DrugDashboards

Orilissa

Elagolix · ELAGOLIX SODIUM 200 mg/1 · Tablet, Film Coated · Oral · AbbVie Inc.

NDC 00074-0039-56 · 4 BLISTER PACK in 1 CARTON / 14 TABLET, FILM COATED in 1 BLISTER PACK · NDA · View full market →

The short version

Just 2 companies supply this market — thin enough that a single exit would be felt immediately. The price has held steady around $21.94 per unit over the past year. Put together: this looks like a healthy supply — the boring kind, which is exactly what you want.

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)$21.94per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D plans paid (avg)$36.59per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$22.39per unitnegotiated price across 339 plans — before rebates · Apr 1, 2026
  • Federal ceiling (Big4)$874.39per package of 4X14Abbvie US LLC · Jan 1, 2026

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
$22.39per unit
middle half $21.92$22.65 · 339 plans · Apr 1, 2026
Est. net of rebates
$13.43–$16.79
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
6%of plans cover it
tier 5 · prior auth 64% · step therapy 0% · qty limit 58%

*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$20.00$30.00Feb 2019Sep 2026$21.94
32 price points · per EASource: CMS NADAC

Estimated fill cost

#30 count
$658.08
#90 count
$1974.25

Estimates: latest NADAC unit price × quantity. Pharmacy acquisition cost only — excludes dispensing fees, markup, and insurance terms.

Medicaid spend (2025)

$3.2M
2,700 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

20Low risk

Some pressure is visible, but not much — here’s everything the score found to count.

  • 2 active manufacturers+20

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 elagolix (oral solid) in the next 90 days

sole-source market · price up 5% 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 →

Is this a "specialty" drug?

There's no legal definition — it meets 2 of 6 public criteria. Why that matters →

  • Part D specialty tier · median tier 5 across plans
  • Costs ≥ $950/fill · avg $1,365.73 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA210450
TE code
Approval date
Jul 23, 2018
Patents / exclusivity
13 patents, 0 exclusivities
TypeNumber / codeExpires
patent11690845Aug 27, 2040
patent11690845Aug 27, 2040
patent11542239Jul 23, 2039
patent11542239Jul 23, 2039
patent12102637Aug 20, 2038
patent12102637Aug 20, 2038
patent11690854Apr 19, 2038
patent10682351Sep 1, 2036
patent10537572Sep 1, 2036
patent11707464Mar 14, 2034
patent11344551Mar 14, 2034
patent7419983Jul 6, 2029

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

  • Class II · TerminatedMar 15, 2021
    Cardinal Health Inc.CGMP Deviations: Intermittent exposure to temperature excursion during storage.

Manufacturers of Elagolix (Tablet, Film Coated)

LabelerStrengthFirst seenLast seen
AbbVie Inc.ELAGOLIX SODIUM 150 mg/1Jul 15, 2026Sep 2, 2026
AbbVie Inc.ELAGOLIX SODIUM 200 mg/1Jul 15, 2026Sep 2, 2026
AbbVie Ireland NL B.V.ELAGOLIX 150 mg/1Jul 15, 2026Sep 2, 2026
AbbVie Ireland NL B.V.ELAGOLIX 200 mg/1Jul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Orilissa — NDC 00074-0039-56," retrieved September 3, 2026, https://drugdashboards.com/drug/00074003956.

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