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Lactulose 10 g/15mL Solution — NDC 51672-4243-09 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Lactulose 10 g/15mL Solution — NDC 51672-4243-9 (Billing 51672-4243-09)

by Sun Pharmaceutical Industries, Inc. · 1 BOTTLE in 1 CARTON / 473 mL in 1 BOTTLE

This is a package of Lactulose 10 g/15mL Solution from Sun Pharmaceutical Industries, Inc., marketed since Jun 2025 and currently FDA-listed; retail pharmacies pay about $0.0224 per mL (NADAC). It is this product's only package size.

NDC 51672-4243-09
🏷️ FDA NDC (as labeled) 51672-4243-9 billing pads the package segment with a zero
Rx only Generic On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 8, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

NDC database record

One package, one record: these facts belong to NDC 51672-4243-9 alone.

Record
FDA NDC Directory package listing · Human prescription drug
Code segments
51672 labeler · 4243 product · 9 package
Package marketed since
Jun 2, 2025
Sample package
No — commercial package
Listing certified through
Dec 31, 2026
Barcode (UPC-A, from the NDC)
3 5167242439 8
Medicaid fills, this package
8,034 prescriptions in the last four reported quarters
FDA record last changed
Jul 24, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 51672-4243-9
Product NDC 51672-4243
11-digit billing NDC 51672424309
NCPDP billing unit ML — per mL (volume)
RxCUI 391937
UNII 9U7D5QH5AE
Application # ANDA218858
SPL Set ID 391cfd01-c1fa-41f9-abd7-d0abe9a27634
Established class (EPC) Osmotic Laxative
Mechanism of action Osmotic Activity; Acidifying Activity
Physiologic effect Stimulation Large Intestine Fluid/Electrolyte Secretion
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2025-06-02
Route ORAL
Dosage form SOLUTION
Substance LACTULOSE
TE code (Orange Book) AA · RLD · RS

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

GPI-14 46600020002010
GCN Seq No 029054
GCN 10167
HICL code 001396
Ingredient (HICL) Lactulose
HIC1 code D
Therapeutic class — broad (HIC1) Biliary System/Gastro-Intestinal System
HIC2 code D6
Therapeutic class — intermediate (HIC2) Drugs Acting Principally On The Colon
HIC3 code D6S
Therapeutic class — specific (HIC3) Laxatives And Cathartics
AHFS code 40:10.00.00
AHFS class Ammonia Detoxicants
FDB label name LACTULOSE 10 GM/15 ML SOLUTION
FDB brand name Lactulose
Legend status F — Federal legend — prescription drug or device
Quick answers
  • GSN (GCN sequence number): 029054
  • GCN: 10167
  • GPI-14 (Medi-Span): 46600020002010
  • HICL (First Databank): 001396
  • AHFS class code: 40:10.00.00
  • RxCUI (RxNorm): 391937
Why two NDCs? The FDA registers this code as 51672-4243-9 — a 5-4-1 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 package segment → 51672-4243-09. 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 Osmotic Laxative class.

