Major Lice Killing Piperonyl Butoxide, Pyrethrum Extract .33 g/100mL; 4 g/100mL Shampoo — NDC 00904-7349-20 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Major Lice Killing Piperonyl Butoxide, Pyrethrum Extract .33 g/100mL; 4 g/100mL Shampoo — NDC 0904-7349-20 (Billing 00904-7349-20)

by Major Pharmaceuticals · 1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE

This is a package of Major Lice Killing Piperonyl Butoxide, Pyrethrum Extract .33 g/100mL; 4 g/100mL Shampoo from Major Pharmaceuticals, marketed since Nov 2023 and currently FDA-listed; retail pharmacies pay about $0.0466 per mL (NADAC). It is this product's only package size.

NDC 00904-7349-20
🏷️ FDA NDC (as labeled) 0904-7349-20 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 Aug 27, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

NDC database record

One package, one record: these facts belong to NDC 0904-7349-20 alone.

Record
FDA NDC Directory package listing · Human OTC drug
Code segments
0904 labeler · 7349 product · 20 package
Package marketed since
Nov 1, 2023
Sample package
No — commercial package
Listing certified through
Dec 31, 2026
Barcode (UPC-A, from the NDC)
3 0904734920 3
Medicaid fills, this package
2,629 prescriptions in the last four reported quarters
FDA record last changed
Aug 27, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 0904-7349-20
Product NDC 0904-7349
11-digit billing NDC 00904734920
NCPDP billing unit ML — per mL (volume)
RxCUI 283219
UNII ZUM06L90GV, LWK91TU9AH
Application # M031
SPL Set ID 0bc94e0e-6772-425e-e063-6394a90a6bf1
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2023-11-01
Route TOPICAL
Dosage form SHAMPOO
Substance PYRETHRUM EXTRACT; PIPERONYL BUTOXIDE

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

GPI-14 90909902104540
GCN Seq No 044462
GCN 91071
HICL code 004168
Ingredient (HICL) Piperonyl Butoxide/Pyrethrins
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 Q5R
Therapeutic class — specific (HIC3) Topical Antiparasitics
AHFS code 84:04.12.00
AHFS class Scabicides And Pediculicides
FDB label name LICE KILLING SHAMPOO
FDB brand name Lice Killing
Legend status O — Over-the-counter (OTC) drug or device
Quick answers
  • GSN (GCN sequence number): 044462
  • GCN: 91071
  • GPI-14 (Medi-Span): 90909902104540
  • HICL (First Databank): 004168
  • AHFS class code: 84:04.12.00
  • RxCUI (RxNorm): 283219
Why two NDCs? The FDA registers this code as 0904-7349-20 — 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 → 00904-7349-20. 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.

Clinical

Label name LICE KILLING SHAMPOO Ingredient Piperonyl Butoxide/Pyrethrins
📖 What it is MedlinePlus · NLM

Pyrethrin and piperonyl butoxide shampoo is used to treat lice (small insects that attach themselves to the skin on the head, body, or pubic area ['crabs']) in adults and children 2 years of age and older. Pyrethrin and piperonyl butoxide is in a class of medications called pediculicides. It works by killing lice.

