DrugDashboards

Myfembree

relugolix, estradiol hemihydrate, and norethindrone acetate · RELUGOLIX 40 mg/1; ESTRADIOL HEMIHYDRATE 1 mg/1; NORETHINDRONE ACETATE .5 mg/1 · Tablet, Film Coated · Oral · Sumitomo Pharma America, Inc

NDC 72974-0415-01 · 28 TABLET, FILM COATED in 1 BOTTLE, PLASTIC · NDA · View full market →

The short version

Just 2 companies supply this market — thin enough that a single exit would be felt immediately. The price has held steady around $45.25 per unit over the past year. 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)$45.25per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D plans paid (avg)$41.52per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$45.35per unitnegotiated price across 168 plans — before rebates · Apr 1, 2026
  • List price (WAC, as filed)$1,249.98per packageSumitomo Pharma America, Inc. · Dec 30, 2024

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
$45.35per unit
middle half $44.68$46.00 · 168 plans · Apr 1, 2026
Est. net of rebates
$27.21–$34.02
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
3%of plans cover it
tier 5 · prior auth 95% · step therapy 0% · qty limit 25%

*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$20.00$40.00$60.00Oct 2022Sep 2026$45.25
26 price points · per EASource: CMS NADAC

Estimated fill cost

#30 count
$1357.63
#90 count
$4072.90

Estimates: latest NADAC unit price × quantity. Pharmacy acquisition cost only — excludes dispensing fees, markup, and insurance terms.

Medicaid spend (2025)

$27.5M
19,419 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

20Low risk

Some pressure is visible, but not much — here’s everything the score found to count.

  • 2 active manufacturers+20

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)

0.1%chance of a new FDA shortage posting for relugolix, estradiol hemihydrate, and norethindrone acetate (oral solid) in the next 90 days

sole-source market · price up 6% YoY

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 →

Is this a "specialty" drug?

There's no legal definition — it meets 2 of 6 public criteria. Why that matters →

  • Part D specialty tier · median tier 5 across plans
  • Costs ≥ $950/fill · avg $1,508.63 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA214846
TE code
Approval date
May 26, 2021
Patents / exclusivity
8 patents, 1 exclusivities
TypeNumber / codeExpires
exclusivityM-289Jan 27, 2026
patent12551447Nov 5, 2042
patent11793812May 3, 2038
patent11957684Sep 29, 2037
patent11033551Sep 29, 2037
patent12325714Sep 27, 2033
patent11795178Sep 27, 2033
patent7300935Jan 28, 2029
patent8058280Jan 28, 2026

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of relugolix, estradiol hemihydrate, and norethindrone acetate (Tablet, Film Coated)

LabelerStrengthFirst seenLast seen
Patheon, Inc.RELUGOLIX 40 mg/1; ESTRADIOL HEMIHYDRATE 1 mg/1; NORETHINDRONE ACETATE .5 mg/1Aug 20, 2026Sep 3, 2026
Sumitomo Pharma America, IncRELUGOLIX 40 mg/1; ESTRADIOL HEMIHYDRATE 1 mg/1; NORETHINDRONE ACETATE .5 mg/1Aug 26, 2026Sep 2, 2026
Patheon, Inc.RELUGOLIX 1 mg/1; ESTRADIOL HEMIHYDRATE .5 mg/1; NORETHINDRONE ACETATE 40 mg/1Jul 22, 2026Aug 19, 2026
Sumitomo Pharma America, IncRELUGOLIX 1 mg/1; ESTRADIOL HEMIHYDRATE .5 mg/1; NORETHINDRONE ACETATE 40 mg/1Jul 22, 2026Aug 19, 2026
Patheon, Inc.ESTRADIOL HEMIHYDRATE 1 mg/1; NORETHINDRONE ACETATE .5 mg/1; RELUGOLIX 40 mg/1Jul 15, 2026Jul 15, 2026
Sumitomo Pharma America, IncESTRADIOL HEMIHYDRATE 1 mg/1; NORETHINDRONE ACETATE .5 mg/1; RELUGOLIX 40 mg/1Jul 15, 2026Jul 15, 2026

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

Cite this page

DrugDashboards, "Myfembree — NDC 72974-0415-01," retrieved September 3, 2026, https://drugdashboards.com/drug/72974041501.

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