DrugDashboards

Bloxiverz

Neostigmine Methylsulfate · NEOSTIGMINE METHYLSULFATE 1 mg/mL · Injection · Intravenous · Exela Pharma Sciences, LLC

NDC 51754-1200-03 · 10 SYRINGE, PLASTIC in 1 CARTON / 5 mL in 1 SYRINGE, PLASTIC · NDA · View full market →

The short version

20 companies supply this market — deep enough that no single failure threatens the supply. One of its named manufacturing plants, Exela Pharma Sciences, LLC., failed FDA inspectionwithin the last two years — the agency’s most serious outcome.

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

No NADAC pricing on file for this NDC — NADAC covers drugs dispensed by retail community pharmacies.

Estimated fill cost

WAC per package, as filed
$123.50
Reported to Texas DSHS · 2026 annual filing · Exela Pharma Sciences

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

Medicaid spend (2025)

$576
65 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

Not scored — fragility is computed for NADAC-priced NDCs.

Where it's made

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
NDA204078
TE code
—
Approval date
May 31, 2013
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 Neostigmine Methylsulfate (Injection)

LabelerStrengthFirst seenLast seen
Hikma Pharmaceuticals USA Inc.NEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 3, 2026
Medical Purchasing Solutions, LLCNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 3, 2026
Amneal Pharmaceuticals LLCNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Amneal Pharmaceuticals LLCNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Amphastar Pharmaceuticals, Inc.NEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Amphastar Pharmaceuticals, Inc.NEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
BE Pharmaceuticals Inc.NEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
BE Pharmaceuticals Inc.NEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Camber Pharmaceuticals Inc.NEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Camber Pharmaceuticals Inc.NEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Caplin Steriles LimitedNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Caplin Steriles LimitedNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Civica, Inc.NEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Eugia US LLCNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Eugia US LLCNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Exela Pharma Sciences, LLCNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Gland Pharma LimitedNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Gland Pharma LimitedNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.NEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.NEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Indoco Remedies LimitedNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Indoco Remedies LimitedNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Meitheal Pharmaceuticals Inc.NEOSTIGMINE METHYLSULFATE 1.02 mg/mLJul 15, 2026Sep 2, 2026
Meitheal Pharmaceuticals Inc.NEOSTIGMINE METHYLSULFATE .51 mg/mLJul 15, 2026Sep 2, 2026
Par Health USA, LLCNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Par Health USA, LLCNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
ProPharma DistributionNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Somerset Therapeutics, LLCNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Somerset Therapeutics, LLCNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Xellia Pharmaceuticals USA LLCNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Xellia Pharmaceuticals USA LLCNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Xiromed LLCNEOSTIGMINE METHYLSULFATE .5 mg/mLJul 15, 2026Sep 2, 2026
Xiromed LLCNEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Sep 2, 2026
Hikma Pharmaceuticals USA Inc.NEOSTIGMINE METHYLSULFATE 1 mg/mLJul 15, 2026Aug 28, 2026

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

Cite this page

DrugDashboards, "Bloxiverz — NDC 51754-1200-03," retrieved September 3, 2026, https://drugdashboards.com/drug/51754120003.

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