DrugDashboards

Twyneo

Benzoyl Peroxide and Tretinoin · BENZOYL PEROXIDE 30 mg/g; TRETINOIN 1 mg/g · Cream · Topical · Mayne Pharma Commercial LLC

NDC 51862-0771-30 · 1 BOTTLE, PUMP in 1 CARTON / 30 g in 1 BOTTLE, PUMP · NDA · View full market →

The short version

Only one company currently supplies this market — there is no backup if it stumbles. Put together: worth watching — several of the pressures that precede supply trouble are present at once. Historically, drugs in this position went on to a new shortage within 90 days about 0.3% of the time — roughly 2× the typical drug (0.1%).

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)$31.66per GMinvoice-surveyed acquisition cost · Aug 1, 2026
  • Part D plans paid (avg)$14.95per dosage unitgross, before rebates — matched by drug name · 2024
  • List price (WAC, as filed)$993.50per packageMayne Pharma Commercial LLC · Aug 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

$0$20.00$40.00Apr 2026Sep 2026$31.66
5 price points · per GMSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$950.00
Reported to Texas DSHS · 2026 annual filing · Mayne Pharma Commercial LLC

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

Medicaid spend (2025)

$54,872
59 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

30Elevated risk

The score is counting real pressure here. One of these alone is routine; it’s the combination that makes this market worth watching.

  • 1 active manufacturer+30

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)

0.3%chance of a new FDA shortage posting for tretinoin and benzoyl peroxide (other) in the next 90 days

price up 102% YoY · sole-source market

For scale: the typical drug’s chance is about 0.1% — this one is 2× that.

Backtested statistical model over the whole market, not this package alone. Model details →

Where it's made

Establishments this product's FDA label declares, located via FDA registration data. How we built this →

Regulatory

Application
NDA214902
TE code
Approval date
Jul 26, 2021
Patents / exclusivity
13 patents, 0 exclusivities
TypeNumber / codeExpires
patent12491163May 23, 2041
patent12133919May 23, 2041
patent12257348May 23, 2041
patent12295935Dec 27, 2040
patent12357602Jul 12, 2038
patent10420743Jul 12, 2038
patent12053546Jun 29, 2032
patent10653899Dec 30, 2030
patent12070629Dec 30, 2030
patent11071878Dec 30, 2030
patent9868103Aug 8, 2028
patent8617580Feb 3, 2028

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of Benzoyl Peroxide and Tretinoin (Cream)

LabelerStrengthFirst seenLast seen
Mayne Pharma Commercial LLCBENZOYL PEROXIDE 30 mg/g; TRETINOIN 1 mg/gJul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Twyneo — NDC 51862-0771-30," retrieved September 3, 2026, https://drugdashboards.com/drug/51862077130.

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