DrugDashboards

Akovaz

ephedrine sulfate · EPHEDRINE SULFATE 5 mg/mL · Injection · Intravenous · Exela Pharma Sciences, LLC

NDC 51754-4250-03 · 10 SYRINGE, PLASTIC in 1 CARTON / 5 mL in 1 SYRINGE, PLASTIC · NDA · View full market →

The short version

23 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.

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.

  • Part D plans paid (avg)$20.91per dosage unitgross, before rebates — matched by drug name · 2024
  • Federal ceiling (Big4)$90.43per package of 10X5MLExela Pharma Sciences, LLC · 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
$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)

$12,829
1,010 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 · avg $20.91 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA208289
TE code
—
Approval date
—
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 ephedrine sulfate (Injection)

LabelerStrengthFirst seenLast seen
Medical Purchasing Solutions, LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 3, 2026
Par Health USA, LLCEPHEDRINE SULFATE 5 mg/mLJul 15, 2026Sep 3, 2026
Amneal Pharmaceuticals LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Caplin Steriles LimitedEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Civica, Inc.EPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Dr. Reddy's Laboratories, Inc.EPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Eugia US LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Exela Pharma Sciences, LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Exela Pharma Sciences, LLCEPHEDRINE SULFATE 5 mg/mLJul 15, 2026Sep 2, 2026
Fresenius Kabi USA, LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Gland Pharma LimitedEPHEDRINE SULFATE 5 mg/mLJul 15, 2026Sep 2, 2026
Gland Pharma LimitedEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Hikma Pharmaceuticals USA Inc.EPHEDRINE SULFATE 5 mg/mLJul 15, 2026Sep 2, 2026
Hikma Pharmaceuticals USA Inc.EPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Lifestar Pharma LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Nexus Pharamaceuticals Inc.EPHEDRINE SULFATE 5 mg/mLJul 15, 2026Sep 2, 2026
NorthStar Rx LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
NorthStar RxLLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Patheon Manufacturing Services LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
ProPharma DistributionEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Remedyrepack Inc.EPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Sandoz IncEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Somerset Therapeutics, LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Xiromed, LLCEPHEDRINE SULFATE 50 mg/mLJul 15, 2026Sep 2, 2026
Baxter Healthcare CorporationEPHEDRINE SULFATE 50 mg/mLJul 19, 2026Aug 30, 2026
Fresenius Kabi USA, LLCEPHEDRINE SULFATE 5 mg/mLJul 15, 2026Aug 28, 2026
Nexus Pharmaceuticals, LLCEPHEDRINE SULFATE 5 mg/mLJul 15, 2026Aug 28, 2026

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

Cite this page

DrugDashboards, "Akovaz — NDC 51754-4250-03," retrieved September 3, 2026, https://drugdashboards.com/drug/51754425003.

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