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Azelastine Hydrochloride .5 mg/mL Solution/ Drops — NDC 70069-0091-01 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Azelastine Hydrochloride .5 mg/mL Solution/ Drops — NDC 70069-091-01 (Billing 70069-0091-01)

by Somerset Therapeutics, LLC · 1 BOTTLE in 1 CARTON / 6 mL in 1 BOTTLE

This is a package of Azelastine Hydrochloride .5 mg/mL Solution/ Drops from Somerset Therapeutics, LLC, marketed since Apr 2019 and currently FDA-listed; retail pharmacies pay about $1.01 per mL (NADAC). It is this product's only package size.

NDC 70069-0091-01
🏷️ FDA NDC (as labeled) 70069-091-01 billing pads the product 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 70069-091-01 alone.

Record
FDA NDC Directory package listing · Human prescription drug
Code segments
70069 labeler · 091 product · 01 package
Package marketed since
Apr 8, 2019
Sample package
No — commercial package
Listing certified through
Dec 31, 2026
Barcode (UPC)
0370069091012
Medicaid fills, this package
75,478 prescriptions in the last four reported quarters
FDA record last changed
Jul 24, 2026
⚠️
Other active recalls for Azelastine Hydrochloride (different manufacturers) — 1 · tap to view
These affect other manufacturers’ products for the same ingredient — not necessarily the exact NDC on this page.
Class II · May 28, 2025 — Lack of Assurance of Sterility (Apotex Corp.) · FDA recall D-0495-2025
Each entry is an official FDA enforcement report — look up any recall number in the FDA recall database ↗

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 70069-091-01
Product NDC 70069-091
11-digit billing NDC 70069009101
NCPDP billing unit ML — per mL (volume)
RxCUI 860805
UNII 0L591QR10I
UPC 0370069091012
Application # ANDA207411
SPL Set ID 72406ded-7886-41fb-b5c8-2d27a149aa34
Established class (EPC) Histamine-1 Receptor Antagonist
Mechanism of action Histamine H1 Receptor Antagonists
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2019-04-08
Route OPHTHALMIC
Dosage form SOLUTION/ DROPS
Substance AZELASTINE HYDROCHLORIDE
TE code (Orange Book) AT · RLD · RS

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

GPI-14 86802006102020
GPI class Azelastine HCl
GCN Seq No 040646
GCN 94615
HICL code 007607
Ingredient (HICL) Azelastine Hcl
HIC1 code Q
Therapeutic class — broad (HIC1) Ear/Eye/Nose/Rectum/Topical/Vagina/Other
HIC2 code Q6
Therapeutic class — intermediate (HIC2) Ophthalmic Preparations
HIC3 code Q6R
Therapeutic class — specific (HIC3) Eye Antihistamines
AHFS code 04:08.00.00
AHFS class Second Generation Antihistamines
FDB label name AZELASTINE HCL 0.05% DROPS
FDB brand name Azelastine Hcl
Legend status F — Federal legend — prescription drug or device
Quick answers
  • GSN (GCN sequence number): 040646
  • GCN: 94615
  • GPI-14 (Medi-Span): 86802006102020
  • HICL (First Databank): 007607
  • AHFS class code: 04:08.00.00
  • RxCUI (RxNorm): 860805
Why two NDCs? The FDA registers this code as 70069-091-01 — a 5-3-2 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 product segment → 70069-0091-01. 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 Histamine-1 Receptor Antagonist class.