Pharmacologic class Osmotic Laxative
Drug family (ATC) Osmotically acting laxatives
How it works Osmotic Activity, Acidifying Activity
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 LACTULOSE 10 GM/15 ML SOLUTION Ingredient Lactulose
📗 Our plain-language guide HelloPharmacist
  • It depends on the product. Some, like Generlac and Enulose, prevent and treat portal-systemic encephalopathy, a brain problem tied to liver disease. Others, like Constulose and Kri...
  • For constipation, it can take 24 to 48 hours to produce a bowel movement. For encephalopathy, you may improve within 24 hours, but it might not start before 48 hours or later.
  • Gas, bloating, belching and cramps are the most common, affecting about 20% of people. Nausea and vomiting can happen. If you get diarrhea, tell your doctor, since the dose may nee...
  • Check with me or your doctor first. Other laxatives can mask whether your lactulose dose is working, and nonabsorbable antacids may weaken its effect. Neomycin and similar antibiot...
📖 Read our full Lactulose 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 $0.022 $10.60 / 473 ml
Medicaid paysCMS SDUD · 12 mo $0.0338 $15.99 / 473 ml
Medicare drug plans payPart D · Q2 2026 $0.0465 $21.99 / 473 ml
NADAC price history (per mL) — tap or hover for the price & month
Dec 2025 Mar 2026 Jun 2026 Sep 2026 $0.025 $0.022
▼ Down 9% 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
51672-4243-09 You're viewing this Main listing 1 BOTTLE in 1 CARTON / 473 mL in 1 BOTTLE 2025-06-02 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Lactulose Solution 10 g/15mL 81033-0241-32 Kesin 946 ml $0.013 AA Availability likely save 44%
Enulose 10 g/15mL 45963-0438-64 Actavis 473 ml $0.013 AA Availability likely save 42%
Generlac 10 g/15mL 62135-0892-47 Chartwell 473 ml $0.013 AA Availability likely save 42%
Lactulose 10 g/15mL 00116-4005-08 Xttrium 237 ml $0.019 AA Availability likely save 13%
Constulose 10 g/15mL 45963-0439-63 Actavis 237 ml $0.019 AA Availability likely save 13%
Lactulose 10 g/15mL 83745-0405-08 APOZEAL 237 ml $0.019 AA Availability likely save 13%
Lactulose 10 g/15mL 62135-0003-37 Chartwell 237 ml $0.020 AA Availability likely save 11%
Lactulose 10 g/15mLthis 51672-4243-09 Sun 1 bottle $0.022 AA Availability likely —
Lactulose 10 g/15mL 00121-0873-06 PAI 16 cups — AA FDA listed —
Lactulose 20 g/30mL 00121-1154-06 PAI 16 cups — AA Discontinued —
Lactulose 20 g/30mL 00121-1746-00 PAI 10 cups — AA FDA listed —
Lactulose 10 g/15mL 00121-4577-06 PAI 16 cups — AA Discontinued —
Lactulose 10 g/15mL 00527-5125-68 Lannett 237 ml — AA FDA listed —
Lactulose 10 g/15mL 17856-0874-03 Atlantic 50 cups — AA FDA listed —
Lactulose 10 g/15mL 18124-0002-16 Fresenius 473 ml — AA FDA listed —
Lactulose 20 g/30mL 55154-9448-05 Cardinal 5 cups — AA FDA listed —
Lactulose Solution 10 g/15mL 61037-0471-02 Bajaj 236 ml — AA FDA listed —
Lactulose 10 g/15mL 62135-0002-24 Chartwell 10 cups — AA FDA listed —
Lactulose 10 g/15mL 62135-0004-24 Chartwell 10 cups — AA FDA listed —
Enulose 10 g/15mL 63629-8800-01 Bryant 473 ml — AA FDA listed —
Lactulose Solution 10 g/15mL 64980-0592-12 Rising 118 ml — AA FDA listed —
Lactulose 10 g/15mL 68999-0002-24 Chartwell 10 cups — AA FDA listed —
Lactulose 20 g/30mL 68999-0004-24 Chartwell 10 cups — AA FDA listed —
Lactulose 10 g/15mL 82804-0107-47 Proficient 473 ml — AA FDA listed —
Lactulose 10 g/15mL 83745-0249-08 APOZEAL 237 ml — AA FDA listed —
Lactulose 10 g/15mL 60687-0917-14 American 10 cups — AA 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

🏛️
2025
On the market since
Jun 2025
📍
2026
Currently FDA-listed
1 year 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.

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.

🧪 Avoiding an ingredient? See Lactulose inactive ingredients by manufacturer: every current product's list side by side, so you can ask your pharmacy for the version that does not list it.

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

  • UNII X2RN3Q8DNE
    Galactose is a simple sugar derived from milk or made through chemical processes. It acts as a filler and sweetener in medicines, helping create the proper tablet size and improving taste.
  • 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.

2 inactive ingredients 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 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

LabelerSun Pharmaceutical Industries, Inc.
Application holderTARO PHARMACEUTICAL INDUSTRIES LTD
FDA applicationANDA218858 (ANDA)
Labeler code51672
First marketedJun 2025
Product typeHuman Prescription Drug
Portfolio891 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.

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 37 words ▾

INDICATIONS AND USAGE For the treatment of constipation. In patients with a history of chronic constipation, lactulose solution therapy increases the number of bowel movements per day and the number of days on which bowel movements occur.

⏱️ Dosage and Administration 68 words ▾

DOSAGE AND ADMINISTRATION The usual dose is 1 to 2 tablespoonfuls (15 to 30 mL, containing 10 g to 20 g of lactulose) daily. The dose may be increased to 60 mL daily if necessary. Twenty-four to 48 hours may be required to produce a normal bowel movement. Note: Some patients have found that lactulose solution may be more acceptable when mixed with fruit juice, water or milk.

