DrugDashboards

Xiidra

Lifitegrast · LIFITEGRAST 50 mg/mL · Solution/ Drops · Ophthalmic · Novartis Pharmaceuticals Corporation

NDC 00078-0911-12 · 12 POUCH in 1 CARTON / 5 AMPULE in 1 POUCH / .2 mL in 1 AMPULE · NDA · View full market →

The short version

Just 3 companies supply this market — thin enough that a single exit would be felt immediately. The price has held steady around $11.83 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)$11.83per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D plans paid (avg)$11.19per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$11.92per unitnegotiated price across 3,911 plans — before rebates · Apr 1, 2026
  • Federal ceiling (Big4)$535.14per package of 60X0.2MLBausch & Lomb Americas Inc. · Jan 1, 2026
  • List price (WAC, as filed)$684.45per packageNovartis Pharmaceuticals Corporation · Jan 4, 2023

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
$11.92per unit
middle half $11.69$12.53 · 3,911 plans · Apr 1, 2026
Est. net of rebates
$7.15–$8.94
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
71%of plans cover it
tier 3 · prior auth 6% · step therapy 0% · qty limit 79%

*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$5.00$10.00$15.00Nov 2020Sep 2026$11.83
31 price points · per EASource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$740.67
Reported to Texas DSHS · 2026 annual filing · Bausch and Lomb Americas Inc.

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

Medicaid spend (2025)

$12.5M
15,150 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

10Low risk

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

  • 3 active manufacturers+10

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)

0.2%chance of a new FDA shortage posting for lifitegrast (other) in the next 90 days

OAI inspection at a producing facility (24 months) · sole-source market · price up 3% 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 3 across plans
  • Costs ≥ $950/fill · avg $1,058.62 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA208073
TE code
Approval date
Jul 11, 2016
Patents / exclusivity
11 patents, 0 exclusivities
TypeNumber / codeExpires
patent11058677Dec 18, 2033
patent9085553Jul 25, 2033
patent8927574Nov 12, 2030
patent9353088Oct 21, 2030
patent9890141Oct 21, 2030
patent7314938Jun 25, 2029
patent8168655May 9, 2029
patent8367701Apr 15, 2029
patent9447077Apr 15, 2029
patent8592450May 17, 2026
patent8084047May 17, 2026

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

  • Class III · TerminatedMay 10, 2022
    Novartis Pharmaceuticals CorporationFailed Impurities/Degradation Specifications.
  • Class III · TerminatedMay 10, 2022
    Novartis Pharmaceuticals CorporationFailed Impurities/Degradation Specifications.

Manufacturers of Lifitegrast (Solution/ Drops)

LabelerStrengthFirst seenLast seen
Bausch & Lomb IncorporatedLIFITEGRAST 50 mg/mLJul 15, 2026Sep 2, 2026
Honour Lab LimitedLIFITEGRAST 1 kg/kgJul 15, 2026Sep 2, 2026
Novartis Pharmaceuticals CorporationLIFITEGRAST 50 mg/mLJul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Xiidra — NDC 00078-0911-12," retrieved September 3, 2026, https://drugdashboards.com/drug/00078091112.

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