DrugDashboards

cyanocobalamin

cyanocobalamin · CYANOCOBALAMIN 1000 ug/mL · Injection, Solution · Intramuscular; Subcutaneous · Zydus Pharmaceuticals USA Inc.

NDC 70710-1665-01 · 1 VIAL, MULTI-DOSE in 1 CARTON / 30 mL in 1 VIAL, MULTI-DOSE · ANDA · View full market →

The short version

15 companies supply this market — deep enough that no single failure threatens the supply. The price has held steady around $0.7612 per mL over the past year. Put together: this looks like a healthy supply — the boring kind, which is exactly what you want. Historically, drugs in this position went on to a new shortage within 90 days about 0.5% of the time — roughly 3× 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.

  • Pharmacies pay (NADAC)$0.7612per MLinvoice-surveyed acquisition cost · Jun 17, 2026
  • Medicare Part B pays (ASP+6%)$0.6830per billing unit (1000 MCG)HCPCS J3420 · Jul 1, 2026

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$1.00Oct 2022Sep 2026$0.7612
31 price points · per ML · held since Invalid DateSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$50.15
Reported to Texas DSHS · 2025 annual filing · Zydus Pharmaceuticals (USA) Inc

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

Medicare Part B (ASP)

Payment limit per 1000 MCG
$0.683
HCPCS J3420 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2024)

$31
39 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.

  • 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 cyanocobalamin (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
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
ANDA214655
TE code
AP
Approval date
Apr 15, 2022
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 cyanocobalamin (Injection, Solution)

LabelerStrengthFirst seenLast seen
American Regent, Inc.CYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 3, 2026
BluePoint LaboratoriesCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 3, 2026
Henry Schein, Inc.CYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 3, 2026
Lifestar Pharma LLCCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 3, 2026
Vitruvias TherapeuticsCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 3, 2026
A-S Medication SolutionsCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 2, 2026
Asclemed USA, Inc.CYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 2, 2026
AuroMedics Pharma LLCCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 2, 2026
NorthStar RxLLCCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 2, 2026
Sagent PharmaceuticalsCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 2, 2026
Somerset Therapeutics, LLCCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Sep 2, 2026
Fresenius Kabi USA, LLCCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Aug 31, 2026
HF Acquisition Co LLC, DBA HealthFirstCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Aug 31, 2026
Zydus Lifesciences LimitedCYANOCOBALAMIN 1000 ug/mLJul 15, 2026Aug 31, 2026
Zydus Pharmaceuticals USA Inc.CYANOCOBALAMIN 1000 ug/mLJul 15, 2026Aug 31, 2026

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

Cite this page

DrugDashboards, "cyanocobalamin — NDC 70710-1665-01," retrieved September 3, 2026, https://drugdashboards.com/drug/70710166501.

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