DrugDashboards

Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate and Potassium Chloride with Lemon Flavor

Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate and Potassium Chloride with Lemon Flavor · POLYETHYLENE GLYCOL 3350 420 g/4L; SODIUM CHLORIDE 11.2 g/4L; SODIUM BICARBONATE 5.72 g/4L; POTASSIUM CHLORIDE 1.48 g/4L · Powder, For Solution · Oral · Strides Pharma Science Limited

NDC 64380-0769-21 · 4 L in 1 JUG · ANDA · View full market →

The short version

Only one company currently supplies this market — there is no backup if it stumbles. The price is down 14% over the past year, to $0.0050 per mL. 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)$0.0050per MLinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D point of sale (median)$0.0114per unitnegotiated price across 5,494 plans — before rebates · Apr 1, 2026
  • Medicaid generic ceiling (FUL)$0.0081per MLweighted avg manufacturer price $0.0046 · Jun 1, 2026161% of what pharmacies pay — higher than 81% of drugs with this benchmark

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
$0.0114per unit
middle half $0.0080$0.0143 · 5,494 plans · Apr 1, 2026
Est. net of rebates
≈ $0.0114
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
100%of plans cover it
tier 2 · prior auth 0% · step therapy 0% · qty limit 0%

*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 10 quarters since 2024.

NADAC price per unit

$0$0.005$0.01$0.015Oct 2015Sep 2026$0.005
130 price points · per ML · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

WAC per package, as filed
$56.55
Reported to Texas DSHS · 2026 annual filing · Strides Pharma Inc.

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

Medicaid spend (2025)

$1.2M
42,783 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)

0.0%chance of a new FDA shortage posting for polyethylene glycol 3350, sodium chloride, sodium bicarbonate and potassium chloride with lemon flavor (other) in the next 90 days

For scale: the typical drug’s chance is about 0.1% — this one is in ordinary territory.

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
ANDA204559
TE code
AA
Approval date
Apr 13, 2015
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 Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate and Potassium Chloride with Lemon Flavor (Powder, For Solution)

LabelerStrengthFirst seenLast seen
Strides Pharma Science LimitedPOLYETHYLENE GLYCOL 3350 420 g/4L; SODIUM CHLORIDE 11.2 g/4L; SODIUM BICARBONATE 5.72 g/4L; POTASSIUM CHLORIDE 1.48 g/4LAug 26, 2026Sep 2, 2026
Strides Pharma Science LimitedPOLYETHYLENE GLYCOL 3350 420 g/4L; SODIUM CHLORIDE 1.48 g/4L; SODIUM BICARBONATE 5.72 g/4L; POTASSIUM CHLORIDE 11.2 g/4LJul 22, 2026Aug 19, 2026
Strides Pharma Science LimitedPOLYETHYLENE GLYCOL 3350 420 g/4L; POTASSIUM CHLORIDE 1.48 g/4L; SODIUM BICARBONATE 5.72 g/4L; SODIUM CHLORIDE 11.2 g/4LJul 15, 2026Jul 15, 2026

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

Cite this page

DrugDashboards, "Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate and Potassium Chloride with Lemon Flavor — NDC 64380-0769-21," retrieved September 3, 2026, https://drugdashboards.com/drug/64380076921.

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