 00054-3090-36," retrieved September 3, 2026, https://drugdashboards.com/drug/00054309036.

Free to cite with attribution — see how the data is put together.