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Good sense sleep aid Doxylamine succinate 25 mg Tablet, 32-count — NDC 00113-0441-64 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Good sense sleep aid Doxylamine succinate 25 mg Tablet, 32-count — NDC 0113-0441-64 (Billing 00113-0441-64) · Product 0113-0441

by L. Perrigo Company · 32 BLISTER PACK in 1 CARTON (0113-0441-64) / 1 TABLET in 1 BLISTER PACK

NDC 0113-0441-64 (billing 00113-0441-64) is a package of 32 tablets of Good sense sleep aid Doxylamine succinate 25 mg Tablet from L. Perrigo Company, marketed since Apr 1997 and currently FDA-listed; retail pharmacies pay about $0.1158 per tablet (NADAC). It is the main listing for product NDC 0113-0441, which comes in 3 package sizes.

NDC 00113-0441-64
🏷️ FDA NDC (as labeled) 0113-0441-64 billing pads the labeler segment with a zero
This package
Contains32-count Cost per ea$0.1158 NADAC Per package$3.71 / 32 tablet Pack sizes3 compare ↓
Also priced by: Medicaid pays $0.7066/unit — full pricing hub ↓
Main listing for product 0113-0441 · Also comes in: 16 tablets 0113-0441-73 96 tablets 0113-0441-01
OTC Generic On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 0113-0441-64
Product NDC 0113-0441
11-digit billing NDC 00113044164
NCPDP billing unit EA — each (per item)
RxCUI 1101446
UNII V9BI9B5YI2
Application # ANDA040167
SPL Set ID f0a0eb93-96e0-432b-9b82-f0e891483be0
Established class (EPC) Antihistamine
Mechanism of action Histamine Receptor Antagonists
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 1997-04-14
Route ORAL
Dosage form TABLET
Substance DOXYLAMINE SUCCINATE

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 60300010100310
GPI class Sleep Aid
GCN Seq No 003707
GCN 11730
HICL code 004482
Ingredient (HICL) Doxylamine Succinate
HIC1 code H
Therapeutic class — broad (HIC1) Nervous System (Except Autonomic)
HIC2 code H2
Therapeutic class — intermediate (HIC2) Psychoactive Drugs
HIC3 code H2E
Therapeutic class — specific (HIC3) Sedative-Hypnotics,Non-Barbiturate
AHFS code 04:04.00.00
AHFS class First Generation Antihistamines
FDB label name GS SLEEP AID 25 MG TABLET
FDB brand name Sleep Aid
Legend status O — Over-the-counter (OTC) drug or device
Quick answers for NDC 0113-0441-64
  • GSN (GCN sequence number): 003707
  • GCN: 11730
  • GPI-14 (Medi-Span): 60300010100310
  • HICL (First Databank): 004482
  • AHFS class code: 04:04.00.00
  • RxCUI (RxNorm): 1101446
  • 11-digit billing NDC: 00113044164
Why two NDCs? The FDA registers this code as 0113-0441-64 — a 4-4-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the labeler segment → 00113-0441-64. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Antihistamine class.

Pharmacologic class Antihistamine
Drug family (ATC) Aminoalkyl ethers
How it works Histamine Receptor Antagonists
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

Label name GS SLEEP AID 25 MG TABLET Ingredient Doxylamine Succinate
📖 What it is MedlinePlus · NLM

Doxylamine is used to treat insomnia (difficulty falling asleep or staying asleep).   Doxylamine is in a class of medications called antihistamines. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms. Doxylamine is also used in combination with acetaminophen, dextromethorphan, decongestants and other medications to manage cold and flu symptoms. This monograph only includes information about the use of doxylamine alone. If you are taking the doxylamine combination products, read the information on the package label or ask your doctor or pharmacis...

