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Nystatin 100000 [USP'U]/g Ointment — NDC 00713-0686-31 package photo

Nystatin 100000 [USP'U]/g Ointment

by Cosette Pharmaceuticals, Inc. · 1 TUBE in 1 CARTON (0713-0686-31) / 30 g in 1 TUBE
NDC 00713-0686-31
🏷️ FDA NDC (as labeled) 0713-0686-31 billing pads the labeler segment with a zero
This package
Contains30 g in 1 tube Cost per g$0.2431 NADAC Per package$7.29 / 30 g Pack sizes2 compare ↓
Also priced by: Medicaid pays $0.4562/unit · Part D plans $0.4011/unit — full pricing hub ↓
Also comes in: 15 g 00713-0686-15
Rx only Generic On market Non-controlled
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

🆔 Identity & classification

FDA NDC (as labeled) 0713-0686-31
Product NDC 0713-0686
11-digit billing NDC 00713068631
NCPDP billing unit GM — per gram (weight)
RxCUI 884308
UNII BDF1O1C72E
Application # ANDA209114
SPL Set ID 8f87de59-33f2-32af-ae17-78bf30fb424d
Established class (EPC) Polyene Antifungal
Chemical class Polyenes
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2017-10-06
Route TOPICAL
Dosage form OINTMENT
Substance NYSTATIN
GPI-14 90150080004215
GPI class Nystatin
GCN Seq No 007283
GCN 30150
HICL code 004129
Ingredient (HICL) Nystatin
HIC1 code Q
Therapeutic class — broad (HIC1) Ear/Eye/Nose/Rectum/Topical/Vagina/Other
HIC2 code Q5
Therapeutic class — intermediate (HIC2) Agents Acting Principally On The Skin
HIC3 code Q5F
Therapeutic class — specific (HIC3) Topical Antifungals
AHFS code 08:14.28.00
AHFS class Polyene Antifungals
FDB label name NYSTATIN 100,000 UNIT/GM OINT
FDB brand name Nystatin
Legend status F — Federal legend — prescription drug or device
TE code (Orange Book) AT · RLD · RS
Why two NDCs? The FDA registers this code as 0713-0686-31 — 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 → 00713-0686-31. 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 Polyene Antifungal class.

Pharmacologic class Polyene Antifungal
Drug family (ATC) Antibiotics, Antibiotics, Antibiotics
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.

🏭 Manufacturer & labeler

LabelerCosette Pharmaceuticals, Inc.
Application holderCOSETTE PHARMACEUTICALS INC
FDA applicationANDA209114 (ANDA)
Labeler code00713
First marketedOct 2017
Product typeHuman Prescription Drug
Portfolio99 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.

🩺 Clinical

Label name NYSTATIN 100,000 UNIT/GM OINT Ingredient Nystatin
📗 Our plain-language guide HelloPharmacist
  • Nystatin treats yeast infections caused by Candida. Depending on the form you're given, it can clear up a yeast infection in your mouth (thrush), on your skin, or in your gastroint...
  • Shake it well, then swish it around your entire mouth — hold it there as long as you comfortably can before swallowing. If you're giving it to an infant, use the dropper to place h...
  • How do I use the oral suspension correctly?
  • Nystatin is generally very well tolerated. The most common complaints with the topical forms are minor — things like burning, itching, or redness right where you apply it. These ar...
📖 Read our full Nystatin 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.

🧪 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 4T6H12BN9U
    Petrolatum is a purified mineral oil-based jelly derived from petroleum. In medicines, it acts as an emollient, lubricant, and moisture barrier to soften skin, reduce friction, and help prevent water loss from formulations.

1 inactive ingredient listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMedingredient 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.

