DrugDashboards

Fluoxetine

Fluoxetine Hydrochloride · FLUOXETINE HYDROCHLORIDE 60 mg/1 · Tablet · Oral · ScieGen Pharmaceuticals, Inc.

NDC 50228-0422-30 · 30 TABLET in 1 BOTTLE · ANDA · View full market →

The short version

Just 3 companies supply this market — thin enough that a single exit would be felt immediately. The price has fallen 51% in a year, to $0.1870 per unit — and generics that get this cheap tend to get abandoned rather than defended. Put together: worth watching — several of the pressures that precede supply trouble are present at once.

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.

  • Pharmacies pay (NADAC)$0.1870per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D point of sale (median)$0.6204per unitnegotiated price across 2,766 plans — before rebates · Apr 1, 2026
  • Medicaid generic ceiling (FUL)$0.1870per TABweighted avg manufacturer price $0.0997 · Aug 1, 2026100% of what pharmacies pay — higher than 10% of drugs with this benchmark

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
$0.6204per unit
middle half $0.3534$0.8373 · 2,766 plans · Apr 1, 2026
Est. net of rebates
≈ $0.6204
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
50%of plans cover it
tier 2 · prior auth 0% · step therapy 0% · qty limit 35%

*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 2 quarters since 2024.

NADAC price per unit

$0$2.00$4.00$6.00Jun 2019Sep 2026$0.187
84 price points · per EA · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

#30 count
$5.61
#90 count
$16.83

Estimates: latest NADAC unit price × quantity. Pharmacy acquisition cost only — excludes dispensing fees, markup, and insurance terms.

Medicaid spend (2025)

$1.3M
48,829 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

25Elevated risk

The score is counting real pressure here. One of these alone is routine; it’s the combination that makes this market worth watching.

  • 3 active manufacturers+10
  • price down 50% year over year+15

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 fluoxetine hydrochloride (oral solid) 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 →

Where it's made

Establishments this product's FDA label declares, located via FDA registration data. How we built this →

Regulatory

Application
ANDA211282
TE code
AB
Approval date
Jan 10, 2019
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 Fluoxetine Hydrochloride (Tablet)

LabelerStrengthFirst seenLast seen
ScieGen Pharmaceuticals, Inc.FLUOXETINE HYDROCHLORIDE 60 mg/1Jul 15, 2026Sep 3, 2026
Lupin Pharmaceuticals, Inc.FLUOXETINE HYDROCHLORIDE 10 mg/1Jul 15, 2026Sep 2, 2026
Lupin Pharmaceuticals, Inc.FLUOXETINE HYDROCHLORIDE 20 mg/1Jul 15, 2026Sep 2, 2026
Lupin Pharmaceuticals, Inc.FLUOXETINE HYDROCHLORIDE 60 mg/1Jul 15, 2026Sep 2, 2026
Nivagen Pharmaceuticals, Inc.FLUOXETINE HYDROCHLORIDE 60 mg/1Jul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Fluoxetine — NDC 50228-0422-30," retrieved September 3, 2026, https://drugdashboards.com/drug/50228042230.

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