⛔ Contraindications 22 words ▾

CONTRAINDICATIONS Since lactulose solution contains galactose (less than 1.6 g/15 mL), it is contraindicated in patients who require a low galactose diet.

⚠️ Warnings 90 words ▾

WARNINGS A theoretical hazard may exist for patients being treated with lactulose solution who may be required to undergo electrocautery procedures during proctoscopy or colonoscopy. Accumulation of H2 gas in significant concentration in the presence of an electrical spark may result in an explosive reaction. Although this complication has not been reported with lactulose, patients on lactulose therapy undergoing such procedures should have a thorough bowel cleansing with a non-fermentable solution.

Insufflation of CO 2 as an additional safeguard may be pursued but is considered to be a redundant measure.

🤒 Adverse Reactions 61 words ▾

ADVERSE REACTIONS Precise frequency data are not available. Initial dosing may produce flatulence and intestinal cramps, which are usually transient. Excessive dosage can lead to diarrhea with potential complications such as loss of fluids, hypokalemia, and hypernatremia.

Nausea and vomiting have been reported. To report SUSPECTED ADVERSE REACTIONS, contact Sun Pharmaceutical Industries, Inc. at 1-866-923-4914 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

🔄 Drug Interactions 50 words ▾

Drug Interactions Results of preliminary studies in humans and rats suggest that nonabsorbable antacids given concurrently with lactulose may inhibit the desired lactulose-induced drop in colonic pH. Therefore, a possible lack of desired effect of treatment should be taken into consideration before such drugs are given concomitantly with lactulose solution.

🤰 Pregnancy 75 words ▾

Pregnancy Teratogenic Effects Reproduction studies have been performed in mice, rats, and rabbits at doses up to 3 or 6 times the usual human oral dose and have revealed no evidence of impaired fertility or harm to the fetus due to lactulose. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

🧒 Pediatric Use 12 words ▾

Pediatric Use Safety and effectiveness in pediatric patients have not been established.

🆘 Overdosage 78 words ▾

OVERDOSAGE Signs and Symptoms There have been no reports of accidental overdosage. In the event of overdosage, it is expected that diarrhea and abdominal cramps would be the major symptoms. Medication should be terminated.

Oral LD 50 The acute oral LD 50 of the drug is 48.8 mL/kg in mice and greater than 30 mL/kg in rats. Dialysis Dialysis data are not available for lactulose. Its molecular similarity to sucrose, however, would suggest that it should be dialyzable.

🧬 Clinical Pharmacology 163 words ▾

CLINICAL PHARMACOLOGY Lactulose is poorly absorbed from the gastrointestinal tract and no enzyme capable of hydrolysis of this disaccharide is present in human gastrointestinal tissue. As a result, oral doses of lactulose solution reach the colon virtually unchanged. In the colon, lactulose is broken down primarily to lactic acid, and also to small amounts of formic and acetic acids, by the action of colonic bacteria, which results in an increase in osmotic pressure and slight acidification of the colonic contents.

This in turn causes an increase in stool water content and softens the stool. Since lactulose does not exert its effect until it reaches the colon, and since transit time through the colon may be slow, 24 to 48 hours may be required to produce the desired bowel movement. Lactulose solution given orally to man and experimental animals resulted in only small amounts reaching the blood.

Urinary excretion has been determined to be 3% or less and is essentially complete within 24 hours.

📦 How Supplied / Storage and Handling 185 words ▾

HOW SUPPLIED Lactulose Solution, USP 10 g / 15 mL is available as follows: 8 fl oz (237 mL) bottle in a carton NDC 51672-4243-1 16 fl oz (473 mL) bottle in a carton NDC 51672-4243-9 Lactulose solution contains lactulose 667 mg/mL (10 g / 15 mL). Store at controlled room temperature 15° to 30°C (59° to 86° F). Do not freeze.

Under recommended storage conditions, a normal darkening of color may occur. Such darkening is characteristic of sugar solutions and does not affect therapeutic action. Prolonged exposure to temperatures above 30°C (86° F) or to direct light may cause extreme darkening and turbidity which may be pharmaceutically objectionable.

If this condition develops, do not use. Prolonged exposure to freezing temperatures may cause change to a semi-solid, too viscous to pour. Viscosity will return to normal upon warming to room temperature.

