DrugDashboards

Auvelity

dextromethorphan hydrobromide, bupropion hydrochloride · DEXTROMETHORPHAN HYDROBROMIDE 45 mg/1; BUPROPION HYDROCHLORIDE 105 mg/1 · Tablet, Multilayer, Extended Release · Oral · Axsome Therapeutics, Inc.

NDC 81968-0045-30 · 30 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE · NDA · View full market →

The short version

Only one company currently supplies this market — there is no backup if it stumbles. The price has held steady around $19.90 per unit over the past year. 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)$19.90per EAinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D plans paid (avg)$18.58per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$19.97per unitnegotiated price across 5,496 plans — before rebates · Apr 1, 2026
  • Federal contracts pay (FSS)$13.62per unitAxsome Therapeutics, Inc. · Jan 1, 202668% of what pharmacies pay — a deeper discount than 76% 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
$19.97per unit
middle half $19.71$20.78 · 5,496 plans · Apr 1, 2026
Est. net of rebates
$11.98–$14.98
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
100%of plans cover it
tier 5 · prior auth 38% · step therapy 36% · qty limit 77%

*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$10.00$20.00Feb 2023Sep 2026$19.90
23 price points · per EASource: CMS NADAC

Estimated fill cost

#30 count
$596.88
#90 count
$1790.63

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

Medicaid spend (2025)

$35.0M
36,481 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)

0.1%chance of a new FDA shortage posting for dextromethorphan hydrobromide, bupropion hydrochloride (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 →

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 2 of 6 public criteria. Why that matters →

  • Part D specialty tier · median tier 5 across plans
  • Costs ≥ $950/fill · avg $1,054.69 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA215430
TE code
Approval date
Aug 18, 2022
Patents / exclusivity
204 patents, 2 exclusivities
TypeNumber / codeExpires
exclusivityI-913Apr 30, 2029
exclusivityI-913Apr 30, 2029
patent12653795Nov 28, 2043
patent12194036Apr 20, 2043
patent11844797Apr 20, 2043
patent11839612Mar 2, 2043
patent12042473Feb 23, 2043
patent12146889Feb 23, 2043
patent11752144Feb 23, 2043
patent12472155Feb 23, 2043
patent11986444Feb 15, 2043
patent12370154Feb 15, 2043

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of dextromethorphan hydrobromide, bupropion hydrochloride (Tablet, Multilayer, Extended Release)

LabelerStrengthFirst seenLast seen
Axsome Therapeutics, Inc.DEXTROMETHORPHAN HYDROBROMIDE 30 mg/1; BUPROPION HYDROCHLORIDE 105 mg/1Aug 26, 2026Sep 2, 2026
Axsome Therapeutics, Inc.DEXTROMETHORPHAN HYDROBROMIDE 45 mg/1; BUPROPION HYDROCHLORIDE 105 mg/1Aug 26, 2026Sep 2, 2026
Axsome Therapeutics, Inc.DEXTROMETHORPHAN HYDROBROMIDE 105 mg/1; BUPROPION HYDROCHLORIDE 30 mg/1Jul 22, 2026Aug 19, 2026
Axsome Therapeutics, Inc.DEXTROMETHORPHAN HYDROBROMIDE 105 mg/1; BUPROPION HYDROCHLORIDE 45 mg/1Jul 22, 2026Aug 19, 2026
Axsome Therapeutics, Inc.BUPROPION HYDROCHLORIDE 105 mg/1; DEXTROMETHORPHAN HYDROBROMIDE 30 mg/1Jul 15, 2026Jul 15, 2026
Axsome Therapeutics, Inc.BUPROPION HYDROCHLORIDE 105 mg/1; DEXTROMETHORPHAN HYDROBROMIDE 45 mg/1Jul 15, 2026Jul 15, 2026

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

Cite this page

DrugDashboards, "Auvelity — NDC 81968-0045-30," retrieved September 3, 2026, https://drugdashboards.com/drug/81968004530.

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