DrugDashboards

Nascobal

cyanocobalamin · CYANOCOBALAMIN 500 ug/1 · Spray · Nasal · Par Health USA, LLC

NDC 49884-0270-82 · 4 SPRAY in 1 CARTON · NDA · View full market →

The short version

Just 2 companies supply this market — thin enough that a single exit would be felt immediately. The price has held steady around $171.74 per unit over the past year. Put together: this looks like a healthy supply — the boring kind, which is exactly what you want.

The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.

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

$0$100.00$200.00May 2015Jul 2025$171.74
36 price points · per EA · last surveyed Invalid DateSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$709.30
Reported to Texas DSHS · 2025 annual filing · Endo USA, Inc.

Manufacturer list price as filed — not what pharmacies actually pay after discounts.

Medicaid spend (2025)

$126,830
192 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

20Low risk

Some pressure is visible, but not much — here’s everything the score found to count.

  • 2 active manufacturers+20

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 cyanocobalamin (other) in the next 90 days

sole-source market · price up 5% 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 →

Regulatory

Application
NDA021642
TE code
Approval date
Jan 31, 2005
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 cyanocobalamin (Spray)

LabelerStrengthFirst seenLast seen
Padagis Israel Pharmaceuticals LtdCYANOCOBALAMIN 500 ug/1Jul 15, 2026Sep 2, 2026
Par Health USA, LLCCYANOCOBALAMIN 500 ug/1Jul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Nascobal — NDC 49884-0270-82," retrieved September 3, 2026, https://drugdashboards.com/drug/49884027082.

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