DrugDashboards

Lactated Ringers

Sodium Chloride, Sodium Lactate, Potassium Chloride, and Calcium Chloride · SODIUM CHLORIDE .6 g/100mL; SODIUM LACTATE .31 g/100mL; POTASSIUM CHLORIDE .03 g/100mL; CALCIUM CHLORIDE .02 g/100mL · Injection, Solution · Intravenous · B. Braun Medical Inc.

NDC 00264-7750-00 · 12 CONTAINER in 1 CASE / 1000 mL in 1 CONTAINER · 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 jumped 31% in a year, to $0.0038 per mL — sharp rises like this often mean supply is already tightening. Put together: worth watching — several of the pressures that precede supply trouble are present at once. Historically, drugs in this position went on to a new shortage within 90 days about 0.8% of the time — roughly 5× the typical drug (0.1%).

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)$0.0038per MLinvoice-surveyed acquisition cost · Aug 19, 2026
  • Medicare Part B pays (ASP+6%)$2.31per billing unit (1000 CC)HCPCS J7120 · Jul 1, 2026

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

$0$0.002$0.004$0.006Oct 2013Sep 2026$0.0038
34 price points · per MLSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$3.04
Reported to Texas DSHS · 2026 annual filing · B. Braun Medical Inc.

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

Medicare Part B (ASP)

Payment limit per 1000 CC
$2.313
HCPCS J7120 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$1.4M
134,015 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.

  • 3 active manufacturers+10
  • Class I/II recall on same molecule/form in past 12 months+8
  • sterile injectable+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)

0.8%chance of a new FDA shortage posting for sodium chloride, sodium lactate, potassium chloride, calcium chloride (injectable) in the next 90 days

sterile injectable · price up 31% YoY · OAI inspection at a producing facility (24 months)

For scale: the typical drug’s chance is about 0.1% — this one is 5× that.

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 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
NDA019632
TE code
AP
Approval date
Feb 29, 1988
Patents / exclusivity
None on file

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

  • Class II · OngoingAug 4, 2025
    B BRAUN MEDICAL INCLack of Assurance of Sterility; potential for fluid leakage at one of the weld sites.
  • Class II · TerminatedMar 22, 2024
    B. Braun Medical IncLack of assurance of sterility: bags have the potential to leak..

Manufacturers of Sodium Chloride, Sodium Lactate, Potassium Chloride, and Calcium Chloride (Injection, Solution)

LabelerStrengthFirst seenLast seen
Asclemed USA, Inc.SODIUM CHLORIDE .6 g/100mL; SODIUM LACTATE .31 g/100mL; POTASSIUM CHLORIDE .03 g/100mL; CALCIUM CHLORIDE .02 g/100mLAug 26, 2026Sep 2, 2026
Asclemed USA, Inc.SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mLAug 26, 2026Sep 2, 2026
ICU Medical Inc.SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mLAug 26, 2026Sep 2, 2026
B. Braun Medical Inc.SODIUM CHLORIDE .6 g/100mL; SODIUM LACTATE .31 g/100mL; POTASSIUM CHLORIDE .03 g/100mL; CALCIUM CHLORIDE .02 g/100mLAug 26, 2026Aug 31, 2026
B. Braun Medical Inc.SODIUM CHLORIDE .02 g/100mL; SODIUM LACTATE .03 g/100mL; POTASSIUM CHLORIDE .6 g/100mL; CALCIUM CHLORIDE .31 g/100mLJul 22, 2026Aug 21, 2026
Asclemed USA, Inc.SODIUM CHLORIDE .02 g/100mL; SODIUM LACTATE .03 g/100mL; POTASSIUM CHLORIDE .6 g/100mL; CALCIUM CHLORIDE .31 g/100mLJul 22, 2026Aug 19, 2026
Asclemed USA, Inc.SODIUM CHLORIDE 20 mg/100mL; SODIUM LACTATE 30 mg/100mL; POTASSIUM CHLORIDE 600 mg/100mL; CALCIUM CHLORIDE 310 mg/100mLJul 22, 2026Aug 19, 2026
ICU Medical Inc.SODIUM CHLORIDE 20 mg/100mL; SODIUM LACTATE 30 mg/100mL; POTASSIUM CHLORIDE 600 mg/100mL; CALCIUM CHLORIDE 310 mg/100mLJul 22, 2026Aug 19, 2026
Asclemed USA, Inc.CALCIUM CHLORIDE 20 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mLJul 15, 2026Jul 15, 2026
Asclemed USA, Inc.CALCIUM CHLORIDE .02 g/100mL; POTASSIUM CHLORIDE .03 g/100mL; SODIUM CHLORIDE .6 g/100mL; SODIUM LACTATE .31 g/100mLJul 15, 2026Jul 15, 2026
B. Braun Medical Inc.CALCIUM CHLORIDE .02 g/100mL; POTASSIUM CHLORIDE .03 g/100mL; SODIUM CHLORIDE .6 g/100mL; SODIUM LACTATE .31 g/100mLJul 15, 2026Jul 15, 2026
ICU Medical Inc.CALCIUM CHLORIDE 20 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mLJul 15, 2026Jul 15, 2026

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

Cite this page

DrugDashboards, "Lactated Ringers — NDC 00264-7750-00," retrieved September 3, 2026, https://drugdashboards.com/drug/00264775000.

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