DrugDashboards

Posaconazole

posaconazole · POSACONAZOLE 100 mg/1 · Tablet, Coated · Oral · ENDO USA, Inc.

NDC 00254-2045-02 · 60 TABLET, COATED in 1 BOTTLE · NDA AUTHORIZED GENERIC · View full market →

The short version

5 companies supply this market — a reasonable cushion if one runs into trouble. The price has fallen 49% in a year, to $2.00 per unit — and generics that get this cheap tend to get abandoned rather than defended. 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)$2.00per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D plans paid (avg)$13.10per dosage unitgross, before rebates — matched by drug name · 2024
  • Federal ceiling (Big4)$0.7857per unitEndo USA, Inc. · Jan 1, 202639% of what pharmacies pay — a deeper discount than 90% of drugs with this benchmark
  • Medicaid generic ceiling (FUL)$2.44per TABweighted avg manufacturer price $1.3955 · Aug 1, 2026122% of what pharmacies pay — higher than 71% of drugs with this benchmark

Medicare Part D

All Part D pricing →

Matched to CMS's representative package for this drug (NDC 00085-4324-02) — same generic, strength, and dosage form. CMS prices one NDC per drug concept, not every package.

ⓘ 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
$67.81per unit
middle half $67.30$67.81 · 22 plans · Jul 1, 2024
Est. net of rebates
≈ $67.81
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
of plans cover it

*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 3 quarters since 2024.

NADAC price per unit

$0$20.00$40.00$60.00Feb 2020Sep 2026$2.00
51 price points · per EA · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

#30 count
$59.91
#90 count
$179.72

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

Medicaid spend (2025)

$61,447
144 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

28Elevated risk

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

  • 5 active manufacturers+5
  • Class I/II recall on same molecule/form in past 12 months+8
  • price down 47% year over year+15

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 posaconazole (oral solid) in the next 90 days

OAI inspection at a producing facility (24 months) · sole-source market · 1 Class I/II recall(s) in 12 months

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
  • Costs ≥ $950/fill · avg $1,171.66 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA205053
TE code
Approval date
Nov 25, 2013
Patents / exclusivity
0 patents, 2 exclusivities
TypeNumber / codeExpires
exclusivityNPPJan 27, 2029
exclusivityODE-355Jun 17, 2028

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of posaconazole (Tablet, Coated)

LabelerStrengthFirst seenLast seen
ENDO USA, Inc.POSACONAZOLE 100 mg/1Jul 15, 2026Sep 2, 2026
Merck Sharp & Dohme LLCPOSACONAZOLE 100 mg/1Jul 15, 2026Sep 2, 2026
N.V. OrganonPOSACONAZOLE 100 mg/1Jul 15, 2026Sep 2, 2026
Novadoz Pharmaceuticals LLCPOSACONAZOLE 100 mg/1Jul 15, 2026Sep 2, 2026
Bryant Ranch PrepackPOSACONAZOLE 100 mg/1Jul 15, 2026Aug 12, 2026

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

Cite this page

DrugDashboards, "Posaconazole — NDC 00254-2045-02," retrieved September 3, 2026, https://drugdashboards.com/drug/00254204502.

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