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Antacid aluminum hydroxide, magnesium hydroxide, simethicone 400 mg/10mL; 400 mg/10mL; 40 mg/10mL Liquid, 355 mL — NDC 00536-1293-83 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Antacid aluminum hydroxide, magnesium hydroxide, simethicone 400 mg/10mL; 400 mg/10mL; 40 mg/10mL Liquid, 355 mL — NDC 0536-1293-83 (Billing 00536-1293-83)

by Rugby Laboratories · 355 mL in 1 BOTTLE

This is a package of 355 mL of Antacid aluminum hydroxide, magnesium hydroxide, simethicone 400 mg/10mL; 400 mg/10mL; 40 mg/10mL Liquid from Rugby Laboratories, marketed since Jun 2021 and currently FDA-listed; retail pharmacies pay about $0.0105 per mL (NADAC). It is this product's only package size.

NDC 00536-1293-83
🏷️ FDA NDC (as labeled) 0536-1293-83 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 0536-1293-83 alone.

Record
FDA NDC Directory package listing · Human OTC drug
Code segments
0536 labeler · 1293 product · 83 package
Package marketed since
Jun 2, 2021
Sample package
No — commercial package
Listing certified through
Dec 31, 2027
Billing quantity
355 mL per package
Barcode (UPC)
0305361293833
Medicaid fills, this package
45,581 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) 0536-1293-83
Product NDC 0536-1293
11-digit billing NDC 00536129383
NCPDP billing unit ML — per mL (volume)
RxCUI 307746
UNII 5QB0T2IUN0, NBZ3QY004S, 92RU3N3Y1O
UPC 0305361293833
Application # M001
SPL Set ID bd58baac-5790-455a-9c77-236680992579
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 2021-06-02
Route ORAL
Dosage form LIQUID
Substance ALUMINUM HYDROXIDE; MAGNESIUM HYDROXIDE; DIMETHICONE

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

GPI-14 48991003101810
GPI class Antacid Regular Strength
GCN Seq No 002701
GCN 63910
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 ANTACID-ANTIGAS LIQUID
FDB brand name Antacid-Antigas
Legend status O — Over-the-counter (OTC) drug or device
Quick answers
  • GSN (GCN sequence number): 002701
  • GCN: 63910
  • GPI-14 (Medi-Span): 48991003101810
  • HICL (First Databank): 001168
  • AHFS class code: 56:04.00.00
  • RxCUI (RxNorm): 307746
Why two NDCs? The FDA registers this code as 0536-1293-83 — 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 → 00536-1293-83. 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 ANTACID-ANTIGAS 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?

This is an over-the-counter liquid antacid taken by mouth. Aluminum hydroxide and magnesium hydroxide are alkaline compounds typically used to neutralize stomach acid and relieve heartburn and indigestion. Simethicone (also called dimethicone) is an anti-gas agent commonly included in antacid products to help reduce bloating and gas discomfort. This product is marketed as an OTC monograph drug, meaning it follows FDA's established rules for antacid formulations rather than undergoing individual product review.

5
Nutrient depletion considerations

Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (OTC drug) may be associated with lower levels of 5 nutrients — worth a chat with your pharmacist, not a cause for alarm.

