The short version
12 companies supply this market — deep enough that no single failure threatens the supply.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Lidocaine
Lidocaine 4% · LIDOCAINE 4 g/100g · Cream · Topical · AvKARE
NDC 42291-0399-30 · 1 TUBE in 1 CARTON / 30 g in 1 TUBE · OTC MONOGRAPH DRUG · View full market →
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.
- Part D plans paid (avg)$2.25per dosage unitgross, before rebates — matched by drug name · 2024
- Federal contracts pay (FSS)$8.28per package of 30GMAvKare, LLC · Aug 15, 2025
Medicare Part D
Medicare Part D does not cover over-the-counter drugs — by law it pays only for products requiring a prescription.
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
$11.48
Reported to Texas DSHS · 2026 annual filing · AvKare
Manufacturer list price as filed — not what pharmacies actually pay after discounts.
Supply fragility
Not scored — fragility is computed for NADAC-priced NDCs.
90-day shortage risk (model v2)
0.0%chance of a new FDA shortage posting for lidocaine (other) in the next 90 days
sole-source market
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
- M017
- TE code
- —
- Approval date
- —
- 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 Lidocaine 4% (Cream)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| EveryMarket Inc | LIDOCAINE 2.4 g/60g | Jul 30, 2026 | Sep 3, 2026 |
| Hambli Limited | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 3, 2026 |
| Telebrands Corp | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 3, 2026 |
| AvKARE | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 2, 2026 |
| Focus Health Group | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 2, 2026 |
| Genuine Innovation Ltd | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 2, 2026 |
| Oncor Pharmaceuticals | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 2, 2026 |
| Purklenz Formulations Inc. | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 2, 2026 |
| Rugby Laboratories | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 2, 2026 |
| Shenzhen Shandian Jingling Technology Co., Ltd. | LIDOCAINE 4 g/100mL | Jul 15, 2026 | Sep 2, 2026 |
| Walgreen Company | LIDOCAINE 4 g/100g | Jul 15, 2026 | Sep 2, 2026 |
| Walgreens | LIDOCAINE HYDROCHLORIDE 4 g/100g | Jul 15, 2026 | Sep 2, 2026 |
| Walgreens | MENTHOL, UNSPECIFIED FORM 1 g/100g; LIDOCAINE HYDROCHLORIDE 4 g/100g | Aug 26, 2026 | Sep 2, 2026 |
| Walgreens | MENTHOL, UNSPECIFIED FORM 4 g/100g; LIDOCAINE HYDROCHLORIDE 1 g/100g | Jul 22, 2026 | Aug 19, 2026 |
| Walgreens | LIDOCAINE HYDROCHLORIDE 4 g/100g; MENTHOL, UNSPECIFIED FORM 1 g/100g | Jul 15, 2026 | Jul 15, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "Lidocaine — NDC 42291-0399-30," retrieved September 3, 2026, https://drugdashboards.com/drug/42291039930.
Free to cite with attribution — see how the data is put together.