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 $3.53 per unit over the past year.
Market view
azithromycin dihydrate · Injection, Powder, Lyophilized, For Solution
3 marketed package NDCs · 2 active manufacturers
Most dispensed: 250 mg · Tablet, Film Coated · #30 tablet, film coateds/bottle · 250 mg · Tablet, Film Coated · #1 blister pack/carton / 6 tablet, film coated in 1 blister pack · 500 mg · Tablet, Film Coated · #30 tablet, film coateds/bottle · 500 mg · Tablet, Film Coated · #1 blister pack/carton / 3 tablet, film coated in 1 blister pack
Price range and competition
RSS: changes for this drugEvery company selling this drug reports its own price. The line follows the middle of the pack; the shaded band holds the middle half of companies — the wider it is, the more they disagree.
Latest · Oct 2025 — typical price $3.53 · middle half $3.53–$3.53 · full range $3.53–$3.53 · 1 products · 2 companies
ⓘ How this was built
Data sources
- CMS NADAC weekly survey + monthly archives back to 2013 (data.medicaid.gov)
- CMS Federal Upper Limit files (weighted AMP)
- FDA NDC Directory (openFDA) — maker roster
Method
Each month's band spans the NADAC unit prices of every NDC of this drug (min, quartiles, median, max), split into brand and generic cohorts by FDA marketing category. Maker counts come from distinct labelers with the NDC actively listed.
Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.
What changed in the last 90 days
Every detected change for azithromycin dihydrate, newest first — price moves, shortages, recalls, and manufacturers entering or leaving. Detected by comparing each day’s federal data against the day before.
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.26796 → $0.26759 per unit (-0.14%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.26796 → $0.26759 per unit (-0.14%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.26796 → $0.26759 per unit (-0.14%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.26796 → $0.26759 per unit (-0.14%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.58506 → $0.56045 per unit (-4.21%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.58506 → $0.56045 per unit (-4.21%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.58506 → $0.56045 per unit (-4.21%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.58506 → $0.56045 per unit (-4.21%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.79089 → $0.75519 per unit (-4.51%)
- Azithromycin DihydrateAug 19, 2026Price downNADAC $0.26796 → $0.26759 per unit (-0.14%)
Same drug class
Other molecules FDA puts in Macrolide Antimicrobial, with whether each is in shortage right now. Same class is not the same drug — substitution is a clinical decision, and this is a supply picture, not a recommendation.
Common questions
- Is Azithromycin dihydrate in shortage right now?
- No. FDA does not currently list Azithromycin dihydrate in shortage. This page is rebuilt every morning from FDA's shortage database, so a new posting appears here the day it is published.
- Who makes Azithromycin dihydrate?
- 35 companies have marketed Azithromycin dihydrate in the last 30 days, according to the FDA NDC Directory. Every manufacturer and package is listed on this page.
- What does Azithromycin dihydrate cost?
- The typical pharmacy pays about $0.2962 per unit, based on the most recent CMS NADAC survey of actual acquisition costs. That is what the pharmacy pays for the drug itself — not the cash price, and not what an insurer is billed.
Shortage reports for this molecule
- Planned discontinuation — Zithromax IV, Injection, 500 mg/5 mL (NDC 0069-3150-83)Jan 20, 2026
All marketed products
Expand a strength to see its dosage forms, then package sizes, then each manufacturer and NDC. Click an NDC for its full detail page.