Dispense in original container or in a tight, light-resistant container as defined in the USP, with a child-resistant closure. Rx only Manufactured by: Taro Pharmaceutical Industries Ltd. Haifa Bay, Israel 2624761 Distributed by: Sun Pharmaceutical Industries, Inc.

Cranbury, NJ 08512 Revised: July 2025 5256388-0725-03

📦 Storage and Handling 138 words ▾

Store at controlled room temperature 15° to 30°C (59° to 86° F). Do not freeze. Under recommended storage conditions, a normal darkening of color may occur.

Such darkening is characteristic of sugar solutions and does not affect therapeutic action. Prolonged exposure to temperatures above 30°C (86° F) or to direct light may cause extreme darkening and turbidity which may be pharmaceutically objectionable. If this condition develops, do not use.

Prolonged exposure to freezing temperatures may cause change to a semi-solid, too viscous to pour. Viscosity will return to normal upon warming to room temperature. Dispense in original container or in a tight, light-resistant container as defined in the USP, with a child-resistant closure.

Rx only Manufactured by: Taro Pharmaceutical Industries Ltd. Haifa Bay, Israel 2624761 Distributed by: Sun Pharmaceutical Industries, Inc. Cranbury, NJ 08512 Revised: July 2025 5256388-0725-03

📋 Description 108 words ▾

DESCRIPTION Lactulose is a synthetic disaccharide in solution form for oral administration. Each 15 mL of lactulose solution contains; 10 g lactulose (and less than 1.6 g galactose, less than 1.2 g lactose, and 1.2 g or less of other sugars). Also contains water.

The pH range is 3.0 to 5.5. Lactulose is a colonic acidifier which promotes laxation. The chemical name for lactulose is 4-O-β-D-galactopyranosyl-D-fructofuranose.

The molecular formula is C 12 H 22 O 11 . It has the following structural formula: The molecular weight is 342.3 g/mole. It is freely soluble in water, sparingly soluble in methanol, practically insoluble in toluene, insoluble in ether.

Chemical Structure

💬 Information for Patients 15 words ▾

Information for Patients In the event that an unusual diarrheal condition occurs, contact your physician.

⚠️ Precautions ~1 min read ▾

PRECAUTIONS General Since lactulose solution contains galactose (less than 1.6 g/15 mL) and lactose (less than 1.2 g/15 mL) it should be used with caution in diabetics. Information for Patients In the event that an unusual diarrheal condition occurs, contact your physician. Laboratory Tests Elderly, debilitated patients who receive lactulose solution for more than six months should have serum electrolytes (potassium, chloride, carbon dioxide) measured periodically.

Drug Interactions Results of preliminary studies in humans and rats suggest that nonabsorbable antacids given concurrently with lactulose may inhibit the desired lactulose-induced drop in colonic pH. Therefore, a possible lack of desired effect of treatment should be taken into consideration before such drugs are given concomitantly with lactulose solution. Carcinogenesis, Mutagenesis, Impairment of Fertility There are no known human data on long-term potential for carcinogenicity, mutagenicity, or impairment of fertility.

There are no known animal data on long-term potential for mutagenicity. Administration of lactulose solution in the diet of mice for 18 months in concentrations of 3 and 10 percent (v/w) did not produce any evidence of carcinogenicity. In studies in mice, rats, and rabbits, doses of lactulose solution up to 6 or 12 mL/kg/day produced no deleterious effects in breeding, conception, or parturition.

Pregnancy Teratogenic Effects Reproduction studies have been performed in mice, rats, and rabbits at doses up to 3 or 6 times the usual human oral dose and have revealed no evidence of impaired fertility or harm to the fetus due to lactulose. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Nursing Mothers It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when lactulose solution is administered to a nursing woman. Pediatric Use Safety and effectiveness in pediatric patients have not been established.

🍼 Nursing Mothers 35 words ▾

Nursing Mothers It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when lactulose solution is administered to a nursing woman.

📄 Carcinogenesis, Mutagenesis, Impairment of Fertility 85 words ▾

Carcinogenesis, Mutagenesis, Impairment of Fertility There are no known human data on long-term potential for carcinogenicity, mutagenicity, or impairment of fertility. There are no known animal data on long-term potential for mutagenicity. Administration of lactulose solution in the diet of mice for 18 months in concentrations of 3 and 10 percent (v/w) did not produce any evidence of carcinogenicity.

In studies in mice, rats, and rabbits, doses of lactulose solution up to 6 or 12 mL/kg/day produced no deleterious effects in breeding, conception, or parturition.

