DrugDashboards

Aluminum Hydroxide

aluminum hydroxide · ALUMINUM HYDROXIDE 320 mg/5mL · Liquid · Oral · Rugby Laboratories

NDC 00536-0091-85 · 473 mL in 1 BOTTLE · OTC MONOGRAPH DRUG · View full market →

The short version

Just 2 companies supply this market — thin enough that a single exit would be felt immediately. The price has held steady around $0.0133 per mL over the past year. 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)$0.0133per MLinvoice-surveyed acquisition cost · Jul 22, 2026
  • Federal contracts pay (FSS)$4.83per package of 473MLThe Harvard Drug Group L.L.C. dba Major Pharmaceuticals and Rugby Labs · Jun 1, 2025

Medicare Part D

Medicare Part D does not cover over-the-counter drugs — by law it pays only for products requiring a prescription.

How Part D pricing works →

NADAC price per unit

$0$0.005$0.01$0.015Nov 2013Sep 2026$0.0133
43 price points · per ML · held since Jul 22, 2026Source: CMS NADAC

Medicaid spend (2025)

$14,266
843 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)

0.1%chance of a new FDA shortage posting for aluminum hydroxide (other) in the next 90 days

sole-source market

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
M001
TE code
Approval date
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 aluminum hydroxide (Liquid)

LabelerStrengthFirst seenLast seen
Atlantic Biologicals Corp.ALUMINUM HYDROXIDE 320 mg/5mLJul 15, 2026Sep 2, 2026
Rugby LaboratoriesALUMINUM HYDROXIDE 320 mg/5mLJul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Aluminum Hydroxide — NDC 00536-0091-85," retrieved September 3, 2026, https://drugdashboards.com/drug/00536009185.

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