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • It depends on the product. Sleep-aid tablets help you fall asleep more easily. Some NyQuil and other liquid or syrup products relieve hay fever and upper respiratory allergy sympto...
  • Adults and children 12 and over take one tablet about 30 minutes before bed, once daily or as your doctor directs. Take it only at bedtime. These tablets are not for children under...
  • No. The label says to avoid alcohol while using doxylamine. Also don’t drive or run machinery.
  • Yes, if you have emphysema or chronic bronchitis, glaucoma, or trouble urinating from an enlarged prostate. Also check if you take sedatives, other sleep aids, or other antihistami...
📖 Read our full Doxylamine guide →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eaPer package
Retail pharmacies payNADAC · weekly $0.116 $3.71 / 32 tablet
Medicaid paysCMS SDUD · 12 mo $0.7066 $22.61 / 32 tablet
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
NADAC price history (per ea) — tap or hover for the price & month
Jan 2022 Aug 2022 Jan 2026 Sep 2026 $0.125 $0.110
▼ Down 5% over the last 24 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startMarketing endStatus
00113-0441-64 0113-0441-64 You're viewing this Main listing 32 BLISTER PACK in 1 CARTON (0113-0441-64) / 1 TABLET in 1 BLISTER PACK $0.1158 / ea $3.71 1997-04-14 — Active
00113-0441-73 0113-0441-73 16 BLISTER PACK in 1 CARTON (0113-0441-73) / 1 TABLET in 1 BLISTER PACK $0.1158 / ea $1.85 1997-08-03 — Active
00113-0441-01 0113-0441-01 1 BOTTLE in 1 CARTON (0113-0441-01) / 96 TABLET in 1 BOTTLE — — 2025-08-14 — Active

This pack has the lowest per-ea cost of the 2 priced pack sizes ($0.1158 NADAC).

In Medicaid, this is the most-dispensed pack of this product — about 90% of fills over the last four reported quarters. See all packs ↓