💲 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 gPer package
Retail pharmacies payNADAC · weekly $0.243 $7.29 / 30 g
Medicaid paysCMS SDUD · 12 mo $0.4562 $13.69 / 30 g
Medicare drug plans payPart D · Q2 2026 $0.4011 $12.03 / 30 g
NADAC price history (per g) — tap or hover for the price & month
Dec 2021 Jul 2022 Dec 2025 Aug 2026 $0.314 $0.242
▼ Down 20% 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.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Nystatin 100000 [USP'U]/g 00472-0166-15 Actavis 1 tube $0.229 AT Availability likely save 6%
Nystatin 100000 U/g 13668-0534-01 Torrent 15 g $0.229 AT Availability likely save 6%
Nystatin 100000 1/g 33342-0481-15 Macleods 1 tube $0.229 AT Availability likely save 6%
Nystatin 100000 U/g 72578-0089-01 Viona 15 g $0.229 AT Availability likely save 6%
Nystatin 100000 [USP'U]/gthis 00713-0686-31 Cosette 1 tube $0.243 AT Availability likely
Nystatin 100000 [USP'U]/g 45802-0048-11 Padagis 1 tube $0.243 AT Availability likely
Nystatin 100000 [USP'U]/g 69315-0307-15 Leading 1 tube $0.334 AT FDA listed +38%
Nystatin 100000 U/g 50090-5845-00 A-S 15 g AT FDA listed
Nystatin 100000 [USP'U]/g 63187-0464-15 Proficient 1 tube AT FDA listed
Nystatin 100000 U/g 63629-2515-01 Bryant 30 g AT FDA listed
Nystatin 100000 U/g 63629-2516-01 Bryant 15 g AT FDA listed
Nystatin 100000 U/g 70771-1357-01 Zydus 15 g AT FDA listed
Nystatin 100000 [USP'U]/g 71205-0437-15 Proficient 1 tube AT FDA listed
Nystatin 100000 U/g 72162-2007-02 Bryant 15 g AT FDA listed
Nystatin 100000 [USP'U]/g 72162-2333-02 Bryant 1 tube AT 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

🏛️
2017
On the market since
Oct 2017
📍
2026
Currently FDA-listed
9 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.

