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ALMACONE DOUBLE STRENGTH aluminum hydroxide, magnesium hydroxide, dimethicone 400 mg/5mL; 400 mg/5mL; 40 mg/5mL Suspension, 355 mL — NDC 00536-0015-83 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

ALMACONE DOUBLE STRENGTH aluminum hydroxide, magnesium hydroxide, dimethicone 400 mg/5mL; 400 mg/5mL; 40 mg/5mL Suspension, 355 mL — NDC 0536-0015-83 (Billing 00536-0015-83)

by RUGBY LABORATORIES · 355 mL in 1 BOTTLE

This is a package of 355 mL of ALMACONE DOUBLE STRENGTH aluminum hydroxide, magnesium hydroxide, dimethicone 400 mg/5mL; 400 mg/5mL; 40 mg/5mL Suspension from RUGBY LABORATORIES, marketed since Jan 2011 and currently FDA-listed; retail pharmacies pay about $0.0121 per mL (NADAC). It is this product's only package size.

NDC 00536-0015-83
🏷️ FDA NDC (as labeled) 0536-0015-83 billing pads the labeler segment with a zero
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Oct 1, 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

NDC database record

One package, one record: these facts belong to NDC 0536-0015-83 alone.

Record
FDA NDC Directory package listing · Human OTC drug
Code segments
0536 labeler · 0015 product · 83 package
Package marketed since
Aug 1, 2013
Sample package
No — commercial package
Listing certified through
Dec 31, 2026
Billing quantity
355 mL per package
Barcode (UPC)
0305360015832
Medicaid fills, this package
18,731 prescriptions in the last four reported quarters
FDA record last changed
Oct 1, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 0536-0015-83
Product NDC 0536-0015
11-digit billing NDC 00536001583
NCPDP billing unit ML — per mL (volume)
RxCUI 210000, 237870
UNII 5QB0T2IUN0, NBZ3QY004S, 92RU3N3Y1O
UPC 0305360015832
Application # M001
SPL Set ID 25f22cff-2864-4853-a7f8-8edd9f8f3c29
Physiologic effect Skin Barrier Activity
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2011-01-05
Route ORAL
Dosage form SUSPENSION
Substance ALUMINUM HYDROXIDE; MAGNESIUM HYDROXIDE; DIMETHICONE

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

GPI-14 48991003101835
GPI class Almacone Double Strength
GCN Seq No 002706
GCN 63915
HICL code 001168
Ingredient (HICL) Mag Hydrox/Aluminum Hyd/Simeth
HIC1 code D
Therapeutic class — broad (HIC1) Biliary System/Gastro-Intestinal System
HIC2 code D4
Therapeutic class — intermediate (HIC2) Drugs Acting Principally On The Alimentary Tract
HIC3 code D4B
Therapeutic class — specific (HIC3) Antacids
AHFS code 56:04.00.00
AHFS class Antacids And Adsorbents
FDB label name ALMACONE-2 LIQUID
FDB brand name Almacone-2
Legend status O — Over-the-counter (OTC) drug or device
Quick answers
  • GSN (GCN sequence number): 002706
  • GCN: 63915
  • GPI-14 (Medi-Span): 48991003101835
  • HICL (First Databank): 001168
  • AHFS class code: 56:04.00.00
  • RxCUI (RxNorm): 210000
Why two NDCs? The FDA registers this code as 0536-0015-83 — 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 → 00536-0015-83. 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 Aluminium compounds class.

Drug family (ATC) Aluminium compounds
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 ALMACONE-2 LIQUID Ingredient Mag Hydrox/Aluminum Hyd/Simeth
📖 About the active ingredient MedlinePlus · NLM
General information about the ingredient itself — the description of this specific product follows below.

Aluminum Hydroxide, Magnesium Hydroxide are antacids used together to relieve heartburn, acid indigestion, and upset stomach. They may be used to treat these symptoms in patients with peptic ulcer, gastritis, esophagitis, hiatal hernia, or too much acid in the stomach (gastric hyperacidity). They combine with stomach acid and neutralize it. Aluminum Hydroxide, Magnesium Hydroxide are available without a prescription. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Read the full MedlinePlus article ↗
🧪 What is this product?

Almacone Double Strength is an oral suspension marketed as an over-the-counter antacid under FDA's established drug monograph rules. It contains two antacid ingredients, aluminum hydroxide and magnesium hydroxide, which are typically used to neutralize stomach acid and relieve heartburn and indigestion. The suspension also contains dimethicone, an ingredient commonly included in antacid products to help reduce gas and bloating. This product is taken by mouth in measured doses as needed.