📄 Package Label / Principal Display Panel 16 words ▾

PRINCIPAL DISPLAY PANEL - 473 mL Bottle Label 16 fl oz (473 mL) NDC 51672-4243-9 bottle-label

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.
📅 Q3 2025 – Q1 2026 · 3 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
8K
Units reimbursed last 4 qtrs
6.3M
Gross reimbursed last 4 qtrs
$212.2K
Avg / prescription
$26.41
Avg / unit
$0.0338
Latest quarter Q1 2026
5.8KRx
Medicaid pays / mL
$0.0338
gross reimbursed
vs
NADAC / mL
$0.0224
acquisition cost
=
Spread
+$0.0114
+51% 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 ⓘ
51% FFS 49% MCO
Fee-for-service · 4,120 Rx Managed care · 3,914 Rx
State Medicaid map
Alaska: 17,294 units · 2,359 per 100k residents AK Maine: no data reported ME Washington: 569,665 units · 7,292 per 100k residents WA Idaho: 80,617 units · 4,105 per 100k residents ID Montana: 73,648 units · 6,506 per 100k residents MT North Dakota: 152 units · 19.4 per 100k residents ND Minnesota: 234,249 units · 4,083 per 100k residents MN Wisconsin: 139,184 units · 2,355 per 100k residents WI Michigan: 115,226 units · 1,148 per 100k residents MI New York: 630,034 units · 3,219 per 100k residents NY Vermont: 62,217 units · 9,616 per 100k residents VT New Hampshire: 24,164 units · 1,724 per 100k residents NH Oregon: 326,280 units · 7,708 per 100k residents OR Nevada: 43,742 units · 1,370 per 100k residents NV Wyoming: 8,102 units · 1,387 per 100k residents WY South Dakota: no data reported SD Iowa: 28,447 units · 887 per 100k residents IA Illinois: 14,721 units · 117 per 100k residents IL Indiana: 319 units · 4.6 per 100k residents IN Ohio: 317,713 units · 2,696 per 100k residents OH Pennsylvania: 126,149 units · 973 per 100k residents PA New Jersey: 63,373 units · 682 per 100k residents NJ Massachusetts: 64,646 units · 923 per 100k residents MA California: 613,461 units · 1,574 per 100k residents CA Utah: no data reported UT Colorado: 105,296 units · 1,791 per 100k residents CO Nebraska: 50,038 units · 2,530 per 100k residents NE Missouri: 54,323 units · 877 per 100k residents MO Kentucky: 146,528 units · 3,237 per 100k residents KY West Virginia: 26,058 units · 1,472 per 100k residents WV Virginia: 132,486 units · 1,520 per 100k residents VA Maryland: 106,279 units · 1,720 per 100k residents MD Connecticut: 349,004 units · 9,649 per 100k residents CT Rhode Island: no data reported RI Arizona: 274,715 units · 3,697 per 100k residents AZ New Mexico: 140,966 units · 6,668 per 100k residents NM Kansas: no data reported KS Arkansas: 142,302 units · 4,640 per 100k residents AR Tennessee: 222 units · 3.1 per 100k residents TN North Carolina: 50,108 units · 462 per 100k residents NC South Carolina: no data reported SC Delaware: 9,022 units · 875 per 100k residents DE Oklahoma: 215,915 units · 5,327 per 100k residents OK Louisiana: 547,309 units · 11,966 per 100k residents LA Mississippi: 193,953 units · 6,597 per 100k residents MS Alabama: 47,205 units · 924 per 100k residents AL Georgia: 8,536 units · 77.4 per 100k residents GA D.C.: no data reported DC Hawaii: no data reported HI Texas: no data reported TX Florida: 128,639 units · 569 per 100k residents FL
Units reimbursed · per 100k residents
3.111,966
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 Louisiana 11,966 /100k
2 Connecticut 9,649 /100k
3 Vermont 9,616 /100k
4 Oregon 7,708 /100k
5 Washington 7,292 /100k
6 New Mexico 6,668 /100k
7 Mississippi 6,597 /100k
8 Montana 6,506 /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.

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

Medicare Part D (outpatient prescription) spending for Lactulose — the program that covers self-administered drugs. 11 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 Lactulose. 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
$15.3M
Claims incl. refills
405.5K
Beneficiaries
246.1K
Spend / beneficiary
$62.17
Spend / claim
$37.73
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.
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.