DrugDashboards

Spravato

Esketamine Hydrochloride · ESKETAMINE HYDROCHLORIDE 28 mg/.2mL · Solution · Nasal · Janssen Pharmaceuticals, Inc.

NDC 50458-0028-02 · 2 BLISTER PACK in 1 KIT / 1 VIAL, SINGLE-USE in 1 BLISTER PACK / .2 mL in 1 VIAL, SINGLE-USE · 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 $426.30 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.

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)$426.30per EAinvoice-surveyed acquisition cost · Jan 29, 2026
  • Part D plans paid (avg)$394.89per dosage unitgross, before rebates — matched by drug name · 2024
  • Federal ceiling (Big4)$520.99per package of 2x28Johnson & Johnson Health Care Systems, Inc. obo Janssen Pharmaceuticals,Inc · Jan 1, 2026
  • List price (WAC, as filed)$895.10per packageJanssen Pharmaceuticals, Inc. · Jan 29, 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

$0$200.00$400.00$600.00Jul 2024Jan 2026$426.30
16 price points · per EA · last surveyed Invalid DateSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$417.10
Reported to Texas DSHS · 2026 annual filing · Johnson & Johnson Health Care Systems Inc

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

Medicaid spend (2025)

$25.1M
21,814 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 esketamine hydrochloride (other) in the next 90 days

sole-source market · price up 8% 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 2 of 6 public criteria. Why that matters →

  • Part D specialty tier
  • Costs ≥ $950/fill · avg $1,515.65 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program · Spravato

Regulatory

Application
NDA211243
TE code
Approval date
Mar 5, 2019
Patents / exclusivity
7 patents, 1 exclusivities
TypeNumber / codeExpires
exclusivityI-959Jan 17, 2028
patent11883526Feb 18, 2040
patent11173134Sep 10, 2035
patent10869844Sep 10, 2035
patent11311500Sep 10, 2035
patent11446260Mar 14, 2034
patent8785500Mar 5, 2033
patent9592207Mar 20, 2027

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of Esketamine Hydrochloride (Solution)

LabelerStrengthFirst seenLast seen
Janssen Pharmaceuticals, Inc.ESKETAMINE HYDROCHLORIDE 28 mg/.2mLAug 27, 2026Sep 3, 2026
Janssen Pharmaceuticals Inc.ESKETAMINE HYDROCHLORIDE 28 mg/.2mLJul 15, 2026Aug 26, 2026

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

Cite this page

DrugDashboards, "Spravato — NDC 50458-0028-02," retrieved September 3, 2026, https://drugdashboards.com/drug/50458002802.

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