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • It treats lice — specifically head lice, pubic (sometimes called crab) lice, and body lice. You apply it directly to the affected area of skin or hair, not take it by mouth. It's n...
  • You leave it on for exactly 10 minutes — no longer — then wash it off with warm water and soap or shampoo. And yes, the second treatment 7 to 10 days later is really important. It...
  • How long do I leave it on, and do I really need a second treatment?
  • Combing is a key part of the treatment. After rinsing, towel-dry your hair and use a fine-tooth lice comb while the hair is still slightly damp. Work through sections starting at t...
📖 Read our full Pyrethrin and Piperonyl Butoxide Topical 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 mLPer package
Retail pharmacies payNADAC · weekly $0.047 $5.50 / 118 ml
Medicaid paysCMS SDUD · 12 mo $1.06 $124.67 / 118 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
Dec 2025 Mar 2026 Jun 2026 Sep 2026 $0.048 $0.045
▲ Up 1% over the last 10 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
00904-7349-20 You're viewing this Main listing 1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE 2023-11-01 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Major Lice Killing .33 g/100mL; 4 g/100mLthis 00904-7349-20 Major 1 bottle $0.047 — Availability likely —
GNP Lice Killing .33 g/100mL; 4 g/100mL 46122-0759-29 AmerisourceBergen 1 bottle $0.047 — Availability likely —
Foster and Thrive Lice Killing .33 g/100mL; 4 g/100mL 70677-1184-01 Strategic 1 bottle $0.047 — Availability likely —
Walgreens Lice Killing 4 g/100mL; .33 g/100mL 00363-1253-02 Walgreens 1 bottle — — FDA listed —
Walgreens Lice Elimination 00363-3255-01 Walgreens 1 kit — — FDA listed —
Lice No More Lice Killing 4 g/100mL; .33 g/100mL 11383-0001-04 Weeks 1 bottle — — FDA listed —
Lice Killing 4 g/100mL; .33 g/100mL 11383-0253-02 Weeks 1 bottle — — FDA listed —
Lice Killing 4 g/100mL; .33 g/100mL 11383-0310-02 Weeks 1 bottle — — FDA listed —
ABC Lice Killing .33 g/100mL; 4 g/100mL 11383-0312-02 Weeks 1 bottle — — FDA listed —
Rite Aid Lice Killing .33 g/100mL; 4 g/100mL 11822-6616-01 Rite 1 bottle — — FDA listed —
ZAP Lice Killing 4 g/100mL; .33 g/100mL 24286-0253-04 DLC 1 bottle — — FDA listed —
Quita Piojos Lice Killing 4 g/100mL; .33 g/100mL 24286-1253-02 DLC 1 bottle — — FDA listed —
Kroger Complete Lice Treatment Kit 30142-0252-01 The 1 kit — — FDA listed —
Kroger Lice Killing .33 g/100mL; 4 g/100mL 30142-0253-08 The 1 bottle — — FDA listed —
Mata Piojos Lice 4 g/100mL; .33 g/100mL 48201-0006-08 GRANDALL 1 bottle — — FDA listed —
GoodSense Lice Killing .33 g/100mL; 4 g/100mL 50804-0253-04 Perrigo 1 bottle — — FDA listed —
Discount Drug Mart Lice Killing 4 g/100mL; .33 g/100mL 53943-0253-02 Discount 1 bottle — — FDA listed —
Family Wellness Lice Killing .33 g/100mL; 4 g/100mL 55319-0253-08 Family 1 bottle — — FDA listed —
El Piojito Lice Killing 4 g/100mL; .33 g/100mL 55758-0253-02 Pharmadel 1 bottle — — FDA listed —
Best Choice Lice Killing 4 g/100mL; .33 g/100mL 63941-0253-04 Valu 1 bottle — — FDA listed —
Lice Killing 4 g/100mL; .33 g/100mL 68016-0253-04 PHARMACY 1 bottle — — FDA listed —
CVS Health Lice Killing 4 g/100mL; .33 g/100mL 69842-0250-04 CVS 1 bottle — — FDA listed —
Leader Lice Killing .33 g/100mL; 4 g/100mL 70000-0633-01 LEADER/ 1 bottle — — FDA listed —
Herklin Lice Treatment 4 g/100mL; .33 g/100mL 75940-0192-09 MarcasUSA 59 ml — — FDA listed —
Topcare Lice Killing .33 g/100mL; 4 g/100mL 76162-0253-08 Topco 1 bottle — — FDA listed —
Meijer Lice Killing .33 g/100mL; 4 g/100mL 79481-2530-08 Meijer, 1 bottle — — FDA listed —
RID Lice Killing 40 mg/mL; .033 mg/mL 82392-0100-02 Oystershell 1 bottle — — FDA listed —
Quality Choice Lice Killing 4 g/100mL; .33 g/100mL 83324-0269-04 Quality 1 bottle — — 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

🏛️
2023
On the market since
Nov 2023
📍
2026
Currently FDA-listed
3 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 yellow
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 698O4Z48G6
    A synthetic cleaning agent derived from coconut oil. Used as a surfactant and emulsifier to help blend water and oil-based ingredients together in liquid or semi-solid formulations.
  • UNII 0ZNO9PJJ9J
    A synthetic ingredient derived from castor oil that has been chemically modified with polyethylene glycol. It acts as a solubilizer and emulsifier to help mix oil-based and water-based components in the medicine.
  • UNII HB1401PQFS
    A synthetic polymer used as a thickening agent and film-former. In medicines, it increases viscosity to improve texture and help the product coat surfaces evenly, commonly used in topical liquids and suspensions.
  • 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.

