DrugDashboards

Levalbuterol tartrate HFA inhalation

levalbuterol tartrate · LEVALBUTEROL TARTRATE 45 ug/1 · Aerosol, Metered · Oral · Actavis Pharma, Inc.

NDC 00591-2927-54 · 1 INHALER in 1 CARTON / 200 AEROSOL, METERED in 1 INHALER · NDA AUTHORIZED GENERIC · View full market →

The short version

Just 3 companies supply this market — thin enough that a single exit would be felt immediately. The generic price has held steady around $3.50 per gram 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)$3.50per GMinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D plans paid (avg)$3.45per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$3.85per unitnegotiated price across 4,186 plans — before rebates · Apr 1, 2026

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
$3.85per unit
middle half $3.68$3.93 · 4,186 plans · Apr 1, 2026
Est. net of rebates
≈ $3.85
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
76%of plans cover it
tier 3 · prior auth 0% · step therapy 35% · qty limit 78%

*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$4.00Mar 2017Sep 2026$3.50
115 price points · per GMSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$58.96
Reported to Texas DSHS · 2026 annual filing · Actavis Pharma, Inc.

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

Medicaid spend (2025)

$3.7M
66,050 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

10Low risk

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

  • 3 active manufacturers+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)

0.1%chance of a new FDA shortage posting for levalbuterol tartrate (other) 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
NDA021730
TE code
Approval date
Mar 11, 2005
Patents / exclusivity
None on file

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

  • Class II · TerminatedApr 13, 2022
    Mckesson Medical-Surgical Inc. Corporate OfficecGMP deviations: Temperature abuse
  • Class II · TerminatedMar 15, 2021
    Cardinal Health Inc.CGMP Deviations: Intermittent exposure to temperature excursion during storage.

Manufacturers of levalbuterol tartrate (Aerosol, Metered)

LabelerStrengthFirst seenLast seen
Actavis Pharma, Inc.LEVALBUTEROL TARTRATE 45 ug/1Jul 15, 2026Sep 2, 2026
Lupin Pharmaceuticals, Inc.LEVALBUTEROL TARTRATE 45 ug/1Jul 15, 2026Sep 2, 2026
Proficient Rx LPLEVALBUTEROL TARTRATE 45 ug/1Jul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Levalbuterol tartrate HFA inhalation — NDC 00591-2927-54," retrieved September 3, 2026, https://drugdashboards.com/drug/00591292754.

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