DrugDashboards

Nortrel 21 Day

Norethindrone and Ethinyl Estradiol · NORETHINDRONE 1 mg/1; ETHINYL ESTRADIOL .035 mg/1 · Tablet · Oral · Teva Pharmaceuticals USA, Inc.

NDC 00555-9009-42 · 3 POUCH in 1 CARTON / 1 BLISTER PACK in 1 POUCH / 21 TABLET in 1 BLISTER PACK · ANDA · View full market →

The short version

Only one company currently supplies this market — there is no backup if it stumbles. The price is down 15% over the past year, to $0.3584 per unit. 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)$0.3584per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D point of sale (median)$0.5599per unitnegotiated price across 5,289 plans — before rebates · Apr 1, 2026
  • Medicaid generic ceiling (FUL)$0.3788per TABweighted avg manufacturer price $0.1581 · Mar 1, 2019106% of what pharmacies pay — higher than 62% of drugs with this benchmark

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
$0.5599per unit
middle half $0.3589$0.9351 · 5,289 plans · Apr 1, 2026
Est. net of rebates
≈ $0.5599
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
96%of plans cover it
tier 2 · prior auth 0% · step therapy 0% · qty limit 0%

*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$1.00$2.00$3.00Nov 2013Sep 2026$0.3584
119 price points · per EA · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

#30 count
$10.75
#90 count
$32.25

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

Medicaid spend (2025)

$151,297
5,874 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

30Elevated risk

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

  • 1 active manufacturer+30

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 norethindrone and ethinyl estradiol tablets (oral solid) in the next 90 days

sole-source market · price up 5% 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
ANDA072693
TE code
AB
Approval date
Feb 28, 1992
Patents / exclusivity
None on file

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

  • Class III · OngoingJan 25, 2024
    Teva Pharmaceuticals USA, IncDiscoloration: discolored tablets (shades of blue) mixed in with the white inert remainder tablets.

Manufacturers of Norethindrone and Ethinyl Estradiol (Tablet)

LabelerStrengthFirst seenLast seen
Teva Pharmaceuticals USA, Inc.NORETHINDRONE 1 mg/1; ETHINYL ESTRADIOL .035 mg/1Aug 26, 2026Sep 2, 2026
Teva Pharmaceuticals USA, Inc.NORETHINDRONE .035 mg/1; ETHINYL ESTRADIOL 1 mg/1Jul 22, 2026Aug 19, 2026
Teva Pharmaceuticals USA, Inc.ETHINYL ESTRADIOL .035 mg/1; NORETHINDRONE 1 mg/1Jul 15, 2026Jul 15, 2026

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

Cite this page

DrugDashboards, "Nortrel 21 Day — NDC 00555-9009-42," retrieved September 3, 2026, https://drugdashboards.com/drug/00555900942.

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