The short version
Just 3 companies supply this market — thin enough that a single exit would be felt immediately.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Lactated Ringers and Dextrose
SODIUM CHLORIDE, SODIUM LACTATE, POTASSIUM CHLORIDE, CALCIUM CHLORIDE, and DEXTROSE MONOHYDRATE · SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mL; DEXTROSE MONOHYDRATE 5 g/100mL · Injection, Solution · Intravenous · ICU Medical Inc.
NDC 00990-7929-03 · 24 POUCH in 1 CASE / 1 BAG in 1 POUCH / 500 mL in 1 BAG · NDA · View full market →
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
No NADAC pricing on file for this NDC — NADAC covers drugs dispensed by retail community pharmacies.
Estimated fill cost
WAC per package, as filed
$5.70
Reported to Texas DSHS · 2026 annual filing · Otsuka ICU Medical LLC
Manufacturer list price as filed — not what pharmacies actually pay after discounts.
Medicaid spend (2024)
$309
50 prescriptions paid by Medicaid nationally · all Medicaid spend →
Supply fragility
Not scored — fragility is computed for NADAC-priced NDCs.
Where it's made
- Otsuka ICU Medical LLCUnited Statesanalysis · label · manufacture · pack
Establishments this product's FDA label declares, located via FDA registration data. How we built this →
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
- Biologic (BLA)
- Injectable / infused
- Orphan-drug exclusivity
- REMS program
Regulatory
- Application
- NDA017608
- TE code
- AP
- Approval date
- Jan 1, 1982
- 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 SODIUM CHLORIDE, SODIUM LACTATE, POTASSIUM CHLORIDE, CALCIUM CHLORIDE, and DEXTROSE MONOHYDRATE (Injection, Solution)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| HF Acquisition Co LLC, DBA HealthFirst | DEXTROSE MONOHYDRATE 5 g/100mL; SODIUM LACTATE 310 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mL | Aug 26, 2026 | Sep 2, 2026 |
| ICU Medical Inc. | SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mL; DEXTROSE MONOHYDRATE 5 g/100mL | Aug 26, 2026 | Sep 2, 2026 |
| Fresenius Kabi USA, LLC | SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mL; DEXTROSE MONOHYDRATE 5 g/100mL | Aug 26, 2026 | Aug 31, 2026 |
| Fresenius Kabi USA, LLC | SODIUM CHLORIDE 20 mg/100mL; SODIUM LACTATE 5 g/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 600 mg/100mL; DEXTROSE MONOHYDRATE 310 mg/100mL | Jul 22, 2026 | Aug 21, 2026 |
| HF Acquisition Co LLC, DBA HealthFirst | DEXTROSE MONOHYDRATE 20 mg/100mL; SODIUM LACTATE 5 g/100mL; SODIUM CHLORIDE 30 mg/100mL; POTASSIUM CHLORIDE 600 mg/100mL; CALCIUM CHLORIDE 310 mg/100mL | Jul 22, 2026 | Aug 19, 2026 |
| ICU Medical Inc. | SODIUM CHLORIDE 20 mg/100mL; SODIUM LACTATE 5 g/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 600 mg/100mL; DEXTROSE MONOHYDRATE 310 mg/100mL | Jul 22, 2026 | Aug 19, 2026 |
| Fresenius Kabi USA, LLC | CALCIUM CHLORIDE 20 mg/100mL; DEXTROSE MONOHYDRATE 5 g/100mL; POTASSIUM CHLORIDE 30 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL | Jul 15, 2026 | Jul 19, 2026 |
| HF Acquisition Co LLC, DBA HealthFirst | CALCIUM CHLORIDE 20 mg/100mL; DEXTROSE MONOHYDRATE 5 g/100mL; POTASSIUM CHLORIDE 30 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL | Jul 15, 2026 | Jul 15, 2026 |
| ICU Medical Inc. | CALCIUM CHLORIDE 20 mg/100mL; DEXTROSE MONOHYDRATE 5 g/100mL; POTASSIUM CHLORIDE 30 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL | Jul 15, 2026 | Jul 15, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "Lactated Ringers and Dextrose — NDC 00990-7929-03," retrieved September 3, 2026, https://drugdashboards.com/drug/00990792903.
Free to cite with attribution — see how the data is put together.