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
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 mLPer package
Retail pharmacies payNADAC · weekly $0.012 $4.30 / 355 ml
Medicaid paysCMS SDUD · 12 mo $0.0296 $10.51 / 355 ml
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
NADAC price history (per mL) — tap or hover for the price & month
Jan 2022 Aug 2022 Jan 2026 Sep 2026 $0.012 $0.009
▲ Up 41% 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 Marketing startMarketing endStatus
00536-0015-83 You're viewing this Main listing 355 mL in 1 BOTTLE 2013-08-01 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Maximum Strength Antacid 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 63868-0715-57 Chain 355 ml $0.010 — FDA listed save 14%
Almacone Double Strength 400 mg/5mL; 400 mg/5mL; 40 mg/5mLthis 00536-0015-83 RUGBY 355 ml $0.012 — Availability likely —
Mintox Maximum Strength 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 00904-5725-14 MAJOR 355 ml $0.012 — Availability likely —
Antacid Antigas Nta 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 46122-0431-40 AMERISOURCEBERGEN 355 ml $0.012 — Availability likely —
Antacid Antigas Nta 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 46122-0432-40 AMERISOURCEBERGEN 355 ml $0.012 — Availability likely —
Maximum Strength Antacid 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 70000-0062-01 CARDINAL 355 ml $0.012 — Availability likely —
Maximum Strength Antacid 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 70000-0422-01 CARDINAL 355 ml $0.012 — Availability likely —
Maximum Strength Antacid Antigas 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 70677-1064-01 STRATEGIC 355 ml $0.012 — Availability likely —
Maximum Strength Antacid And Antigas 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 70677-1065-01 STRATEGIC 355 ml $0.012 — Availability likely —
QCH Maximum Strength Antacid 516 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 83324-0122-12 Chain 355 ml $0.012 — Availability likely —
Mag-AL Plus XS 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 00121-1762-30 PAI 10 cups — — FDA listed —
Maximum Strength Antacid Antigas 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 00363-1691-12 WALGREEN 355 ml — — FDA listed —
Maximum Strength Antacid And Gas Relief 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 11822-3727-06 RITE 355 ml — — Discontinued —
Maximum Strength Antacid And Antigas 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 11822-5742-00 RITE 355 ml — — Discontinued —
Mintox Maximum Strength 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 17856-5725-03 ATLANTIC 30 ml — — FDA listed —
Antacid 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 21130-0508-05 Safeway 177 ml — — FDA listed —
Antacid Plus 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 21130-0691-12 BETTER 355 ml — — FDA listed —
Maximum Strength Antacid 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 30142-0638-12 KROGER 355 ml — — FDA listed —
Maximum Strength Antacid Mint 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 36800-0342-40 Topco 355 ml — — FDA listed —
Maximum Strength Antacid Cherry liquid 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 36800-0587-40 Topco 355 ml — — FDA listed —
maximum strength antacid cherry 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 41163-0065-05 UNITED 355 ml — — FDA listed —
Maximum Strength Antacid Cherry 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 49035-0638-12 WAL-MART 355 ml — — FDA listed —
Maximum Strength Antacid 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 49035-0681-12 WAL-MART 355 ml — — FDA listed —
Maximum Strength Antacid And Gasrelief 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 50804-0619-12 GOODSENSE 355 ml — — FDA listed —
Antacid And Gasrelief 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 50804-0638-12 GOODSENSE 355 ml — — FDA listed —
Maximum Strength Antacid 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 51316-0142-12 CVS 355 ml — — FDA listed —
Mag-Al Plus XS 2400 mg/30mL; 2400 mg/30mL; 240 mg/30mL 55154-9422-05 Cardinal 5 cups — — FDA listed —
Maximum Strength Advanced Antacid 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 55910-0638-12 DOLGENCORP, 355 ml — — FDA listed —
Aluminum Hydroxide, Magnesium Hydroxide and Simethicone 2400 mg/30mL; 2400 mg/30mL; 240 mg/30mL 57237-0324-31 Rising 100 cups — — FDA listed —
Geri-Lanta Maximum Strength 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 57896-0619-12 Geri-Care 355 ml — — FDA listed —
Geri-Mox Max Cherry 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 57896-0638-10 Geri-Care 100 cups — — FDA listed —
MAXIMUM STRENGTH Antacid 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 57896-0664-12 Geri-Care 355 ml — — FDA listed —
Aluminum Hydroxide, Magnesium Hydroxide, and Dimethicone 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 60687-0888-76 American 10 cups — — FDA listed —
Mylanta Maximum Strength Classic Flavor 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 62372-0500-12 Infirst 355 ml — — FDA listed —
Mylanta Maximum Strength Vanilla Caramel Flavor 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 62372-0504-12 Infirst 355 ml — — FDA listed —
Maximum Strength Antacid And Antigas 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 63941-0619-12 VALU 355 ml — — FDA listed —
Maximum Strength Antacid And Antigas Cherry 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 63941-0638-12 VALU 355 ml — — FDA listed —
Geri-Lanta Maximum Strength 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 68071-3423-01 NuCare 355 ml — — FDA listed —
Mintox Maximum Strength 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 68071-4114-01 NuCare 355 ml — — FDA listed —
Maximum Strength Antacid Cherry 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 69256-0508-40 Harris 355 ml — — FDA listed —
Maximum Strength Antacid 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 69256-0517-05 Harris 355 ml — — FDA listed —
Maximum Strength Antacid Mint 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 69842-0296-73 CVS 355 ml — — FDA listed —
Antacid 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 69842-0508-05 CVS 355 ml — — FDA listed —
Maximum Strength Antacid 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 69842-0619-12 CVS 355 ml — — FDA listed —
Maximum Strength Antacid Cherry 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 69842-0683-12 CVS 355 ml — — Discontinued —
Mintox Maximum Strength 400 mg/5mL; 400 mg/5mL; 40 mg/5mL 71205-0515-35 Proficient 355 ml — — FDA listed —
Antacid 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 72476-0516-05 Retail 355 ml — — FDA listed —
Maximum Strength Antacid and Antigas 800 mg/10mL; 800 mg/10mL; 80 mg/10mL 79481-0638-01 Meijer, 355 ml — — FDA listed —
Kesin MAG-AL Plus XS 40 mg/5mL; 400 mg/5mL; 400 mg/5mL 81033-0007-01 Kesin 100 cups — — FDA listed —
Aluminum Hydroxide, Magnesium Hydroxide and Simethicone 2400 mg/30mL; 2400 mg/30mL; 240 mg/30mL 84415-0010-01 Everpharm 100 cups — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
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

