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Phentolamine Mesylate

Phentolamine Mesylate · PHENTOLAMINE MESYLATE 5 mg/mL · Injection, Powder, For Solution · Intramuscular; Intravenous · Hikma Pharmaceuticals USA Inc.

NDC 00143-9564-01 · 1 VIAL in 1 BOX / 1 mL in 1 VIAL · ANDA · View full market →

The short version

Just 2 companies supply this market — thin enough that a single exit would be felt immediately.

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

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
$489.97
Reported to Texas DSHS · 2025 annual filing · Hikma Pharmaceuticals USA Inc.

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

Medicare Part B (ASP)

Payment limit per 5 MG
$288.625
HCPCS J2760 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2024)

$3,123
11 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 1 of 6 public criteria. Why that matters →

  • Part D specialty tier
  • Costs ≥ $950/fill
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
ANDA040235
TE code
AP
Approval date
Mar 11, 1998
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 Phentolamine Mesylate (Injection, Powder, For Solution)

LabelerStrengthFirst seenLast seen
Apicore Pharmaceuticals Private LimitedPHENTOLAMINE MESYLATE 1 kg/kgJul 15, 2026Sep 2, 2026
Hikma Pharmaceuticals USA Inc.PHENTOLAMINE MESYLATE 5 mg/mLJul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Phentolamine Mesylate — NDC 00143-9564-01," retrieved September 3, 2026, https://drugdashboards.com/drug/00143956401.

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