DrugDashboards

Combivir

lamivudine and zidovudine · LAMIVUDINE 150 mg/1; ZIDOVUDINE 300 mg/1 · Tablet, Film Coated · Oral · ViiV Healthcare Company

NDC 49702-0202-18 · 60 TABLET, FILM COATED in 1 BOTTLE · NDA · View full market →

The short version

7 companies supply this market — a reasonable cushion if one runs into trouble. The price has held steady around $14.39 per unit over the past year.

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.

  • Part D plans paid (avg)$15.13per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$14.23per unitnegotiated price across 2 plans — before rebates · Jul 1, 2024
  • Medicaid generic ceiling (FUL)$1.00per TABweighted avg manufacturer price $0.5719 · Aug 1, 2026

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
$14.23per unit
middle half $14.23$14.23 · 2 plans · Jul 1, 2024
Est. net of rebates
$8.54–$10.67
brand drug — est. 25-40% rebate off the price at left
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 3 quarters since 2024.

NADAC price per unit

$0$5.00$10.00$15.00Sep 2013Oct 2016$14.39
7 price points · per · last surveyed Invalid Date · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

WAC per package, as filed
$901.42
Reported to Texas DSHS · 2023 annual filing · ViiV Healthcare

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)

0.1%chance of a new FDA shortage posting for lamivudine and zidovudine (oral solid) in the next 90 days

sole-source market · price up 10% YoY

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 →

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 $1,160.20 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA020857
TE code
Approval date
Sep 26, 1997
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 lamivudine and zidovudine (Tablet, Film Coated)

LabelerStrengthFirst seenLast seen
Aurobindo Pharma LimitedLAMIVUDINE 150 mg/1; ZIDOVUDINE 300 mg/1Jul 15, 2026Sep 3, 2026
Bryant Ranch PrepackLAMIVUDINE 150 mg/1; ZIDOVUDINE 300 mg/1Jul 15, 2026Sep 2, 2026
Exelan Pharmaceuticals Inc.LAMIVUDINE 150 mg/1; ZIDOVUDINE 300 mg/1Jul 15, 2026Sep 2, 2026
PD-Rx Pharmaceuticals, Inc.LAMIVUDINE 150 mg/1; ZIDOVUDINE 300 mg/1Jul 15, 2026Sep 2, 2026
ViiV Healthcare CompanyLAMIVUDINE 150 mg/1; ZIDOVUDINE 300 mg/1Jul 15, 2026Sep 2, 2026
XLCare Pharmaceuticals, IncLAMIVUDINE 150 mg/1; ZIDOVUDINE 300 mg/1Jul 15, 2026Sep 2, 2026
Camber Pharmaceuticals, Inc.LAMIVUDINE 150 mg/1; ZIDOVUDINE 300 mg/1Jul 15, 2026Aug 31, 2026

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

Cite this page

DrugDashboards, "Combivir — NDC 49702-0202-18," retrieved September 3, 2026, https://drugdashboards.com/drug/49702020218.

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