DrugDashboards

Auvi-Q

epinephrine · EPINEPHRINE .3 mg/.3mL · Injection, Solution · Intramuscular · kaleo, Inc

NDC 60842-0023-02 · 2 DOSE PACK in 1 CARTON / .3 mL in 1 DOSE PACK · NDA · View full market →

The short version

6 companies supply this market — a reasonable cushion if one runs into trouble. The price has held steady around $309.38 per unit over the past year. Put together: this looks like a healthy supply — the boring kind, which is exactly what you want. Historically, drugs in this position went on to a new shortage within 90 days about 0.5% of the time — roughly 4× 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)$309.38per EAinvoice-surveyed acquisition cost · Jul 1, 2026
  • Part D plans paid (avg)$300.57per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$298.22per unitnegotiated price across 1,028 plans — before rebates · Apr 1, 2026
  • Federal ceiling (Big4)$350.54per package of 2X0.3MLKaleo, Inc. · Jan 1, 2026

Medicare Part D

All Part D pricing →
ⓘ 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
$298.22per unit
middle half $296.19$299.59 · 1,028 plans · Apr 1, 2026
Est. net of rebates
$178.93–$223.67
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
19%of plans cover it
tier 3 · prior auth 0% · step therapy 0% · qty limit 87%

*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 7 quarters since 2024.

NADAC price per unit

$0$200.00$400.00Sep 2024Sep 2026$309.38
24 price points · per EA · held since Invalid DateSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$621.92
Reported to Texas DSHS · 2026 annual filing · kaleo, Inc.

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

Medicaid spend (2025)

$8.3M
16,298 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

10Low risk

Some pressure is visible, but not much — here’s everything the score found to count.

  • sterile injectable+10

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)

0.5%chance of a new FDA shortage posting for epinephrine (injectable) in the next 90 days

sterile injectable · OAI inspection at a producing facility (24 months) · sole-source market

For scale: the typical drug’s chance is about 0.1% — this one is 4× that.

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 1 of 6 public criteria. Why that matters →

  • Part D specialty tier · median tier 3 across plans
  • Costs ≥ $950/fill · avg $689.21 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA201739
TE code
BX
Approval date
Aug 10, 2012
Patents / exclusivity
24 patents, 0 exclusivities
TypeNumber / codeExpires
patent10688244Dec 21, 2037
patent11771830Dec 21, 2037
patent11771830Dec 21, 2037
patent10842938Dec 21, 2037
patent10688244Dec 21, 2037
patent10842938Dec 21, 2037
patent8021344Nov 2, 2029
patent8021344Nov 2, 2029
patent8021344Nov 2, 2029
patent8226610Apr 10, 2029
patent8226610Apr 10, 2029
patent8226610Apr 10, 2029

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of epinephrine (Injection, Solution)

LabelerStrengthFirst seenLast seen
Medical Purchasing Solutions, LLCEPINEPHRINE .3 mg/.3mLJul 15, 2026Sep 3, 2026
American Regent, Inc.EPINEPHRINE 1 mg/mLJul 15, 2026Sep 2, 2026
Baxter Healthcare CorporationEPINEPHRINE BITARTRATE 64 ug/mLJul 15, 2026Sep 2, 2026
Baxter Healthcare CorporationEPINEPHRINE BITARTRATE 16 ug/mLJul 15, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstEPINEPHRINE .1 mg/.1mLJul 15, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstEPINEPHRINE .15 mg/.15mLJul 15, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstEPINEPHRINE .1 mg/mLJul 15, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstEPINEPHRINE .3 mg/.3mLJul 15, 2026Sep 2, 2026
Hospira, Inc.EPINEPHRINE 1 mg/mLJul 15, 2026Sep 2, 2026
kaleo, IncEPINEPHRINE .3 mg/.3mLJul 15, 2026Sep 2, 2026
kaleo, IncEPINEPHRINE .15 mg/.15mLJul 15, 2026Sep 2, 2026
kaleo, IncEPINEPHRINE .1 mg/.1mLJul 15, 2026Sep 2, 2026
Medical Purchasing Solutions, LLCEPINEPHRINE .1 mg/mLJul 15, 2026Sep 2, 2026
Medical Purchasing Solutions, LLCEPINEPHRINE .15 mg/.15mLJul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Auvi-Q — NDC 60842-0023-02," retrieved September 3, 2026, https://drugdashboards.com/drug/60842002302.

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