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

The official label also statesammonium laureth sulfate, fragrance, PEG-25 hydrogenated castor oil, polyquaternium-10, purified water, SD-40 alcohol

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

LabelerMajor Pharmaceuticals
FDA applicationM031 (OTC MONOGRAPH DRUG)
Labeler code00904
First marketedNov 2023
Product typeHuman Otc Drug
Portfolio630 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 8 words ▾

Uses treats head, pubic (crab), and body lice

⏱️ Dosage and Administration ~3 min read ▾

Directions Important: Read warnings before use Adults and children 2 years and over Inspect check each household member with a magnifying glass in bright light for lice/nits (eggs) look for tiny nits near scalp, beginning at back of neck and behind ears examine small sections of hair at a time unlike dandruff which moves when touched, nits stick to the hair if either lice or nits are found, treat with this product Treat apply thoroughly to DRY HAIR or other affected area. For head lice, first apply behind ears and to back of neck. allow product to remain for 10 minutes, but no longer use warm water to form a lather, shampoo, then thoroughly rinse for head lice, towel dry hair and comb out tangles Remove lice and their eggs (nits) se a fine-tooth or special lice/nit comb.

Remove any remaining nits by hand (using a throw-away glove). hair should remain slightly damp while removing nits if hair dries during combing, dampen slightly with water for head lice, part hair into sections. Do one section at a time starting on top of the head. Longer hair may take 1 to 2 hours. lift a 1-to 2-inch wide strand of hair.

Place comb as close to scalp as possible and comb with a firm, even motion away from scalp. pin back each strand of hair after combing clean comb often. Wipe nits away with tissue and discard in a plastic bag. Seal bag and discard to prevent lice from coming back. after combing, thoroughly recheck for lice/nits.

Repeat combing if necessary. check daily for any lice/nits that you missed a second treatment must be done in 7 to 10 days to kill any newly hatched lice if infestation continues, see a doctor for other treatments Children under 2 years: ask a doctor

Inspect check each household member with a magnifying glass in bright light for lice/nits (eggs) look for tiny nits near scalp, beginning at back of neck and behind ears examine small sections of hair at a time unlike dandruff which moves when touched, nits stick to the hair if either lice or nits are found, treat with this product

Treat apply thoroughly to DRY HAIR or other affected area. For head lice, first apply behind ears and to back of neck. allow product to remain for 10 minutes, but no longer use warm water to form a lather, shampoo, then thoroughly rinse for head lice, towel dry hair and comb out tangles

Remove lice and their eggs (nits) se a fine-tooth or special lice/nit comb. Remove any remaining nits by hand (using a throw-away glove). hair should remain slightly damp while removing nits if hair dries during combing, dampen slightly with water for head lice, part hair into sections. Do one section at a time starting on top of the head.

Longer hair may take 1 to 2 hours. lift a 1-to 2-inch wide strand of hair. Place comb as close to scalp as possible and comb with a firm, even motion away from scalp. pin back each strand of hair after combing clean comb often. Wipe nits away with tissue and discard in a plastic bag.

Seal bag and discard to prevent lice from coming back. after combing, thoroughly recheck for lice/nits. Repeat combing if necessary. check daily for any lice/nits that you missed a second treatment must be done in 7 to 10 days to kill any newly hatched lice if infestation continues, see a doctor for other treatments Children under 2 years: ask a doctor

⚠️ Warnings 137 words ▾

Warnings For external use only Do not use near eyes inside nose, mouth, or vagina on lice in eyebrows or eyelashes. See a doctor if lice are present in these areas. if you have ever had an allergic reaction to this product or any of its ingredients Ask doctor before use if you are allergic to ragweed. May cause breathing difficulty or an asthmatic attack When using this product keep eyes tightly closed and protect eyes with a washcloth or towel if product gets into eyes, flush with water right away scalp itching or redness may occur Stop and ask a doctor if breathing difficulty occurs eye irritation occurs skin or scalp irritation continues or infection occurs Keep out of reach of children If swallowed, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

🧪 Active Ingredient 11 words ▾

Active Ingredient Piperonyl butoxide 4% Pyrethrum extract (equivalent to 0.33% pyrethrins)

