DrugDashboards

Dexamethasone Sodium Phosphate

Dexamethasone Sodium Phosphate · DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mL · Injection, Solution · Intramuscular; Intravenous · Fresenius Kabi USA, LLC

NDC 63323-0165-16 · 25 VIAL in 1 TRAY / 1 mL in 1 VIAL · ANDA · View full market →

The short version

20 companies supply this market — deep enough that no single failure threatens the supply. The price is down 16% over the past year, to $0.6719 per mL. It is in shortage right now. Put together: worth watching — several of the pressures that precede supply trouble are present at once.

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)$0.6719per MLinvoice-surveyed acquisition cost · Aug 19, 2026
  • Medicare Part B pays (ASP+6%)$0.0850per billing unit (1 MG)HCPCS J1100 · Jul 1, 2026
  • Part D plans paid (avg)$2.89per dosage unitgross, before rebates — matched by drug name · 2024

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$0.5$1.00$1.50Jan 2019Sep 2026$0.6719
37 price points · per MLSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$17.06
Reported to Texas DSHS · 2026 annual filing · Fresenius Kabi USA

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

Medicare Part B (ASP)

Payment limit per 1 MG
$0.085
HCPCS J1100 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$125,516
29,849 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

33● Elevated risk

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

  • related presentation in shortage+15
  • Class I/II recall on same molecule/form in past 12 months+8
  • 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 dexamethasone sodium phosphate (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 3× 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 · avg $14.09 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
ANDA084916
TE code
AP
Approval date
Jan 1, 1982
Patents / exclusivity
None on file

Shortage history

  • In shortage now — Dexamethasone Sodium Phosphate Preservative Free, Injection, 10 mg/1 mL (NDC 63323-506-01)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 10 mg/1 mL (NDC 63323-516-10)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 10 mg/1 mL (NDC 67457-420-10)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 10 mg/1 mL (NDC 70069-025-10)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 63323-165-01)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 63323-165-05)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 63323-165-30)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 67457-421-30)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 67457-422-54)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 67457-423-12)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 76045-0210-10)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months
  • In shortage now — Dexamethasone Sodium Phosphate, Injection, 4 mg/1 mL (NDC 76045-210-10)Feb 8, 2019
    month 91 — 5× the typical 20-month injectable shortage · model puts 25% odds it resolves within 6 months

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of Dexamethasone Sodium Phosphate (Injection, Solution)

LabelerStrengthFirst seenLast seen
A-S Medication SolutionsDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
Amneal Pharmaceuticals LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
Asclemed USA, Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
Eugia US LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
Fresenius Kabi USA, LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
Fresenius Kabi USA, LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 3, 2026
HF Acquisition Co LLC, DBA HealthFirstDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
Micro Labs LimitedDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 3, 2026
Mylan Institutional LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 3, 2026
Mylan Institutional LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
ProPharma DistributionDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 3, 2026
Sportpharm LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 22, 2026Sep 3, 2026
Sportpharm LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 3, 2026
Advanced Rx of Tennessee, LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Amneal Pharmaceuticals LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Armas PharmaceuticalsDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Cardinal Health 107, LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
Henry Schein, Inc.DEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Henry Schein, Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
HF Acquisition Co LLC, DBA HealthFirstDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Medical Purchasing Solutions, LLC.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
Phlow CorporationDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
Remedyrepack Inc.DEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
Sagent PharmaceuticalsDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Sep 2, 2026
Sagent PharmaceuticalsDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Somerset Therapeutics, LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Sep 2, 2026
Asclemed USA, Inc.DEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Aug 31, 2026
Medical Purchasing Solutions, LLCDEXAMETHASONE SODIUM PHOSPHATE 4 mg/mLJul 15, 2026Aug 31, 2026
Medical Purchasing Solutions, LLCDEXAMETHASONE SODIUM PHOSPHATE 10 mg/mLJul 15, 2026Aug 31, 2026

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

Cite this page

DrugDashboards, "Dexamethasone Sodium Phosphate — NDC 63323-0165-16," retrieved September 3, 2026, https://drugdashboards.com/drug/63323016516.

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