The short version
5 companies supply this market — a reasonable cushion if one runs into trouble.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Gadavist
gadobutrol · GADOBUTROL 604.72 mg/mL · Injection · Intravenous · Bayer HealthCare Pharmaceuticals Inc.
NDC 50419-0325-18 · 2 CARTON in 1 BOX / 5 BOTTLE, GLASS in 1 CARTON / 30 mL in 1 BOTTLE, GLASS · NDA · 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.
- Medicare Part B pays (ASP+6%)$0.2620per billing unit (0.1 ML)HCPCS A9585 · Jul 1, 2026
- Federal ceiling (Big4)$477.07per package of 10X30MLBayer HealthCare Pharmaceuticals, Inc. · Jan 1, 2026
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
No NADAC pricing on file for this NDC — NADAC covers drugs dispensed by retail community pharmacies.
Estimated fill cost
WAC per package, as filed
$249.00
Reported to Texas DSHS · 2026 annual filing · Bayer Healthcare Pharmaceuticals, Inc
Manufacturer list price as filed — not what pharmacies actually pay after discounts.
Medicare Part B (ASP)
Payment limit per 0.1 ML
$0.262
HCPCS A9585 · Jul 1, 2026 quarter · typically ASP + 6%
Medicaid spend (2025)
$126,649
5,290 prescriptions paid by Medicaid nationally · all Medicaid spend →
Supply fragility
Not scored — fragility is computed for NADAC-priced NDCs.
Where it's made
- Bayer AGGermanyanalysis · api manufacture
- Bayer AGGermanyanalysis · api manufacture · label · manufacture · pack · sterilize
- Currenta GmbH & Co. OHGGermanyanalysis
- api manufacture
- Quality Packaging Specialists International, LLCUnited Stateslabel
- Sharp Packaging Services, LLCUnited Stateslabel
Establishments this product's FDA label declares, located via FDA registration data. How we built this →
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
- Biologic (BLA)
- Injectable / infused
- Orphan-drug exclusivity
- REMS program
Regulatory
- Application
- NDA201277
- TE code
- AP
- Approval date
- Mar 14, 2011
- Patents / exclusivity
- None on file
Shortage history
- Planned discontinuation — Gadobutrol, Injection, 604.72 mg/mL (NDC 65219-281-02)Jun 30, 2026
- Planned discontinuation — Gadobutrol, Injection, 604.72 mg/mL (NDC 65219-281-07)Jun 30, 2026
- Planned discontinuation — Gadobutrol, Injection, 604.72 mg/mL (NDC 65219-281-10)Jun 30, 2026
- Planned discontinuation — Gadobutrol, Injection, 604.72 mg/mL (NDC 65219-281-15)Jun 30, 2026
Recalls (this NDC)
No enforcement reports list this package NDC.
Manufacturers of gadobutrol (Injection)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| Slate Run Pharmaceuticals, LLC | GADOBUTROL 604.72 mg/mL | Jul 15, 2026 | Sep 3, 2026 |
| Zydus Pharmaceuticals USA Inc. | GADOBUTROL 604.72 mg/mL | Jul 25, 2026 | Sep 3, 2026 |
| Fresenius Kabi USA, LLC | GADOBUTROL 604.72 mg/mL | Jul 15, 2026 | Aug 31, 2026 |
| Viwit Pharmaceutical Co., Ltd. | GADOBUTROL 604.72 mg/mL | Jul 25, 2026 | Aug 31, 2026 |
| Bayer HealthCare Pharmaceuticals Inc. | GADOBUTROL 604.72 mg/mL | Jul 15, 2026 | Aug 28, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "Gadavist — NDC 50419-0325-18," retrieved September 3, 2026, https://drugdashboards.com/drug/50419032518.
Free to cite with attribution — see how the data is put together.