Pack size FAQ

What quantity is in NDC 00113-0441-64?
NDC 00113-0441-64 is a 32-count package — 32 blister pack in 1 carton / 1 tablet in 1 blister pack.
What is the difference between NDC 00113-0441-64 and NDC 00113-0441-73?
Both are Good sense sleep aid Doxylamine succinate 25 mg Tablet — the drug itself is identical. NDC 00113-0441-64 is the 32-count package, while NDC 00113-0441-73 is the 16 tablets package.
What NDC number is used to bill for this package of Good sense sleep aid Doxylamine succinate 25 mg Tablet?
Bill NDC 00113-0441-64 — the 11-digit billing format is 00113044164. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Good sense sleep aid 25 mgthis 00113-0441-64 L. 32 tablets $0.116 — Availability likely —
good sense sleep aid ultra 25 mg 00113-4032-62 L. 24 tablets $0.116 — Availability likely —
Nighttime Sleep Aid 25 mg 46122-0788-15 Amerisource 32 tablets $0.116 — Availability likely —
Sleep-Aid 25 mg 70000-0567-01 Cardinal 48 tablets $0.116 — Availability likely —
Sleep Aid 25 mg 70677-1129-01 Strategic 32 tablets $0.116 — Availability likely —
good sense sleep aid ultra 25 mg 00113-6044-67 L. 48 tablets — — FDA listed —
Sleep Aid 25 mg 00363-0386-12 Walgreen 100 tablets — — FDA listed —
sleep aid 25 mg 00363-3462-80 Walgreen 96 tablets — — FDA listed —
ultra sleep aid 25 mg 00363-8011-62 Walgreen 24 tablets — — FDA listed —
up and up nighttime sleep aid 25 mg 11673-0171-01 Target 96 tablets — — FDA listed —
sleep aid 25 mg 11822-0441-00 Rite 48 tablets — — FDA listed —
sleep aid 25 mg 11822-3000-00 Rite 24 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 21130-0986-27 Better 32 tablets — — FDA listed —
Nighttime Sleep-Aid 25 mg 30142-0366-27 Kroger 32 tablets — — FDA listed —
Sleep Aid 25 mg 30142-0386-27 Kroger 32 tablets — — FDA listed —
TopCare Sleep Aid 25 mg 36800-0441-64 Topco 32 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 37808-0886-27 H 32 tablets — — FDA listed —
Sleep Aid 25 mg 41163-0986-22 United 48 tablets — — FDA listed —
Unisom SleepTabs 25 mg 41167-0063-05 Chattem, 16 tablets — — FDA listed —
Unisom SleepTabs 25 mg 41167-0608-00 Chattem, 16 tablets — — FDA listed —
Sleep Aid 25 mg 41250-0441-01 Meijer 96 tablets — — FDA listed —
Sleep Aid 25 mg 41250-0986-22 Meijer 48 tablets — — FDA listed —
CareOne Nighttime Sleep Aid 25 mg 41520-0634-64 American 32 tablets — — FDA listed —
nighttime sleep aid 25 mg 42507-0033-64 HyVee 32 tablets — — FDA listed —
Sleep Aid 25 mg 49035-0968-27 Wal-Mart 32 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 50844-0260-21 L.N.K. 16 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 50844-0386-19 L.N.K. 8 tablets — — FDA listed —
Sleep Aid 25 mg 51316-0368-22 CVS 48 tablets — — FDA listed —
Sleep Aid 25 mg 55301-0986-27 ARMY 32 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 55319-0439-16 Family 16 tablets — — FDA listed —
dg health sleep aid 25 mg 55910-0909-53 Dolgencorp 12 tablets — — FDA listed —
sleep aid 25 mg 56062-0441-01 Publix 96 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 59779-0441-01 CVS 96 tablets — — FDA listed —
Sleep Aid 25 mg 63981-0986-96 COSTCO 96 tablets — — FDA listed —
Nighttime Sleep Aid, 24-7 Life by 7-Eleven 25 mg 66715-5642-04 Lil' 16 tablets — — FDA listed —
ZzzQuil ULTRA, Travel BASIX 25 mg 66715-6451-03 Lil' 3 tablets — — FDA listed —
ZzzQuil ULTRA, Lil Drug Store 25 mg 66715-9751-02 Lil' 2 tablets — — FDA listed —
berkley and jensen sleep aid 25 mg 68391-0441-02 BJWC 192 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 69168-0439-06 Allegiant 120 tablets — — FDA listed —
Vicks ZzzQuil Ultra 25 mg 69423-0902-12 The 12 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 69842-0386-22 CVS 48 tablets — — FDA listed —
Basic Care Sleep Aid 25 mg 72288-0441-01 Amazon.com 96 tablets — — FDA listed —
SLEEP AID 25mg 25 mg 73581-0205-02 YYBA 200 tablets — — FDA listed —
Topcare Sleep Aid 25 mg 76162-0159-62 Topco 24 tablets — — FDA listed —
topcare sleep aid 25 mg 76162-0603-67 Topco 48 tablets — — FDA listed —
sleep aid ultra 25 mg 79481-0096-00 Meijer, 24 tablets — — FDA listed —
Night Time Sleep Aid 25 mg 80513-0371-25 Advanced 225 tablets — — FDA listed —
Nighttime Sleep Aid 25 mg 85828-0439-38 Grocery 32 tablets — — FDA listed —
Nocto Sleep Aid 25 mg 27854-0375-01 Belmora 24 tablets — — FDA listed —
Sleep Aid 25 mg 72288-0432-01 Amazon.com 96 tablets — — FDA listed —
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
1997
On the market since
Apr 1997
📍
2026
Currently FDA-listed
29 years listed
🔓
·
Generic on the market
this product is a generic
✅This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

