DrugDashboards

Levalbuterol

levalbuterol · LEVALBUTEROL HYDROCHLORIDE 1.25 mg/.5mL · Solution, Concentrate · Respiratory (Inhalation) · Mylan Pharmaceuticals Inc.

NDC 00378-6993-93 · 30 POUCH in 1 CARTON / 1 VIAL in 1 POUCH / .5 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 price is up 27% over the past year, to $5.24 per unit. 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)$5.24per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Medicare Part B pays (ASP+6%)$0.3430per billing unit (0.5 MG)HCPCS J7612 · Jul 1, 2026
  • Part D point of sale (median)$4.15per unitnegotiated price across 3,073 plans — before rebates · Apr 1, 2026
  • Federal contracts pay (FSS)$51.54per package of 30X0.5MLMylan Pharmaceuticals, Inc. · Jan 1, 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
$4.15per unit
middle half $3.50$4.82 · 3,073 plans · Apr 1, 2026
Est. net of rebates
≈ $4.15
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
56%of plans cover it
tier 4 · prior auth 100% · step therapy 0% · qty limit 13%

*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$2.00$4.00$6.00Sep 2013Sep 2026$5.24
20 price points · per EASource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$160.78
Reported to Texas DSHS · 2026 annual filing · Mylan Pharmaceuticals Inc.

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

Medicare Part B (ASP)

Payment limit per 0.5 MG
$0.343
HCPCS J7612 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$120,482
604 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

20Low risk

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

  • 2 active manufacturers+20

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 levalbuterol (other) in the next 90 days

OAI inspection at a producing facility (24 months) · sole-source market · price up 1% 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 →

Regulatory

Application
ANDA078309
TE code
AN
Approval date
Mar 20, 2009
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 levalbuterol (Solution, Concentrate)

LabelerStrengthFirst seenLast seen
Aurobindo Pharma LimitedLEVALBUTEROL HYDROCHLORIDE 1.25 mg/.5mLJul 15, 2026Sep 2, 2026
Mylan Pharmaceuticals Inc.LEVALBUTEROL HYDROCHLORIDE 1.25 mg/.5mLJul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Levalbuterol — NDC 00378-6993-93," retrieved September 3, 2026, https://drugdashboards.com/drug/00378699393.

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