DrugDashboards

Pilocarpine Hydrochloride

Pilocarpine Hydrochloride · PILOCARPINE HYDROCHLORIDE 20 mg/mL · Solution/ Drops · Ophthalmic · Amneal Pharmaceuticals NY LLC

NDC 69238-1746-08 · 1 BOTTLE in 1 CARTON / 15 mL in 1 BOTTLE · ANDA · View full market →

The short version

Just 3 companies supply this market — thin enough that a single exit would be felt immediately. The generic price is down 13% over the past year, to $2.99 per mL. The brand (Vuity) runs $27.39 per mL 8.4× more. Put together: this looks like a healthy supply — the boring kind, which is exactly what you want.

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)$2.99per MLinvoice-surveyed acquisition cost · Aug 19, 2026
  • Medicaid generic ceiling (FUL)$2.99per MLweighted avg manufacturer price $1.4831 · Aug 1, 2026100% of what pharmacies pay — higher than 10% of drugs with this benchmark

Medicare Part D

All Part D pricing →

Matched to CMS's representative package for this drug (NDC 61314-0204-15) — same generic, strength, and dosage form. CMS prices one NDC per drug concept, not every package.

ⓘ 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
$3.91per unit
middle half $2.48$4.80 · 5,652 plans · Jan 1, 2025
Est. net of rebates
≈ $3.91
generic — rebates are minimal, so net ≈ gross
Coverage & restrictions
of plans cover it

*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 5 quarters since 2024.

NADAC price per unit

$0$2.00$4.00$6.00Apr 2021Sep 2026$2.99
66 price points · per ML · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

WAC per package, as filed
$64.50
Reported to Texas DSHS · 2026 annual filing · Amneal Pharmaceuticals LLC

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

Medicaid spend (2025)

$10,523
169 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.

  • 3 active manufacturers+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)

0.2%chance of a new FDA shortage posting for pilocarpine hydrochloride (other) in the next 90 days

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 in ordinary territory.

Backtested statistical model over the whole market, not this package alone. Model details →

Regulatory

Application
ANDA214193
TE code
AT
Approval date
Sep 21, 2020
Patents / exclusivity
None on file

Shortage history

  • Planned discontinuation Vuity, Ophthalmic Solution, 12.5 mg/1 mL (NDC 0074-7098-04)Mar 24, 2026
  • Planned discontinuation Vuity, Ophthalmic Solution, 12.5 mg/1 mL (NDC 0074-7098-06)Mar 24, 2026

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of Pilocarpine Hydrochloride (Solution/ Drops)

LabelerStrengthFirst seenLast seen
Amneal Pharmaceuticals NY LLCPILOCARPINE HYDROCHLORIDE 12.5 mg/mLJul 15, 2026Sep 3, 2026
AbbVie Inc.PILOCARPINE HYDROCHLORIDE 12.5 mg/mLJul 15, 2026Sep 2, 2026
Amneal Pharmaceuticals NY LLCPILOCARPINE HYDROCHLORIDE 10 mg/mLJul 15, 2026Sep 2, 2026
Amneal Pharmaceuticals NY LLCPILOCARPINE HYDROCHLORIDE 20 mg/mLJul 15, 2026Sep 2, 2026
Amneal Pharmaceuticals NY LLCPILOCARPINE HYDROCHLORIDE 40 mg/mLJul 15, 2026Sep 2, 2026
Sandoz IncPILOCARPINE HYDROCHLORIDE 20 mg/mLJul 15, 2026Sep 2, 2026
Sandoz IncPILOCARPINE HYDROCHLORIDE 10 mg/mLJul 15, 2026Sep 2, 2026
Sandoz IncPILOCARPINE HYDROCHLORIDE 40 mg/mLJul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Pilocarpine Hydrochloride — NDC 69238-1746-08," retrieved September 3, 2026, https://drugdashboards.com/drug/69238174608.

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