🗺️ 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 00713-0686-31, 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
93.9K
Units reimbursed last 4 qtrs
3.2M
Gross reimbursed last 4 qtrs
$1.44M
Avg / prescription
$15.38
Avg / unit
$0.4562
Latest quarter Q4 2025
21.7KRx
Medicaid pays / g
$0.4562
gross reimbursed
vs
NADAC / g
$0.2431
acquisition cost
=
Spread
+$0.2131
+88% vs cost
What Medicaid paid per g (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
40% FFS 60% MCO
Fee-for-service · 37,486 Rx Managed care · 56,404 Rx
State Medicaid map
Alaska: 450 units · 61.4 per 100k residents AK Maine: 12,000 units · 860 per 100k residents ME Washington: 25,273 units · 324 per 100k residents WA Idaho: 11,731 units · 597 per 100k residents ID Montana: 6,073 units · 536 per 100k residents MT North Dakota: 3,260 units · 416 per 100k residents ND Minnesota: 41,447 units · 722 per 100k residents MN Wisconsin: 87,819 units · 1,486 per 100k residents WI Michigan: 109,357 units · 1,090 per 100k residents MI New York: 388,544 units · 1,985 per 100k residents NY Vermont: 5,400 units · 835 per 100k residents VT New Hampshire: no data reported NH Oregon: 11,460 units · 271 per 100k residents OR Nevada: 13,260 units · 415 per 100k residents NV Wyoming: 1,830 units · 313 per 100k residents WY South Dakota: 9,590 units · 1,044 per 100k residents SD Iowa: 115,140 units · 3,590 per 100k residents IA Illinois: 177,870 units · 1,417 per 100k residents IL Indiana: 23,122 units · 337 per 100k residents IN Ohio: 124,433 units · 1,056 per 100k residents OH Pennsylvania: 75,394 units · 582 per 100k residents PA New Jersey: 12,735 units · 137 per 100k residents NJ Massachusetts: 30,390 units · 434 per 100k residents MA California: 192,615 units · 494 per 100k residents CA Utah: 13,395 units · 392 per 100k residents UT Colorado: 37,431 units · 637 per 100k residents CO Nebraska: 29,111 units · 1,472 per 100k residents NE Missouri: 91,876 units · 1,483 per 100k residents MO Kentucky: 86,394 units · 1,909 per 100k residents KY West Virginia: 18,253 units · 1,031 per 100k residents WV Virginia: 23,040 units · 264 per 100k residents VA Maryland: 43,933 units · 711 per 100k residents MD Connecticut: 46,935 units · 1,298 per 100k residents CT Rhode Island: 5,970 units · 545 per 100k residents RI Arizona: 37,650 units · 507 per 100k residents AZ New Mexico: 40,695 units · 1,925 per 100k residents NM Kansas: 14,110 units · 480 per 100k residents KS Arkansas: 37,170 units · 1,212 per 100k residents AR Tennessee: 160,514 units · 2,253 per 100k residents TN North Carolina: 180,255 units · 1,664 per 100k residents NC South Carolina: 32,220 units · 600 per 100k residents SC Delaware: 33,810 units · 3,279 per 100k residents DE Oklahoma: 53,145 units · 1,311 per 100k residents OK Louisiana: 105,405 units · 2,304 per 100k residents LA Mississippi: 49,800 units · 1,694 per 100k residents MS Alabama: 69,040 units · 1,352 per 100k residents AL Georgia: 64,606 units · 586 per 100k residents GA D.C.: 870 units · 128 per 100k residents DC Hawaii: no data reported HI Texas: 206,047 units · 675 per 100k residents TX Florida: 197,308 units · 873 per 100k residents FL
Units reimbursed · per 100k residents
61.43,590
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 Iowa 3,590 /100k
2 Delaware 3,279 /100k
3 Louisiana 2,304 /100k
4 Tennessee 2,253 /100k
5 New York 1,985 /100k
6 New Mexico 1,925 /100k
7 Kentucky 1,909 /100k
8 Mississippi 1,694 /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.
1 tube this page00713-0686-31 93,890 Rx · $1,443,657
1 tube00713-0686-15 39,676 Rx · $489,598
Drug total (last 4 qtrs): 133,566 Rx · 4,084,847 units · $1,933,255 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.

📊 Medicare Part D spend CMS · PART D · 2026 (Q1)

Medicare Part D (outpatient prescription) spending for Nystatin — the program that covers self-administered drugs. 22 manufacturers.
⚠️ Drug-level data: CMS publishes Part D spending by drug, not by NDC — these figures combine every manufacturer, strength and package size sold under the name Nystatin. That’s a different level of aggregation than the Medicaid card above, which is specific to this exact 11-digit NDC (pack size included), so the two aren’t directly comparable.
Period
Total Part D spend
$16.29M
Claims incl. refills
853.7K
Beneficiaries
614.3K
Spend / beneficiary
$26.52
Spend / claim
$19.08
Trend by period
💵 About the dollar figures: spending is what Part D plans paid before confidential manufacturer rebates, so the program’s real net cost is lower. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part D Spending by Drug (data.cms.gov), updated quarterly.

🔬 Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Nystatin (this brand).

Top reported reactions

Nausea1,979
Diarrhoea1,762
Fatigue1,762
Pneumonia1,633
Dyspnoea1,472
Vomiting1,370
Pain1,217

Reporter sex

0 reports

Serious outcomes

Death3,621
Life-threatening1,743
Disabling721
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 2,317 0
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

📦 Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startStatus
00713-0686-15 1 TUBE in 1 CARTON (0713-0686-15) / 15 g in 1 TUBE $0.2291 / g $3.44 2018-07-30 Active
00713-0686-31 You're viewing this 1 TUBE in 1 CARTON (0713-0686-31) / 30 g in 1 TUBE $0.2431 / g $7.29 2018-07-30 Active

Per g, this pack runs about 6% above the cheapest pack (NDC 00713-0686-15, $0.2291 vs $0.2431 NADAC).