🏛️
2011
On the market since
Jan 2011
📍
2026
Currently FDA-listed
15 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

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

FlavorLemon
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 LKG8494WBH
    Benzyl alcohol is a clear liquid used as a preservative and solvent in medicines. It helps prevent bacterial and fungal growth and dissolves other ingredients to create uniform liquid formulations.
  • UNII 3QPI1U3FV8
    A preservative derived from benzoic acid that prevents bacterial and fungal growth in medicines. It helps extend shelf life and maintain product safety during storage and use.
  • UNII K679OBS311
    Carboxymethylcellulose sodium is a plant-derived thickening agent made from cellulose. In medicines, it acts as a binder to hold ingredients together, a disintegrant to help the tablet break apart, or a thickener in liquids.
  • 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 3NXW29V3WO
    Hypromellose is a plant-based thickener made from cellulose. It's used in medicines as a binder to hold ingredients together, a coating for tablets, and a thickener for liquids.
  • UNII Z8IX2SC1OH
    Propylparaben is a chemical preservative used to prevent bacterial and fungal growth in medicines and personal care products. It helps extend shelf life and maintain product safety during storage.
  • UNII SB8ZUX40TY
    Saccharin sodium is an artificial sweetener made from saccharin salt. It's added to medicines to improve taste, especially in liquid formulations for children or bitter drugs.
  • UNII 8KW3E207O2
    A liquid sweetener made from sorbitol, a sugar alcohol derived from glucose. It sweetens the medicine and also acts as a humectant to help retain moisture and improve texture in liquid formulations.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

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

The official label also statesbenzyl alcohol, butylparaben, carboxymethylcellulose sodium, flavor (contains alcohol), hypromellose, microcrystalline cellulose, propylparaben, purified water, saccharin sodium, sorbitol solution

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

LabelerRUGBY LABORATORIES
FDA applicationM001 (OTC MONOGRAPH DRUG)
Labeler code00536
First marketedJan 2011
Product typeHuman Otc Drug
Portfolio149 products on file

More NDCs from RUGBY LABORATORIES labeler code 00536

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 📄 Keep Out of Reach of Children 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 12 words ▾

Uses relieves heartburn sour stomach acid indigestion symptoms referred to as gas

⏱️ Dosage and Administration 56 words ▾

Directions shake well before use adults and children 12 years of age and older: take 2 to 4 teaspoonfuls between meals, at bedtime, or as directed by a doctor do not take more than 12 teaspoonfuls in 24 hours or use the maximum dosage for more than 2 weeks children under 12 years: ask a doctor

⚠️ Warnings 54 words ▾

Warnings Ask a doctor before use if you have kidney disease a magnesium-restricted diet Ask a doctor or pharmacist before use if you are taking a prescription drug. Antacids may interact with certain prescription drugs. Stop use and ask a doctor if symptoms last more than 2 weeks Keep out of reach of children.