🧪 Full Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (OTC drug) nutrient depletion report →
An association is not a deficiency. Educational only — don't start or stop anything without professional guidance.
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 $0.011 $3.73 / 355 ml
Medicaid paysCMS SDUD · 12 mo $0.0330 $11.72 / 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 $0.011 $0.007
▲ Up 35% 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
00536-1293-83 You're viewing this Main listing 355 mL in 1 BOTTLE 2021-06-02 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
QCH Regular Strength Antacid 509 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 83324-0121-12 Chain 355 ml $0.010 — Availability likely +0%
Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mLthis 00536-1293-83 Rugby 355 ml $0.011 — Availability likely —
Regular Strength Antacid/Antigas 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 00536-1317-83 RUGBY 355 ml $0.011 — Availability likely —
Regular Strength Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 46122-0433-40 AMERISOURCEBERGEN 355 ml $0.011 — Availability likely —
Regular Strength Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 46122-0434-40 AMERISOURCEBERGEN 355 ml $0.011 — Availability likely —
Antacid Mint 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 70000-0063-01 CARDINAL 355 ml $0.011 — Availability likely —
Regular Strength Antacid And Antigas 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 70677-1063-01 STRATEGIC 355 ml $0.011 — Availability likely —
Regular Strength Antacid And Antigas 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 70677-1066-01 STRATEGIC 355 ml $0.011 — Availability likely —
Antacid Mint 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 63868-0694-57 Chain 355 ml $0.011 — FDA listed +2%
Regular Strength Antacid 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 63868-0712-57 Chain 355 ml $0.011 — FDA listed +2%
Mag-AL Plus 1200 mg/30mL; 1200 mg/30mL; 120 mg/30mL 00121-1761-30 PAI 10 cups — — FDA listed —
Advanced Regular Strength Antacid 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 00363-1639-12 WALGREEN 355 ml — — FDA listed —
Regular Strength Antacid Antigas 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 00363-2628-12 WALGREEN 355 ml — — FDA listed —
Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone 1200 mg/30mL; 1200 mg/30mL; 120 mg/30mL 00904-7557-73 Major 10 cups — — FDA listed —
Regular Strength Antacid And Gas Relief 200 mg/5mL; 20 mg/5mL; 200 mg/5mL 11822-3324-07 RITE 355 ml — — Discontinued —
Geri-Lanta Antacid Antigas 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 17856-0630-01 ATLANTIC 50 cups — — FDA listed —
Antacid Plus 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 21130-0629-12 BETTER 355 ml — — FDA listed —
Melox 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 27854-0115-01 Belmora 355 ml — — FDA listed —
Melox 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 27854-0117-01 Belmora 355 ml — — FDA listed —
Regular Strength Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 30142-0637-12 KROGER 355 ml — — FDA listed —
Regular Strength Antacid Mint 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 30142-0639-12 KROGER 355 ml — — FDA listed —
Regular Strength Antacid Mint 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 36800-0582-40 Topco 355 ml — — FDA listed —
Regular Strength Antacid Mint 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 37808-0099-12 H 355 ml — — FDA listed —
Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 37808-0554-05 H 355 ml — — FDA listed —
Geri-Lanta Antacid 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 50090-4259-00 A-S 355 ml — — FDA listed —
Antacid And Gasrelief 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 50804-0629-12 GOODSENSE 355 ml — — FDA listed —
Advanced Antacid Mint 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 50804-0639-12 GOODSENSE 355 ml — — FDA listed —
Mag-Al Plus 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 55154-9429-05 Cardinal 5 cups — — FDA listed —
Aluminum Hydroxide, Magnesium Hydroxide and Simethicone 1200 mg/30mL; 1200 mg/30mL; 120 mg/30mL 57237-0316-31 Rising 100 cups — — FDA listed —
Ko-Lanta 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 57896-0004-12 Geri-Care 355 ml — — FDA listed —
Geri-Lanta Antacid Antigas 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 57896-0629-06 Geri-Care 177 ml — — Discontinued —
Geri-Mox Antacid Antigas 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 57896-0639-12 Geri-Care 355 ml — — FDA listed —
Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 60687-0877-76 American 10 cups — — FDA listed —
Regular Strength Antacid 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 63941-0629-12 VALU 355 ml — — FDA listed —
Regular Strength Antacid Antigas 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 63941-0639-12 VALU 355 ml — — FDA listed —
Regular Strength Antacid/Antigas 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 68071-5289-01 NuCare 355 ml — — FDA listed —
Regular Strength Antacid 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 68788-7841-03 Preferred 355 ml — — FDA listed —
Geri-Lanta Antacid Antigas 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 68788-8169-03 Preferred 355 ml — — FDA listed —
Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 68788-8506-03 Preferred 355 ml — — FDA listed —
Regular Strength Antacid Antigas 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 69256-0503-05 Harris 355 ml — — FDA listed —
Regular Strength Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 69842-0286-12 CVS 355 ml — — FDA listed —
Regular Strength Antacid Mint 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 69842-0355-26 CVS 769 ml — — FDA listed —
Antacid Antigas 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 72476-0503-05 Retail 355 ml — — FDA listed —
Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 72476-0509-05 Retail 355 ml — — FDA listed —
Kesin MAG-AL Plus 200 mg/5mL; 200 mg/5mL; 20 mg/5mL 81033-0006-01 Kesin 100 cups — — FDA listed —
Regular Strength Antacid Antigas 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 83324-0125-12 Chain 355 ml — — FDA listed —
Aluminum Hydroxide, Magnesium Hydroxide and Simethicone 1200 mg/30mL; 1200 mg/30mL; 120 mg/30mL 84415-0017-01 Everpharm 100 cups — — FDA listed —
Antacid 400 mg/10mL; 400 mg/10mL; 40 mg/10mL 53041-0509-05 Guardian 355 ml — — 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