In Medicaid, this is the most-dispensed pack of this product — about 70% of fills over the last four reported quarters. See all packs ↓

Pack size FAQ

What quantity is in NDC 00713-0686-31?
NDC 00713-0686-31 is listed by the FDA — 1 tube in 1 carton / 30 g in 1 tube.
What NDC number is used to bill for this package of Nystatin 100000 [USP'U]/g Ointment?
Bill NDC 00713-0686-31 — the 11-digit billing format is 00713068631. 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.

📄 Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 38 words

INDICATIONS AND USAGE Nystatin Ointment, USP is indicated in the treatment of cutaneous or mucocutaneous mycotic infections caused by Candida albicans and other susceptible Candidaspecies. Nystatin Ointment, USP is not indicated for systemic, oral, intravaginal or ophthalmic use.

⏱️ Dosage and Administration 26 words

DOSAGE AND ADMINISTRATION Nystatin Ointment Adults and Pediatric Patients (Neonates and Older): Apply liberally to affected areas twice daily or as indicated until healing is complete.

Contraindications 17 words

CONTRAINDICATIONS Nystatin Ointment is contraindicated in patients with a history of hypersensitivity to any of their components.

🤒 Adverse Reactions 58 words

ADVERSE REACTIONS The frequency of adverse events reported in patients using Nystatin Ointment preparations is less than 0.1%. The more common events that were reported include allergic reactions, burning, itching, rash, eczema, and pain on application. (See PRECAUTIONS: General. ) To report SUSPECTED ADVERSE REACTIONS, contact Cosette Pharmaceuticals, Inc. at 1-800-922-1038 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch .

🧬 Clinical Pharmacology 157 words

CLINICAL PHARMACOLOGY Pharmacokinetics Nystatin is not absorbed from intact skin or mucous membrane. Microbiology Nystatin is an antibiotic which is both fungistatic and fungicidal in vitro against a wide variety of yeasts and yeast-like fungi, including Candida albicans, C. parapsilosis, C. tropicalis, C. guilliermondi, C. pseudotropicalis, C. krusei, Torulopsis glabrata, Tricophyton rubrum, T. mentagrophytes. Nystatin acts by binding to sterols in the cell membrane of susceptible species resulting in a change in membrane permeability and the subsequent leakage of intracellular components.

On repeated subculturing with increasing concentrations of nystatin, Candida albicans does not develop resistance to nystatin. Generally, resistance to nystatin does not develop during therapy. However, other species of Candida ( C. tropicalis, C. guilliermondi, C. krusei, and C. stellatoides ) become quite resistant on treatment with nystatin and simultaneously become cross resistant to amphotericin as well.

This resistance is lost when the antibiotic is removed. Nystatin exhibits no appreciable activity against bacteria, protozoa, or viruses.

📦 How Supplied / Storage and Handling 56 words

HOW SUPPLIED Nystatin Ointment, USP (100,000 USP Nystatin Units per gram) is a light yellow to yellow ointment available as follows: NDC 0713-0686-15 15 gram tube NDC 0713-0686-31 30 gram tube Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Distributed by: Cosette Pharmaceuticals, Inc. South Plainfield, NJ 07080 8-0686CPLNC3 Rev.03/2022 VC7623

📋 Description 58 words

DESCRIPTION Nystatin Ointment, USP is for dermatologic use. Nystatin Ointment, USP for topical use only, contains 100,000 USP nystatin units per gram, in a white petrolatum base. Nystatin is a polyene antifungal antibiotic drug obtained from Streptomyces nursei . The structural formula is as follows: Molecular Weight 926.13 Molecular Formula C 47 H 75 NO 17 image description

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