Pharmacologic class Histamine-1 Receptor Antagonist
Drug family (ATC) Antiallergic agents, excl. corticosteroids, Other antihistamines for systemic use, Other antiallergics
How it works Histamine H1 Receptor Antagonists
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 AZELASTINE HCL 0.05% DROPS Ingredient Azelastine Hcl
📗 Our plain-language guide HelloPharmacist
  • They treat itchy eyes caused by allergic conjunctivitis, which is an allergic reaction affecting the eye. They are not described for other eye problems.
  • Put one drop in each affected eye, usually twice a day. Follow your prescriber's directions and your label. They are for the eyes only, so never swallow them or inject them.
  • They might. About 30% of people notice brief burning or stinging. It is usually mild and short-lived.
  • A bitter taste was reported by about 10% of people using the drops. It is usually mild. Headache is also fairly common, at about 15%.
📖 Read our full Azelastine Ophthalmic 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 $1.012 $6.07 / 6 ml
Medicaid paysCMS SDUD · 12 mo $2.46 $14.74 / 6 ml
Medicare drug plans payPart D · Q2 2026 $1.79 $10.72 / 6 ml
NADAC price history (per mL) — tap or hover for the price & month
Jan 2022 Aug 2022 Jan 2026 Sep 2026 $1.300 $0.879
▼ Down 18% 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
70069-0091-01 You're viewing this Main listing 1 BOTTLE in 1 CARTON / 6 mL in 1 BOTTLE 2019-04-08 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Azelastine Hydrochloride .5 mg/mL 47335-0938-90 Sun 1 bottle $0.908 — FDA listed save 10%
Azelastine Hydrochloride .5 mg/mL 60505-0578-04 Apotex 1 bottle $1.012 AT Availability likely —
Azelastine Hydrochloride .5 mg/mL 61314-0308-02 Sandoz 1 bottle $1.012 AT Availability likely —
Azelastine Hydrochloride Ophthalmic Solution 0.05% .5 mg/mL 62332-0506-06 Alembic 1 bottle $1.012 AT Availability likely —
Azelastine Hydrochloride .5 mg/mLthis 70069-0091-01 Somerset 1 bottle $1.012 AT Availability likely —
Azelastine Hydrochloride .5 mg/mL 72266-0141-01 Fosun 1 bottle $1.012 AT Availability likely —
Azelastine Hydrochloride .5 mg/mL 46708-0506-06 Alembic 1 bottle — AT FDA listed —
Azelastine Hydrochloride .5 mg/mL 68083-0287-01 Gland 1 bottle — 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

🏛️
2019
On the market since
Apr 2019
📍
2026
Currently FDA-listed
7 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.

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 Azelastine Ophthalmic 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.

  • 0.125 mg / 1 mL UNII F5UM2KM3W7
    Benzalkonium chloride is a chemical compound that works as a preservative and antimicrobial agent in medications. It prevents bacterial and fungal growth in liquid formulations to keep the product safe during storage and use.
  • UNII 7FLD91C86K
    Edetate disodium is a chemical compound that binds and removes certain metal ions. In medicines, it acts as a preservative and stabilizer by preventing metals like calcium from interfering with the product's shelf life and consistency.
  • UNII RN3152OP35
    Hypromellose is a plant-based thickener and film-former derived from cellulose. In medicines, it's used to create coatings on tablets and capsules, control how fast the drug dissolves, and improve the product's texture and stability.
  • UNII 55X04QC32I
    A strong alkaline chemical used to adjust and maintain the pH balance of liquid medicines. It helps keep the medicine stable and ensures it stays effective during 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.

6 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

LabelerSomerset Therapeutics, LLC
Application holderSOMERSET THERAPEUTICS LLC
FDA applicationANDA207411 (ANDA)
Labeler code70069
First marketedApr 2019
Product typeHuman Prescription Drug
Portfolio184 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 22 words ▾

INDICATIONS AND USAGE: Azelastine hydrochloride ophthalmic solution, 0.05% is indicated for the treatment of itching of the eye associated with allergic conjunctivitis.

⏱️ Dosage and Administration 17 words ▾

DOSAGE AND ADMINISTRATION: The recommended dose is one drop instilled into each affected eye twice a day.

⛔ Contraindications 20 words ▾

CONTRAINDICATIONS: Azelastine hydrochloride ophthalmic solution, 0.05% is contraindicated in persons with known or suspected hypersensitivity to any of its components.

⚠️ Warnings 18 words ▾

WARNINGS: Azelastine hydrochloride ophthalmic solution, 0.05% is for ocular use only and not for injection or oral use.

🤒 Adverse Reactions 78 words ▾

ADVERSE REACTIONS: In controlled multiple-dose studies where patients were treated for up to 56 days, the most frequently reported adverse reactions were transient eye burning/stinging (approximately 30%), headaches (approximately 15%) and bitter taste (approximately 10%). The occurrence of these events was generally mild. The following events were reported in 1–10% of patients: asthma, conjunctivitis, dyspnea, eye pain, fatigue, influenza-like symptoms, pharyngitis, pruritus, rhinitis and temporary blurring.

Some of these events were similar to the underlying disease being studied.