🧪 Inactive Ingredients 15 words ▾

Inactive Ingredients ammonium laureth sulfate, fragrance, PEG-25 hydrogenated castor oil, polyquaternium-10, purified water, SD-40 alcohol

🎯 Purpose 3 words ▾

Purposes Lice Treatment

📄 Do Not Use 42 words ▾

Do not use near eyes inside nose, mouth, or vagina on lice in eyebrows or eyelashes. See a doctor if lice are present in these areas. if you have ever had an allergic reaction to this product or any of its ingredients

📄 Ask a Doctor Before Use If 18 words ▾

Ask doctor before use if you are allergic to ragweed. May cause breathing difficulty or an asthmatic attack

📄 When Using This Product 32 words ▾

When using this product keep eyes tightly closed and protect eyes with a washcloth or towel if product gets into eyes, flush with water right away scalp itching or redness may occur

📄 Stop Use and Ask a Doctor If 20 words ▾

Stop and ask a doctor if breathing difficulty occurs eye irritation occurs skin or scalp irritation continues or infection occurs

📄 Keep Out of Reach of Children 20 words ▾

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

📄 Other Information 73 words ▾

Other Information do not freeze store at controlled room temperature 20°-25°C (68°-77°F) see package insert for additional information

Additional Information Hair Length - Recommended Application for 1 Adult/Child Short (ear length or shorter) Day 1: 1-2 oz; Day 7-10: 1-2oz; Total : 2-4oz Medium (shoulder length) Day1: 2-3oz; Day 7-10: 2-3oz; Total: 4-6oz Long (past shoulder length) Day 1: 3-4oz; Day 7-10: 3-4oz; Total: 6-8oz Important: keep this outer carton for future reference

📄 Questions or Comments 17 words ▾

Questions or comments? to report serious side effects due to the use of this product call 1-877-974-7167

📖 Instructions for Use ~3 min read ▾

Package Insert Consumer Information LICE KILLING SHAMPOO For the treatment of Head Lice, Pubic (Crab) Lice and Body Lice DIRECTIONS Important: Read warnings before using this product. A second treatment must be done in 7-10 days to kill anu newly hatched lice eggs (nits) Inspect examine each household member with a magnifying glass in bright light for lice/eggs (nits) look for tiny eggs (nits) near scalp, beginning at the back of neck and behind ears examine small sections of hair eggs (nits) stick to the hair if either lice or eggs (nits) are found, treat with this product Treat apply thoroughly to dry hair or other affected area.

For head lice, first apply behind ears and to back of neck allow product to remain for 10 minutes but no longer use warm water to form a lather, shampoo, then thoroughly rinse for head lice, towel dry hair and comb out tangles To Remove Lice and Their Eggs (Nits) use a special lice/nit or fine-toothed comb (included). Remove any remaining eggs (nits) by hand, using a throwaway glove hair should remain slightly damp while removing eggs (nits) if hair dries during combing, dampen slightly with water for head lice, part hair into sections.

Do one section at a time starting on top of the head. Longer hair may take 1 to 2 hours lift a 1- to 2-inch wide strand of hair. Place comb firm, even motion away from scalp pin back each strand of hair after combing clean comb often.

Wipe eggs (nits) away with tissue and discard in a plastic bag. Seal bag and discard to prevent lice from coming back after combing, thoroughly recheck for lice/eggs (nits). Repeat combing if necessary check daily for any lice/eggs (nits) that you missed a second treatment must be done within 7 to 10 days to kill any newly hatched lice/eggs (nits) if infestation continues, see a doctor for other treatments 1.

HEAD LICE head lice lay small white eggs (nits) on the hair shaft close to the scalp eggs (nits) are most easily found on the back of the neck or behind the ears disinfect hats, hair ribbons, scarves, coats, towels and bed linens by machine washing in hot water [above 54 C (130 F)], then using the hottest dryer setting for at least 20 minutes items that cannot be washed, dry cleaned or stored may be sprayed with a product designed for this purpose soak all combs and brushes in hot water [above 54 C (130 F)] for at least 10 minutes vacuum all carpets, mattresses, upholstered furniture, and car seats that may have been used by affected people 2.