📦 Storage and Handling 23 words ▾

Other information each 5 mL teaspoonful contains: magnesium 165 mg, sodium 5 mg store at room temperature protect from freezing keep tightly closed

🧪 Active Ingredient 22 words ▾

Active ingredients (in each 5 mL teaspoonful) Aluminum hydroxide 400 mg (equivalent to dried gel, USP) Magnesium hydroxide 400 mg Simethicone 40mg

🧪 Inactive Ingredients 24 words ▾

Inactive ingredients benzyl alcohol, butylparaben, carboxymethylcellulose sodium, flavor (contains alcohol), hypromellose, microcrystalline cellulose, propylparaben, purified water, saccharin sodium, sorbitol solution Questions or comments? 1-800-645-2158

🎯 Purpose 3 words ▾

Purposes Antacid Antigas

📄 Keep Out of Reach of Children 6 words ▾

Keep out of reach of children.

📄 Questions or Comments 4 words ▾

Questions or comments? 1-800-645-2158

📄 Package Label / Principal Display Panel 3 words ▾

package Label 1

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 this package alone, 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
18.7K
Units reimbursed last 4 qtrs
6.5M
Gross reimbursed last 4 qtrs
$193K
Avg / prescription
$10.30
Avg / unit
$0.0296
Latest quarter Q1 2026
2.1KRx
Medicaid pays / mL
$0.0296
gross reimbursed
vs
NADAC / mL
$0.0121
acquisition cost
=
Spread
+$0.0175
+145% vs cost
What Medicaid paid per mL (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 ⓘ
58% FFS 42% MCO
Fee-for-service · 10,941 Rx Managed care · 7,790 Rx
State Medicaid map
Alaska: no data reported AK Maine: 29,424 units · 2,109 per 100k residents ME Washington: no data reported WA Idaho: no data reported ID Montana: 1,054 units · 93.1 per 100k residents MT North Dakota: no data reported ND Minnesota: 212,686 units · 3,707 per 100k residents MN Wisconsin: 71,451 units · 1,209 per 100k residents WI Michigan: 706,536 units · 7,039 per 100k residents MI New York: 217,991 units · 1,114 per 100k residents NY Vermont: 2,315 units · 358 per 100k residents VT New Hampshire: no data reported NH Oregon: 61,538 units · 1,454 per 100k residents OR Nevada: 3,220 units · 101 per 100k residents NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: no data reported IA Illinois: 52,117 units · 415 per 100k residents IL Indiana: 365,573 units · 5,327 per 100k residents IN Ohio: 280,652 units · 2,381 per 100k residents OH Pennsylvania: 328,841 units · 2,537 per 100k residents PA New Jersey: 83,902 units · 903 per 100k residents NJ Massachusetts: 58,750 units · 839 per 100k residents MA California: 3,440,953 units · 8,831 per 100k residents CA Utah: no data reported UT Colorado: no data reported CO Nebraska: 73,020 units · 3,692 per 100k residents NE Missouri: no data reported MO Kentucky: 209,903 units · 4,638 per 100k residents KY West Virginia: no data reported WV Virginia: 58,010 units · 666 per 100k residents VA Maryland: 11,750 units · 190 per 100k residents MD Connecticut: no data reported CT Rhode Island: no data reported RI Arizona: 45,935 units · 618 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: 2,614 units · 24.1 per 100k residents NC South Carolina: no data reported SC Delaware: no data reported DE Oklahoma: no data reported OK Louisiana: 437 units · 9.6 per 100k residents LA Mississippi: 1,795 units · 61.1 per 100k residents MS Alabama: no data reported AL Georgia: no data reported GA D.C.: no data reported DC Hawaii: 29,080 units · 2,026 per 100k residents HI Texas: 168,002 units · 551 per 100k residents TX Florida: no data reported FL
Units reimbursed · per 100k residents
9.68,831
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 California 8,831 /100k
2 Michigan 7,039 /100k
3 Indiana 5,327 /100k
4 Kentucky 4,638 /100k
5 Minnesota 3,707 /100k
6 Nebraska 3,692 /100k
7 Pennsylvania 2,537 /100k
8 Ohio 2,381 /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.
← 00527-8113-37 · Lannett 00536-0091-85 · Rugby →
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.