DrugDashboards

Lactated Ringers

Sodium Chloride, Sodium Lactate, Potassium Chloride, Calcium Chloride · SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mL · Injection, Solution · Intravenous · Fresenius Kabi USA, LLC

NDC 63323-0164-74 · 30 BAG in 1 CASE / 250 mL in 1 BAG · ANDA · View full market →

The short version

Just 3 companies supply this market — thin enough that a single exit would be felt immediately. Historically, drugs in this position went on to a new shortage within 90 days about 0.8% of the time — roughly 5× 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.

  • Medicare Part B pays (ASP+6%)$2.31per billing unit (1000 CC)HCPCS J7120 · Jul 1, 2026
  • Federal contracts pay (FSS)$52.54per package of 30X250MLFresenius Kabi, LLC · May 15, 2025

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
$118.50
Reported to Texas DSHS · 2024 annual filing · Fresenius Kabi Usa

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

Medicare Part B (ASP)

Payment limit per 1000 CC
$2.313
HCPCS J7120 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$90
35 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

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

90-day shortage risk (model v2)

0.8%chance of a new FDA shortage posting for sodium chloride, sodium lactate, potassium chloride, calcium chloride (injectable) in the next 90 days

sterile injectable · price up 31% YoY · OAI inspection at a producing facility (24 months)

For scale: the typical drug’s chance is about 0.1% — this one is 5× 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 →

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
ANDA209338
TE code
AP
Approval date
Jan 28, 2019
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 Sodium Chloride, Sodium Lactate, Potassium Chloride, Calcium Chloride (Injection, Solution)

LabelerStrengthFirst seenLast seen
Fresenius Kabi USA, LLCSODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mLAug 26, 2026Sep 3, 2026
Becton Dickinson and CompanySODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; CALCIUM CHLORIDE 20 mg/100mLAug 26, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstSODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mL; CALCIUM CHLORIDE 20 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mLAug 26, 2026Sep 2, 2026
Fresenius Kabi USA, LLCSODIUM CHLORIDE 20 mg/100mL; SODIUM LACTATE 30 mg/100mL; POTASSIUM CHLORIDE 600 mg/100mL; CALCIUM CHLORIDE 310 mg/100mLJul 22, 2026Aug 21, 2026
Becton Dickinson and CompanySODIUM CHLORIDE 20 mg/100mL; SODIUM LACTATE 30 mg/100mL; POTASSIUM CHLORIDE 600 mg/100mL; CALCIUM CHLORIDE 310 mg/100mLJul 22, 2026Aug 19, 2026
HF Acquisition Co LLC, DBA HealthFirstSODIUM CHLORIDE 20 mg/100mL; SODIUM LACTATE 30 mg/100mL; CALCIUM CHLORIDE 600 mg/100mL; POTASSIUM CHLORIDE 310 mg/100mLJul 22, 2026Aug 19, 2026
Fresenius Kabi USA, LLCCALCIUM CHLORIDE 20 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mLJul 15, 2026Jul 19, 2026
Becton Dickinson and CompanyCALCIUM CHLORIDE 20 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mLJul 15, 2026Jul 15, 2026
HF Acquisition Co LLC, DBA HealthFirstCALCIUM CHLORIDE 20 mg/100mL; POTASSIUM CHLORIDE 30 mg/100mL; SODIUM CHLORIDE 600 mg/100mL; SODIUM LACTATE 310 mg/100mLJul 15, 2026Jul 15, 2026

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

Cite this page

DrugDashboards, "Lactated Ringers — NDC 63323-0164-74," retrieved September 3, 2026, https://drugdashboards.com/drug/63323016474.

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