PUBIC (CRAB) LICE pubic (crab) lice may be contracted by sexual contact sexual partners should be treated simultaneously to avoid reinfestation lice are very small and look like brown or grey dots on the skin pubic (crab) lice usually cause intense itching and lay small white eggs (nits) on the hair shaft generally close to the skin surface pubic (crab) lice may be present on the short hairs of the groin, thighs, trunk, and underarms, -and occasionally on the beard, eyelids, and mustache disinfect underwear by machine washing in hot water [above 54 C (130 F)], then using the hottest dryer setting for at least 20 minutes 3.

BODY LICE body lice and their eggs (nits) are generally found in the seams of clothing, particularly in the waistline and armpit areas body lice feed on skin then return to clothing to lay their eggs (nits) disinfect clothing by machine washing in hot water [above 54 C (130 F)], then using the hottest dryer setting for at least 20 mintues do not seal clothing in a plastic bag because eggs (nits) can remain dormant for up to 30 days Save this insert for future reference SHAKE WELL BEFORE USING

📄 Package Label / Principal Display Panel 47 words ▾

Major Lice Killing Shampoo Lice Treament Shampoo & Conditioner A Liquid Lice Treatment for Human Use For the Treatment of Head Lice and Body Lice Compare to RID Lice Killing Shampoo active ingredients 4 fl oz (118 mL) Includes One Lice Comb NDC 0904-7349-20 Principal Display Panel

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
2.6K
Units reimbursed last 4 qtrs
331.9K
Gross reimbursed last 4 qtrs
$350.7K
Avg / prescription
$133.40
Avg / unit
$1.0565
Latest quarter Q1 2026
818Rx
Medicaid pays / mL
$1.0565
gross reimbursed
vs
NADAC / mL
$0.0466
acquisition cost
=
Spread
+$1.0099
+2167% 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 ⓘ
55% FFS 45% MCO
Fee-for-service · 1,436 Rx Managed care · 1,193 Rx
State Medicaid map
Alaska: no data reported AK Maine: no data reported ME Washington: 25,016 units · 320 per 100k residents WA Idaho: no data reported ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: 29,146 units · 508 per 100k residents MN Wisconsin: no data reported WI Michigan: 7,080 units · 70.5 per 100k residents MI New York: 68,173 units · 348 per 100k residents NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: 3,540 units · 83.6 per 100k residents OR Nevada: no data reported NV Wyoming: no data reported WY South Dakota: 6,608 units · 719 per 100k residents SD Iowa: 7,670 units · 239 per 100k residents IA Illinois: 10,208 units · 81.3 per 100k residents IL Indiana: 2,596 units · 37.8 per 100k residents IN Ohio: 28,674 units · 243 per 100k residents OH Pennsylvania: 19,662 units · 152 per 100k residents PA New Jersey: 25,848 units · 278 per 100k residents NJ Massachusetts: 1,298 units · 18.5 per 100k residents MA California: 51,116 units · 131 per 100k residents CA Utah: no data reported UT Colorado: no data reported CO Nebraska: no data reported NE Missouri: 3,776 units · 60.9 per 100k residents MO Kentucky: 13,452 units · 297 per 100k residents KY West Virginia: 1,298 units · 73.3 per 100k residents WV Virginia: no data reported VA Maryland: 4,248 units · 68.7 per 100k residents MD Connecticut: no data reported CT Rhode Island: no data reported RI Arizona: 6,608 units · 88.9 per 100k residents AZ New Mexico: no data reported NM Kansas: no data reported KS Arkansas: 10,974 units · 358 per 100k residents 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: no data reported MS Alabama: no data reported AL Georgia: 4,955 units · 44.9 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
18.5719
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 South Dakota 719 /100k
2 Minnesota 508 /100k
3 Arkansas 358 /100k
4 New York 348 /100k
5 Washington 320 /100k
6 Kentucky 297 /100k
7 New Jersey 278 /100k
8 Ohio 243 /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.

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 Piperonyl Butoxide, Pyrethrum Extract — the ingredient across all brands.

Top reported reactions

Abdominal Pain1
Application Site Pain1
Chemical Burn1
Crying1
Diarrhoea1
Drug Resistance1
Emotional Distress1

Reporter sex

6 reports
Male · 17%
Female · 67%
Unknown · 17%

Serious outcomes

Hospitalization2
Life-threatening1
Disabling1
Reports over time (by year) — tap or hover for the count & year
2020 2022 2024 2026 1 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.
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.