The short version
14 companies supply this market — deep enough that no single failure threatens the supply.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Megestrol Acetate
Megestrol Acetate · MEGESTROL ACETATE 400 mg/10mL · Suspension · Oral · PAI Holdings, LLC dba PAI Pharma
NDC 00121-0945-00 · 10 TRAY in 1 CASE / 10 CUP, UNIT-DOSE in 1 TRAY / 10 mL in 1 CUP, UNIT-DOSE · ANDA · 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.
- Part D plans paid (avg)$0.3399per dosage unitgross, before rebates — matched by drug name · 2024
- List price (WAC, as filed)$418.00per packagePharmaceutical Associates, Inc. · Dec 5, 2022
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
$418.00
Reported to Texas DSHS · 2025 annual filing · PAI Holdings, LLC dba PAI Pharma
Manufacturer list price as filed — not what pharmacies actually pay after discounts.
Supply fragility
Not scored — fragility is computed for NADAC-priced NDCs.
90-day shortage risk (model v2)
0.1%chance of a new FDA shortage posting for megestrol acetate (other) in the next 90 days
sole-source market · price up 7% 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
- repack
Establishments this product's FDA label declares, located via FDA registration data. How we built this →
Regulatory
- Application
- ANDA075671
- TE code
- AB
- Approval date
- Jul 25, 2001
- 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 Megestrol Acetate (Suspension)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| PAI Holdings, LLC dba PAI Pharma | MEGESTROL ACETATE 400 mg/10mL | Jul 15, 2026 | Sep 3, 2026 |
| American Health Packaging | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| ANI Pharmaceuticals, Inc. | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Atlantic Biologicals Corp. | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Golden State Medical Supply, Inc. | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Kesin Pharma Corporation | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Major Pharmaceuticals | MEGESTROL ACETATE 400 mg/10mL | Jul 15, 2026 | Sep 2, 2026 |
| Natco Pharma USA LLC | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Preferred Pharmaceuticals Inc. | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Proficient Rx LP | MEGESTROL ACETATE 125 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Strides Pharma Science Limited | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Upsher-Smith Laboratories, LLC | MEGESTROL ACETATE 125 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Xttrium Laboratories, Inc. | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Sep 2, 2026 |
| Precision Dose Inc. | MEGESTROL ACETATE 40 mg/mL | Jul 15, 2026 | Aug 28, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "Megestrol Acetate — NDC 00121-0945-00," retrieved September 3, 2026, https://drugdashboards.com/drug/00121094500.
Free to cite with attribution — see how the data is put together.