The short version
Just 2 companies supply this market — thin enough that a single exit would be felt immediately.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Prialt
ziconotide acetate · ZICONOTIDE ACETATE 500 ug/20mL · Injection, Solution · Intrathecal · Esteve Pharmaceuticals, S.a.
NDC 68118-0723-10 · 1 VIAL, GLASS in 1 CARTON / 20 mL in 1 VIAL, GLASS · NDA · View full market →
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.
Supply fragility
Not scored — fragility is computed for NADAC-priced NDCs.
Is this a "specialty" drug?
There's no legal definition — it meets 2 of 6 public criteria. Why that matters →
- Part D specialty tier
- Costs ≥ $950/fill · avg $3,838.60 per prescription
- Biologic (BLA)
- Injectable / infused
- Orphan-drug exclusivity
- REMS program
Regulatory
- Application
- NDA021060
- TE code
- —
- Approval date
- Dec 28, 2004
- 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 ziconotide acetate (Injection, Solution)
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| Esteve Pharmaceuticals, S.a. | ZICONOTIDE ACETATE 100 ug/mL | Jul 30, 2026 | Sep 3, 2026 |
| Esteve Pharmaceuticals, S.a. | ZICONOTIDE ACETATE 500 ug/20mL | Jul 30, 2026 | Sep 3, 2026 |
| Esteve Pharmaceuticals, S.a. | ZICONOTIDE ACETATE 500 ug/5mL | Jul 30, 2026 | Sep 3, 2026 |
| TerSera Therapeutics LLC | ZICONOTIDE ACETATE 25 ug/mL | Jul 15, 2026 | Sep 2, 2026 |
| TerSera Therapeutics LLC | ZICONOTIDE ACETATE 100 ug/mL | Jul 15, 2026 | Aug 28, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
Cite this page
DrugDashboards, "Prialt — NDC 68118-0723-10," retrieved September 3, 2026, https://drugdashboards.com/drug/68118072310.
Free to cite with attribution — see how the data is put together.