🏛️
2021
On the market since
Jun 2021
📍
2026
Currently FDA-listed
5 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

Color White
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 3K9958V90M
    A liquid solvent derived from fermentation or chemical synthesis. In medicines, alcohol dissolves active ingredients, helps preserve the product, and improves how the body absorbs certain drugs.
  • UNII PDC6A3C0OX
    Glycerin is a clear, thick liquid derived from plant oils or fats. It acts as a humectant to retain moisture, a sweetener, and a solvent in medications.
  • UNII T4V6TWG28D
    A plant-derived thickening agent made from cellulose. It increases viscosity and helps form a gel or paste consistency in medications, and may serve as a binder or coating material in various formulations.
  • UNII A2I8C7HI9T
    Methylparaben is a preservative derived from benzoic acid that prevents growth of bacteria, fungi, and mold in medicines. It extends the product's shelf life and maintains safety during storage.
  • UNII 6DC9Q167V3
    Propylene glycol is a clear liquid derived from petroleum or vegetable sources. It acts as a solvent, humectant, and preservative in medicines, helping dissolve active ingredients and maintain product stability.
  • 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 ETJ7Z6XBU4
    Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
  • UNII 506T60A25R
    Sorbitol is a natural sugar alcohol derived from glucose. It serves as a sweetener, humectant, and bulking agent in medications to improve taste and help maintain moisture in the product.
  • 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.

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

The official label also statesethyl alcohol, flavor, glycerin, hydroxyethyl cellulose, methylparaben, propylene glycol, propylparaben, purified water, saccharin sodium, simethicone emulsion, sorbitol

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 marketedJun 2021
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 📄 Ask a Doctor Before Use If 📄 Ask a Doctor or Pharmacist Before Use If 📄 Stop Use and Ask a Doctor If 📄 Keep Out of Reach of Children 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 15 words ▾

USE(S) relieves: acid indigestion heartburn sour stomach upset stomach and gas associated with these symptoms

⏱️ Dosage and Administration 38 words ▾

DIRECTIONS shake well before use mL = milliliter adults and children 12 years and older: take 10 mL to 20 mL four times a day, or as directed by a doctor children under 12 years: consult a doctor

⚠️ Warnings 34 words ▾

WARNINGS Do not take more than 80 mL in a 24-hour period, or use the maximum dosage of this product for more than 2 weeks, except under the advice and supervision of a doctor.

📦 Storage and Handling 22 words ▾

OTHER INFORMATION each 10 mL contains: magnesium 170 mg, sodium 5 mg store at controlled room temperature 20ºC-25ºC (68º-77ºF) do not freeze

🧪 Active Ingredient 23 words ▾

ACTIVE INGREDIENTS (in each 10 mL ) Aluminum hydroxide (equiv. to dried gel, USP) 400 mg Magnesium hydroxide 400 mg Simethicone 40 mg

🧪 Inactive Ingredients 19 words ▾

INACTIVE INGREDIENTS ethyl alcohol, flavor, glycerin, hydroxyethyl cellulose, methylparaben, propylene glycol, propylparaben, purified water, saccharin sodium, simethicone emulsion, sorbitol

🎯 Purpose 4 words ▾

PURPOSE Antacid Antacid Antigas

📄 Ask a Doctor Before Use If 13 words ▾

ASK A DOCTOR BEFORE USE IF YOU HAVE kidney disease a magnesium-restricted diet

📄 Ask a Doctor or Pharmacist Before Use If 22 words ▾

ASK A DOCTOR OR PHARMACIST BEFORE USE IF YOU ARE presently taking a prescription drug. Antacids may interact with certain prescription drugs.