What it looks like

Color Blue
ShapeOval
ImprintL441
Size1 mm
ScoringScored — splits in 2
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII L11K75P92J
    A mineral salt made from calcium and phosphate. It acts as a filler and binder in tablets to add bulk and help hold the medicine together in solid form.
  • UNII O7TSZ97GEP
    A mineral compound that serves as a filler and binding agent in tablets and capsules. It adds bulk to the medicine and helps hold ingredients together during manufacturing.
  • UNII J9EQA3S2JM
    FD&C Blue No. 1 Aluminum Lake is a blue colorant made by combining FD&C Blue No. 1 dye with aluminum salts. It is used to color tablets, capsules, and other medicines for easy identification and appearance.
  • UNII 70097M6I30
    Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
  • UNII OP1R32D61U
    Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
  • UNII H8AV0SQX4D
    A modified starch derived from potato or corn starch. It absorbs water quickly and helps tablets or capsules break apart and dissolve in the stomach, acting as a disintegrant to ensure the medicine releases its active ingredients properly.

6 inactive ingredients listed in the exact product block matched to this NDC.

The official label also statesanhydrous dibasic calcium phosphate, dibasic calcium phosphate dihydrate, FD&C blue no. 1 aluminum lake, magnesium stearate, microcrystalline cellulose, sodium starch glycolate

Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerL. Perrigo Company
Application holderL PERRIGO CO
FDA applicationANDA040167 (ANDA)
Labeler code00113
First marketedApr 1997
Product typeHuman Otc Drug
Portfolio228 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 📦 Storage and Handling 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Do Not Use 📄 Ask a Doctor Before Use If 📄 Ask a Doctor or Pharmacist Before Use If 📄 When Using This Product 📄 Stop Use and Ask a Doctor If 🤰 If Pregnant or Breast-Feeding 📄 Keep Out of Reach of Children 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 9 words ▾

Use • helps to reduce difficulty in falling asleep

⏱️ Dosage and Administration 39 words ▾

Directions • adults and children 12 years of age and over: take one tablet 30 minutes before going to bed; take once daily or as directed by a doctor • children under 12 years of age: do not use

⚠️ Warnings 167 words ▾

Warnings Do not use • in children under 12 years of age • with any other product containing doxylamine • unless you have time for a full night’s sleep Ask a doctor before use if you have • a breathing problem such as emphysema or chronic bronchitis • glaucoma • trouble urinating due to an enlarged prostate gland Ask a doctor or pharmacist before use if you are taking • a sedative or any other sleep-aid • tranquilizers • any other antihistamines • any other drugs When using this product • avoid alcoholic beverages • do not drive a motor vehicle or operate machinery • take only at bedtime Stop use and ask a doctor if • sleeplessness persists continuously for more than two weeks.

Insomnia may be a symptom of serious underlying medical illness. If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children.

In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222).

📦 Storage and Handling 14 words ▾

Other information • store at 20°-25°C (68°-77°F) • keep carton. It contains important information.

🧪 Active Ingredient 9 words ▾

Active ingredient (in each tablet) Doxylamine succinate 25 mg

🧪 Inactive Ingredients 23 words ▾

Inactive ingredients anhydrous dibasic calcium phosphate, dibasic calcium phosphate dihydrate, FD&C blue no. 1 aluminum lake, magnesium stearate, microcrystalline cellulose, sodium starch glycolate

🎯 Purpose 3 words ▾

Purpose Nighttime sleep-aid

📄 Do Not Use 28 words ▾

Do not use • in children under 12 years of age • with any other product containing doxylamine • unless you have time for a full night’s sleep

📄 Ask a Doctor Before Use If 29 words ▾

Ask a doctor before use if you have • a breathing problem such as emphysema or chronic bronchitis • glaucoma • trouble urinating due to an enlarged prostate gland

📄 Ask a Doctor or Pharmacist Before Use If 28 words ▾

Ask a doctor or pharmacist before use if you are taking • a sedative or any other sleep-aid • tranquilizers • any other antihistamines • any other drugs

📄 When Using This Product 23 words ▾

When using this product • avoid alcoholic beverages • do not drive a motor vehicle or operate machinery • take only at bedtime

📄 Stop Use and Ask a Doctor If 26 words ▾

Stop use and ask a doctor if • sleeplessness persists continuously for more than two weeks. Insomnia may be a symptom of serious underlying medical illness.