🤰 Pregnancy 138 words ▾

Pregnancy: Teratogenic Effects: Pregnancy Category C. Azelastine hydrochloride has been shown to be embryotoxic, fetotoxic, and teratogenic (external and skeletal abnormalities) in mice at an oral dose of 68.6 mg/kg/day (57,000 times the recommended ocular human use level). At an oral dose of 30 mg/kg/day (25,000 times the recommended ocular human use level), delayed ossification (undeveloped metacarpus) and the incidence of 14 th rib were increased in rats.

At 68.6 mg/kg/day (57,000 times the maximum recommended ocular human use level) azelastine hydrochloride caused resorption and fetotoxic effects in rats. The relevance to humans of these skeletal findings noted at only high drug exposure levels is unknown. There are no adequate and well-controlled studies in pregnant women.

Azelastine hydrochloride ophthalmic solution, 0.05% should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

🧒 Pediatric Use 17 words ▾

Pediatric Use: Safety and effectiveness in pediatric patients below the age of 3 have not been established.

🧓 Geriatric Use 18 words ▾

Geriatric Use: No overall differences in safety or effectiveness have been observed between elderly and younger adult patients.

🧬 Clinical Pharmacology ~1 min read ▾

CLINICAL PHARMACOLOGY: Azelastine hydrochloride is a relatively selective histamine H 1 antagonist and an inhibitor of the release of histamine and other mediators from cells (e.g. mast cells) involved in the allergic response. Based on in-vitro studies using human cell lines, inhibition of other mediators involved in allergic reactions (e.g. leukotrienes and PAF) has been demonstrated with azelastine hydrochloride. Decreased chemotaxis and activation of eosinophils has also been demonstrated.

Pharmacokinetics and Metabolism: Absorption of azelastine following ocular administration was relatively low. A study in symptomatic patients receiving one drop of azelastine hydrochloride ophthalmic solution, 0.05% in each eye two to four times a day (0.06 to 0.12 mg azelastine hydrochloride) demonstrated plasma concentrations of azelastine hydrochloride to generally be between 0.02 to 0.25 ng/mL after 56 days of treatment. Three of nineteen patients had quantifiable amounts of N-desmethylazelastine that ranged from 0.25–0.87 ng/mL at Day 56.

Based on intravenous and oral administration, the elimination half-life, steady-state volume of distribution and plasma clearance were 22 hours,

14.5 L/kg and

0.5L/h/kg, respectively. Approximately 75% of an oral dose of radiolabeled azelastine hydrochloride was excreted in the feces with less than 10% as unchanged azelastine. Azelastine hydrochloride is oxidatively metabolized to the principal metabolite, N-desmethylazelastine, by the cytochrome P450 enzyme system.

In-vitro studies in human plasma indicate that the plasma protein binding of azelastine and N-desmethylazelastine are approximately 88% and 97%, respectively. Clinical Trials: In a conjunctival antigen challenge study, azelastine hydrochloride ophthalmic solution, 0.05% was more effective than its vehicle in preventing itching associated with allergic conjunctivitis. Azelastine hydrochloride ophthalmic solution, 0.05% had a rapid (within 3 minutes) onset of effect and a duration of effect of approximately 8 hours for the prevention of itching.

In environmental studies, adult and pediatric patients with seasonal allergic conjunctivitis were treated with azelastine hydrochloride ophthalmic solution, 0.05% for two to eight weeks. In these studies, azelastine hydrochloride ophthalmic solution, 0.05% was more effective than its vehicle in relieving itching associated with allergic conjunctivitis.

📦 How Supplied / Storage and Handling 69 words ▾

HOW SUPPLIED: Azelastine Hydrochloride Ophthalmic Solution USP, 0.05% is supplied as follows: 6 mL (NDC # 70069-091-01) solution in 10 mL natural HDPE bottle plugged with natural LDPE nozzle and white HDPE screw cap. Storage Store UPRIGHT between 2° and 25°C (36° and 77°F). Rx only For Product Inquiry call +1-800-417-9175 Manufactured for: Somerset Therapeutics, LLC.

Somerset, NJ 08873 Made in India Code No.:KR/DRUGS/KTK/28/289/97 Revised: July, 2024 ST-AZL11/P/03 1200997

📋 Description 157 words ▾

DESCRIPTION: Azelastine hydrochloride ophthalmic solution USP, 0.05% is a sterile ophthalmic solution containing azelastine hydrochloride, a relatively selective H 1 -receptor antagonist for topical administration to the eyes. Azelastine hydrochloride is a white crystalline powder with a molecular weight of 418.37. Azelastine hydrochloride is sparingly soluble in water, methanol and propylene glycol, and slightly soluble in ethanol, octanol, and glycerine.