📄 Stop Use and Ask a Doctor If 12 words ▾

STOP USE AND ASK DOCTOR if symptoms last more than two weeks

📄 Keep Out of Reach of Children 7 words ▾

KEEP OUT OF REACH OF CHILDREN .

📄 Package Label / Principal Display Panel 46 words ▾

PRINCIPAL DISPLAY PANEL Rugby NDC 0536-1293-83 regular strength antacid liquid aluminum hydroxide, 400 mg magnesium hydroxide, 400 mg simethicone, 40 mg antacid and antigas original flavor Relief of: heartburn acid indigestion sour stomach pressure & bloating 12 FL OZ (355 mL) Alcohol content 0.2% v/v 509-12-rugby.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 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 – Q4 2025 · 4 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
45.6K
Units reimbursed last 4 qtrs
14.2M
Gross reimbursed last 4 qtrs
$467.8K
Avg / prescription
$10.26
Avg / unit
$0.0330
Latest quarter Q4 2025
10.5KRx
Medicaid pays / mL
$0.0330
gross reimbursed
vs
NADAC / mL
$0.0105
acquisition cost
=
Spread
+$0.0225
+214% 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 ⓘ
56% FFS 44% MCO
Fee-for-service · 25,458 Rx Managed care · 20,123 Rx
State Medicaid map
Alaska: no data reported AK Maine: 58,976 units · 4,228 per 100k residents ME Washington: no data reported WA Idaho: no data reported ID Montana: 18,705 units · 1,652 per 100k residents MT North Dakota: 15,315 units · 1,956 per 100k residents ND Minnesota: 454,408 units · 7,921 per 100k residents MN Wisconsin: 275,888 units · 4,668 per 100k residents WI Michigan: 558,234 units · 5,562 per 100k residents MI New York: 2,690,202 units · 13,746 per 100k residents NY Vermont: 12,695 units · 1,962 per 100k residents VT New Hampshire: no data reported NH Oregon: 294,586 units · 6,959 per 100k residents OR Nevada: 22,468 units · 703 per 100k residents NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: no data reported IA Illinois: 361,663 units · 2,882 per 100k residents IL Indiana: 488,456 units · 7,118 per 100k residents IN Ohio: 466,182 units · 3,956 per 100k residents OH Pennsylvania: 272,004 units · 2,099 per 100k residents PA New Jersey: 983,972 units · 10,592 per 100k residents NJ Massachusetts: 598,948 units · 8,555 per 100k residents MA California: 4,894,711 units · 12,562 per 100k residents CA Utah: no data reported UT Colorado: no data reported CO Nebraska: 100,083 units · 5,060 per 100k residents NE Missouri: no data reported MO Kentucky: 403,150 units · 8,907 per 100k residents KY West Virginia: 24,101 units · 1,362 per 100k residents WV Virginia: 153,005 units · 1,755 per 100k residents VA Maryland: 81,641 units · 1,321 per 100k residents MD Connecticut: 14,596 units · 404 per 100k residents CT Rhode Island: 20,795 units · 1,899 per 100k residents RI Arizona: 39,814 units · 536 per 100k residents AZ New Mexico: 81,807 units · 3,870 per 100k residents NM Kansas: 4,916 units · 167 per 100k residents KS Arkansas: 3,486 units · 114 per 100k residents AR Tennessee: 8,522 units · 120 per 100k residents TN North Carolina: 17,820 units · 164 per 100k residents NC South Carolina: no data reported SC Delaware: no data reported DE Oklahoma: no data reported OK Louisiana: 5,688 units · 124 per 100k residents LA Mississippi: no data reported MS Alabama: no data reported AL Georgia: no data reported GA D.C.: 33,269 units · 4,900 per 100k residents DC Hawaii: 46,900 units · 3,268 per 100k residents HI Texas: 643,315 units · 2,109 per 100k residents TX Florida: 11,431 units · 50.6 per 100k residents FL
Units reimbursed · per 100k residents
50.613,746
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 New York 13,746 /100k
2 California 12,562 /100k
3 New Jersey 10,592 /100k
4 Kentucky 8,907 /100k
5 Massachusetts 8,555 /100k
6 Minnesota 7,921 /100k
7 Indiana 7,118 /100k
8 Oregon 6,959 /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.
← 00536-1292-29 · Rugby 00536-1294-31 · 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.