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.
Tacrolimus
Tacrolimus · TACROLIMUS 1 mg/1 · Capsule, Gelatin Coated · Oral · Panacea Biotec Limited
NDC 43817-0422-01 · 100 CAPSULE, GELATIN COATED in 1 BOTTLE · ANDA · View full market →
Medicare Part D
All Part D pricing →Matched to CMS's representative package for this drug (NDC 00469-0617-73) — same generic, strength, and dosage form. CMS prices one NDC per drug concept, not every package.
ⓘ 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ⓘ
$7.19per unit
middle half $6.85–$7.40 · 108 plans · Apr 1, 2026
Est. net of rebatesⓘ
≈ $7.19
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
2%of plans cover it
tier 4 · prior auth 100% · step therapy 0% · qty limit 0%
*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
No NADAC pricing on file for this NDC — NADAC covers drugs dispensed by retail community pharmacies.
Supply fragility
Not scored — fragility is computed for NADAC-priced NDCs.
90-day shortage risk (model v2)
0.1%chance of a new FDA shortage posting for tacrolimus (oral solid) in the next 90 days
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 in ordinary territory.
Backtested statistical model over the whole market, not this package alone. Model details →
Where it's made
- manufacture
Establishments this product's FDA label declares, located via FDA registration data. How we built this →
Regulatory
- Application
- ANDA090802
- TE code
- AB
- Approval date
- Sep 28, 2012
- 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 Tacrolimus (Capsule, Gelatin Coated)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| Astellas Pharma US, Inc. | TACROLIMUS 1 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
| Astellas Pharma US, Inc. | TACROLIMUS .5 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
| Astellas Pharma US, Inc. | TACROLIMUS 5 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
| Jubilant Cadista Pharmaceuticals Inc. | TACROLIMUS 1 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
| Jubilant Cadista Pharmaceuticals Inc. | TACROLIMUS .5 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
| Jubilant Cadista Pharmaceuticals Inc. | TACROLIMUS 5 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
| Panacea Biotec Limited | TACROLIMUS .5 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
| Panacea Biotec Limited | TACROLIMUS 5 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
| Panacea Biotec Limited | TACROLIMUS 1 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "Tacrolimus — NDC 43817-0422-01," retrieved September 3, 2026, https://drugdashboards.com/drug/43817042201.
Free to cite with attribution — see how the data is put together.