Azelastine hydrochloride is a racemic mixture with a melting point of 225°C. The chemical name for azelastine hydrochloride is (±)-1-(2H)-phthalazinone,4-[(4-chlorophenyl) methyl]-2-(hexahydro-1-methyl-1H-azepin-4-yl)-, monohydrochloride and is represented by following chemical structure: Empirical chemical structure: C 22 H 24 ClN 3 O•HCl Each mL of Azelastine hydrochloride ophthalmic solution USP contains: Active: 0.5 mg azelastine hydrochloride, equivalent to 0.457 mg of azelastine base; Preservative: 0.125 mg benzalkonium chloride; Inactives: disodium edetate dihydrate, hypromellose, sorbitol solution, sodium hydroxide and water for injection.

It has a pH of approximately 5.0 to 6.5 and an osmolarity of approximately 271 to 312 mOsmol/L. Image

💬 Information for Patients 125 words ▾

Information for Patients: To prevent contaminating the dropper tip and solution, care should be taken not to touch any surface, the eyelids, or surrounding areas with the dropper tip of the bottle. Keep bottle tightly closed when not in use. This product is sterile when packaged.

Patients should be advised not to wear a contact lens if their eye is red. Azelastine hydrochloride ophthalmic solution, 0.05% should not be used to treat contact lens related irritation. The preservative in azelastine hydrochloride ophthalmic solution, 0.05%, benzalkonium chloride, may be absorbed by soft contact lenses.

Patients who wear soft contact lenses and whose eyes are not red , should be instructed to wait at least ten minutes after instilling azelastine hydrochloride before they insert their contact lenses.

⚠️ Precautions ~2 min read ▾

PRECAUTIONS: Information for Patients: To prevent contaminating the dropper tip and solution, care should be taken not to touch any surface, the eyelids, or surrounding areas with the dropper tip of the bottle. Keep bottle tightly closed when not in use. This product is sterile when packaged.

Patients should be advised not to wear a contact lens if their eye is red. Azelastine hydrochloride ophthalmic solution, 0.05% should not be used to treat contact lens related irritation. The preservative in azelastine hydrochloride ophthalmic solution, 0.05%, benzalkonium chloride, may be absorbed by soft contact lenses.

Patients who wear soft contact lenses and whose eyes are not red , should be instructed to wait at least ten minutes after instilling azelastine hydrochloride before they insert their contact lenses. Carcinogenesis, Mutagenesis, Impairment of Fertility: Azelastine hydrochloride administered orally for 24 months was not carcinogenic in rats and mice at doses up to 30 mg/kg/day and 25 mg/kg/day, respectively. Based on a 30 μL drop size, these doses were approximately 25,000 and 21,000 times higher than the maximum recommended ocular human use level of 0.001 mg/kg/day for a 50 kg adult.

Azelastine hydrochloride showed no genotoxic effects in the Ames test, DNA repair test, mouse lymphoma forward mutation assay, mouse micronucleus test, or chromosomal aberration test in rat bone marrow. Reproduction and fertility studies in rats showed no effects on male or female fertility at oral doses of up to 25,000 times the maximum recommended ocular human use level. At 68.6 mg/kg/day (57,000 times the maximum recommended ocular human use level), the duration of the estrous cycle was prolonged and copulatory activity and the number of pregnancies were decreased.

The numbers of corpora lutea and implantations were decreased; however, the implantation ratio was not affected. Pregnancy: Teratogenic Effects: Pregnancy Category C. Azelastine hydrochloride has been shown to be embryotoxic, fetotoxic, and teratogenic (external and skeletal abnormalities) in mice at an oral dose of 68.6 mg/kg/day (57,000 times the recommended ocular human use level).

At an oral dose of 30 mg/kg/day (25,000 times the recommended ocular human use level), delayed ossification (undeveloped metacarpus) and the incidence of 14 th rib were increased in rats. At 68.6 mg/kg/day (57,000 times the maximum recommended ocular human use level) azelastine hydrochloride caused resorption and fetotoxic effects in rats. The relevance to humans of these skeletal findings noted at only high drug exposure levels is unknown.

