The short version
Only one company currently supplies this market — there is no backup if it stumbles.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Isosorbide dinitrate and hydralazine hydrochloride
Isosorbide dinitrate and hydralazine hydrochloride · HYDRALAZINE HYDROCHLORIDE 37.5 mg/1; ISOSORBIDE DINITRATE 20 mg/1 · Tablet · Oral · Ingenus Pharmaceuticals, LLC
NDC 50742-0246-18 · 180 TABLET in 1 BOTTLE · ANDA · View full market →
Medicare Part D
All Part D pricing →Matched to CMS's representative package for this drug (NDC 50742-0246-90) — same generic, strength, and dosage form. CMS prices one NDC per drug concept, not every package.
ⓘ 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ⓘ
$1.17per unit
middle half $1.01–$1.41 · 3,543 plans · Apr 1, 2026
Est. net of rebatesⓘ
≈ $1.17
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
64%of plans cover it
tier 3 · prior auth 0% · step therapy 0% · qty limit 66%
*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 10 quarters since 2024.
NADAC price per unit
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 isosorbide dinitrate and hydralazine 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 →
Regulatory
- Application
- ANDA215586
- TE code
- AB
- Approval date
- Apr 6, 2022
- 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 Isosorbide dinitrate and hydralazine hydrochloride (Tablet)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| Ingenus Pharmaceuticals, LLC | HYDRALAZINE HYDROCHLORIDE 37.5 mg/1; ISOSORBIDE DINITRATE 20 mg/1 | Jul 15, 2026 | Sep 2, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "Isosorbide dinitrate and hydralazine hydrochloride — NDC 50742-0246-18," retrieved September 3, 2026, https://drugdashboards.com/drug/50742024618.
Free to cite with attribution — see how the data is put together.