🤰 If Pregnant or Breast-Feeding 10 words ▾

If pregnant or breast-feeding, ask a health professional before use.

📄 Keep Out of Reach of Children 22 words ▾

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222).

📄 Questions or Comments 4 words ▾

Questions or comments? 1-800-719-9260

📄 Package Label / Principal Display Panel 40 words ▾

Principal Display Panel GOODSENSE ® Nighttime Sleep Aid Tablets Doxylamine Succinate Tablets, 25 mg Nighttime Sleep-Aid Actual Size • Clinically Tested, Proven Effective • One Tablet Per Dose Compare to active ingredient of Unisom ® SleepTabs ® 32 Tablets goodsense-sleep-aid-tablets-carton-image.jpg

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 00113-0441-64, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q1 2026 · 5 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
1.4K
Units reimbursed last 4 qtrs
41.2K
Gross reimbursed last 4 qtrs
$29.1K
Avg / prescription
$21.52
Avg / unit
$0.7066
Latest quarter Q1 2026
257Rx
Medicaid pays / ea
$0.7066
gross reimbursed
vs
NADAC / ea
$0.1158
acquisition cost
=
Spread
+$0.5908
+510% vs cost
What Medicaid paid per ea (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care ⓘ
89% MCO
Fee-for-service · 154 Rx Managed care · 1,199 Rx
State Medicaid map
Alaska: no data reported AK Maine: no data reported ME Washington: no data reported WA Idaho: no data reported ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: 943 units · 16.4 per 100k residents MN Wisconsin: no data reported WI Michigan: no data reported MI New York: no data reported NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: no data reported OR Nevada: no data reported NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: no data reported IA Illinois: no data reported IL Indiana: no data reported IN Ohio: 2,703 units · 22.9 per 100k residents OH Pennsylvania: 13,695 units · 106 per 100k residents PA New Jersey: 1,694 units · 18.2 per 100k residents NJ Massachusetts: 6,142 units · 87.7 per 100k residents MA California: no data reported CA Utah: no data reported UT Colorado: no data reported CO Nebraska: 371 units · 18.8 per 100k residents NE Missouri: 1,568 units · 25.3 per 100k residents MO Kentucky: 10,483 units · 232 per 100k residents KY West Virginia: no data reported WV Virginia: no data reported VA Maryland: 1,311 units · 21.2 per 100k residents MD Connecticut: no data reported CT Rhode Island: no data reported RI Arizona: 1,074 units · 14.5 per 100k residents AZ New Mexico: no data reported NM Kansas: no data reported KS Arkansas: no data reported AR Tennessee: no data reported TN North Carolina: no data reported NC South Carolina: no data reported SC Delaware: no data reported DE Oklahoma: no data reported OK Louisiana: no data reported LA Mississippi: 888 units · 30.2 per 100k residents MS Alabama: no data reported AL Georgia: 336 units · 3.0 per 100k residents GA D.C.: no data reported DC Hawaii: no data reported HI Texas: no data reported TX Florida: no data reported FL
Units reimbursed · per 100k residents
3.0232
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Kentucky 232 /100k
2 Pennsylvania 106 /100k
3 Massachusetts 87.7 /100k
4 Mississippi 30.2 /100k
5 Missouri 25.3 /100k
6 Ohio 22.9 /100k
7 Maryland 21.2 /100k
8 Nebraska 18.8 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
32 tablets this page00113-0441-64 1,353 Rx · $29,116
16 tablets00113-0441-73 153 Rx · $899
96 tablets00113-0441-01 No Medicaid data
Drug total (last 4 qtrs): 1,506 Rx · 44,846 units · $30,015 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.
← 00113-0437-71 · L. 00113-0443-01 · L. →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.