DrugDashboards

Carbidopa, Levodopa, and Entacapone

Carbidopa, Levodopa, and Entacapone · CARBIDOPA 25 mg/1; LEVODOPA 100 mg/1; ENTACAPONE 200 mg/1 · Tablet, Film Coated · Oral · Sandoz Inc

NDC 00781-5637-01 · 100 TABLET, FILM COATED in 1 BOTTLE · NDA AUTHORIZED GENERIC · View full market →

The short version

Only one company currently supplies this market — there is no backup if it stumbles. The price has held steady around $0.6826 per unit over the past year. 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)$0.6826per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D point of sale (median)$1.02per unitnegotiated price across 5,147 plans — before rebates · Jan 1, 2025
  • Federal contracts pay (FSS)$0.3057per unitSandoz, Inc. · Jan 1, 202645% of what pharmacies pay — a deeper discount than 90% of drugs with this benchmark
  • Medicaid generic ceiling (FUL)$0.6826per TABweighted avg manufacturer price $0.3161 · Aug 1, 2026100% of what pharmacies pay — higher than 10% 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
$1.02per unit
middle half $0.9353$1.67 · 5,147 plans · Jan 1, 2025
Est. net of rebates
≈ $1.02
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
of plans cover it

*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 5 quarters since 2024.

NADAC price per unit

$0$1.00$2.00$3.00Aug 2014Sep 2026$0.6826
107 price points · per EA · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

#30 count
$20.48
#90 count
$61.43

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

Medicaid spend (2025)

$17,851
171 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 carbidopa, levodopa and entacapone (oral solid) in the next 90 days

sole-source market · 1 Class I/II recall(s) in 12 months

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
NDA021485
TE code
AB
Approval date
Jun 11, 2003
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 Carbidopa, Levodopa, and Entacapone (Tablet, Film Coated)

LabelerStrengthFirst seenLast seen
Sandoz IncCARBIDOPA 37.5 mg/1; LEVODOPA 150 mg/1; ENTACAPONE 200 mg/1Aug 26, 2026Sep 2, 2026
Sandoz IncCARBIDOPA 18.75 mg/1; LEVODOPA 75 mg/1; ENTACAPONE 200 mg/1Aug 26, 2026Sep 2, 2026
Sandoz IncCARBIDOPA 50 mg/1; LEVODOPA 200 mg/1; ENTACAPONE 200 mg/1Jul 22, 2026Sep 2, 2026
Sandoz IncCARBIDOPA 12.5 mg/1; LEVODOPA 50 mg/1; ENTACAPONE 200 mg/1Aug 26, 2026Sep 2, 2026
Sandoz IncCARBIDOPA 25 mg/1; LEVODOPA 100 mg/1; ENTACAPONE 200 mg/1Aug 26, 2026Sep 2, 2026
Sandoz IncCARBIDOPA 31.25 mg/1; LEVODOPA 125 mg/1; ENTACAPONE 200 mg/1Aug 26, 2026Sep 2, 2026
Sandoz IncCARBIDOPA 12.5 mg/1; LEVODOPA 200 mg/1; ENTACAPONE 50 mg/1Jul 22, 2026Aug 19, 2026
Sandoz IncCARBIDOPA 31.25 mg/1; LEVODOPA 200 mg/1; ENTACAPONE 125 mg/1Jul 22, 2026Aug 19, 2026
Sandoz IncCARBIDOPA 37.5 mg/1; LEVODOPA 200 mg/1; ENTACAPONE 150 mg/1Jul 22, 2026Aug 19, 2026
Sandoz IncCARBIDOPA 18.75 mg/1; LEVODOPA 200 mg/1; ENTACAPONE 75 mg/1Jul 22, 2026Aug 19, 2026
Sandoz IncCARBIDOPA 25 mg/1; LEVODOPA 200 mg/1; ENTACAPONE 100 mg/1Jul 22, 2026Aug 19, 2026
Orion Corporation, Orion PharmaCARBIDOPA 50 mg/1; LEVODOPA 200 mg/1; ENTACAPONE 200 mg/1Jul 22, 2026Jul 29, 2026
Orion Corporation, Orion PharmaCARBIDOPA 50 mg/1; ENTACAPONE 200 mg/1; LEVODOPA 200 mg/1Jul 15, 2026Jul 15, 2026
Sandoz IncCARBIDOPA 31.25 mg/1; ENTACAPONE 200 mg/1; LEVODOPA 125 mg/1Jul 15, 2026Jul 15, 2026
Sandoz IncCARBIDOPA 18.75 mg/1; ENTACAPONE 200 mg/1; LEVODOPA 75 mg/1Jul 15, 2026Jul 15, 2026
Sandoz IncCARBIDOPA 25 mg/1; ENTACAPONE 200 mg/1; LEVODOPA 100 mg/1Jul 15, 2026Jul 15, 2026
Sandoz IncCARBIDOPA 12.5 mg/1; ENTACAPONE 200 mg/1; LEVODOPA 50 mg/1Jul 15, 2026Jul 15, 2026
Sandoz IncCARBIDOPA 37.5 mg/1; ENTACAPONE 200 mg/1; LEVODOPA 150 mg/1Jul 15, 2026Jul 15, 2026
Sandoz IncCARBIDOPA 50 mg/1; ENTACAPONE 200 mg/1; LEVODOPA 200 mg/1Jul 15, 2026Jul 15, 2026

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

Cite this page

DrugDashboards, "Carbidopa, Levodopa, and Entacapone — NDC 00781-5637-01," retrieved September 3, 2026, https://drugdashboards.com/drug/00781563701.

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