DrugDashboards

Dexamethasone Sodium Phosphate

Dexamethasone Sodium Phosphate · DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL · Injection · Intra-Articular; Intralesional; Intramuscular; Intravenous; Soft Tissue · Hikma Pharmaceuticals USA Inc.

NDC 00641-6146-25 · 25 VIAL in 1 CARTON / 5 mL in 1 VIAL · ANDA · View full market →

The short version

14 companies supply this market — deep enough that no single failure threatens the supply. The price has jumped 141% in a year, to $0.3899 per mL — sharp rises like this often mean supply is already tightening. It is in shortage right now. 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)$0.3899per MLinvoice-surveyed acquisition cost · Dec 18, 2024
  • Medicare Part B pays (ASP+6%)$0.0850per billing unit (1 MG)HCPCS J1100 · Jul 1, 2026
  • Part D plans paid (avg)$2.89per dosage unitgross, before rebates — matched by drug name · 2024

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$0.2$0.4May 2020Dec 2024$0.3899
7 price points · per ML · last surveyed Invalid DateSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$27.48
Reported to Texas DSHS · 2025 annual filing · Hikma Pharmaceuticals USA Inc.

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

Medicare Part B (ASP)

Payment limit per 1 MG
$0.085
HCPCS J1100 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$2,832
2,775 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

35● Elevated risk

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

  • in shortage now+25
  • 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)

0.5%chance of a new FDA shortage posting for dexamethasone sodium phosphate (injectable) in the next 90 days

sterile injectable · OAI inspection at a producing facility (24 months) · sole-source market

For scale: the typical drug’s chance is about 0.1% — this one is 3× 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 · avg $14.09 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
ANDA084282
TE code
AP
Approval date
Jan 1, 1982
Patents / exclusivity
None on file

Shortage history

  • In shortage now — Dexamethasone Sodium Phosphate Preservative Free, Injection, 10 mg/1 mL (NDC 70069-021-25)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 10 mg/1 mL (NDC 0641-0367-25)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 10 mg/1 mL (NDC 55150-304-25)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 0641-6145-25)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 0641-6146-25)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months

Recalls (this NDC)

  • Class III · TerminatedNov 6, 2017
    West-Ward Pharmaceuticals Corp. — Failed Impurities/Degradation Specifications: high out of specification results for Dexamethasone adduct (related compound).
  • Class III · TerminatedNov 6, 2017
    West-Ward Pharmaceuticals Corp. — Failed Impurities/Degradation Specifications: high out of specification results for Dexamethasone adduct (related compound).

Manufacturers of Dexamethasone Sodium Phosphate (Injection)

LabelerStrengthFirst seenLast seen
Asclemed Usa Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLAug 13, 2026Sep 3, 2026
HF Acquisition Co LLC, DBA HealthFirstDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
Hikma Pharmaceuticals USA Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
A-S Medication SolutionsDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Advanced Rx Pharmacy of Tennessee, LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Asclemed USA, Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
Cardinal Health 107, LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Civica, Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
Civica, Inc.DEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Eugia US LLCDEXAMETHASONE SODIUM PHOSPHATE 100 mg/10mLJul 15, 2026Sep 2, 2026
Eugia US LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Gland Pharma LimitedDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Henry Schein, Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstDEXAMETHASONE SODIUM PHOSPHATE 100 mg/10mLJul 15, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Hikma Pharmaceuticals USA Inc.DEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Medical Purchasing Solutions, LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Medical Purchasing Solutions, LLCDEXAMETHASONE SODIUM PHOSPHATE 100 mg/10mLJul 15, 2026Sep 2, 2026
Remedyrepack Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
Remedyrepack Inc.DEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Somerset Therapeutics, LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Gland Pharma LimitedDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Aug 31, 2026
Medical Purchasing Solutions, LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Aug 31, 2026
Somerset Therapeutics, LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Aug 28, 2026

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

Cite this page

DrugDashboards, "Dexamethasone Sodium Phosphate — NDC 00641-6146-25," retrieved September 3, 2026, https://drugdashboards.com/drug/00641614625.

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