There are no adequate and well-controlled studies in pregnant women. Azelastine hydrochloride ophthalmic solution, 0.05% should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Nursing Mothers: It is not known whether azelastine hydrochloride is excreted in human milk.

Because many drugs are excreted in human milk, caution should be exercised when azelastine hydrochloride ophthalmic solution, 0.05% is administered to a nursing woman. Pediatric Use: Safety and effectiveness in pediatric patients below the age of 3 have not been established. Geriatric Use: No overall differences in safety or effectiveness have been observed between elderly and younger adult patients.

🍼 Nursing Mothers 38 words ▾

Nursing Mothers: It is not known whether azelastine hydrochloride is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when azelastine hydrochloride ophthalmic solution, 0.05% is administered to a nursing woman.

📄 Package Label / Principal Display Panel 12 words ▾

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL Container Label Carton Label Container Label Carton 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.
📅 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
75.5K
Units reimbursed last 4 qtrs
487.1K
Gross reimbursed last 4 qtrs
$1.2M
Avg / prescription
$15.86
Avg / unit
$2.4570
Latest quarter Q1 2026
26.8KRx
Medicaid pays / mL
$2.4570
gross reimbursed
vs
NADAC / mL
$1.0124
acquisition cost
=
Spread
+$1.4446
+143% 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 ⓘ
65% FFS 35% MCO
Fee-for-service · 49,242 Rx Managed care · 26,236 Rx
State Medicaid map
Alaska: no data reported AK Maine: 666 units · 47.7 per 100k residents ME Washington: 137 units · 1.8 per 100k residents WA Idaho: no data reported ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: 372 units · 6.5 per 100k residents MN Wisconsin: 1,440 units · 24.4 per 100k residents WI Michigan: 9,664 units · 96.3 per 100k residents MI New York: 89,215 units · 456 per 100k residents NY Vermont: 72 units · 11.1 per 100k residents VT New Hampshire: 816 units · 58.2 per 100k residents NH Oregon: 876 units · 20.7 per 100k residents OR Nevada: 2,418 units · 75.7 per 100k residents NV Wyoming: no data reported WY South Dakota: 66 units · 7.2 per 100k residents SD Iowa: 3,797 units · 118 per 100k residents IA Illinois: 29,481 units · 235 per 100k residents IL Indiana: 15,288 units · 223 per 100k residents IN Ohio: 15,828 units · 134 per 100k residents OH Pennsylvania: 7,320 units · 56.5 per 100k residents PA New Jersey: 5,477 units · 59.0 per 100k residents NJ Massachusetts: 1,620 units · 23.1 per 100k residents MA California: 195,600 units · 502 per 100k residents CA Utah: 810 units · 23.7 per 100k residents UT Colorado: 2,316 units · 39.4 per 100k residents CO Nebraska: no data reported NE Missouri: 3,540 units · 57.1 per 100k residents MO Kentucky: 3,378 units · 74.6 per 100k residents KY West Virginia: 5,868 units · 332 per 100k residents WV Virginia: 3,258 units · 37.4 per 100k residents VA Maryland: 4,691 units · 75.9 per 100k residents MD Connecticut: 1,776 units · 49.1 per 100k residents CT Rhode Island: 852 units · 77.8 per 100k residents RI Arizona: 4,500 units · 60.6 per 100k residents AZ New Mexico: 3,156 units · 149 per 100k residents NM Kansas: 648 units · 22.0 per 100k residents KS Arkansas: 6,936 units · 226 per 100k residents AR Tennessee: 3,408 units · 47.8 per 100k residents TN North Carolina: 2,256 units · 20.8 per 100k residents NC South Carolina: no data reported SC Delaware: 1,752 units · 170 per 100k residents DE Oklahoma: 246 units · 6.1 per 100k residents OK Louisiana: 19,656 units · 430 per 100k residents LA Mississippi: 2,136 units · 72.7 per 100k residents MS Alabama: 10,089 units · 198 per 100k residents AL Georgia: 4,314 units · 39.1 per 100k residents GA D.C.: 456 units · 67.2 per 100k residents DC Hawaii: 4,440 units · 309 per 100k residents HI Texas: 1,728 units · 5.7 per 100k residents TX Florida: 14,700 units · 65.0 per 100k residents FL
Units reimbursed · per 100k residents
1.8502
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 California 502 /100k
2 New York 456 /100k
3 Louisiana 430 /100k
4 West Virginia 332 /100k
5 Hawaii 309 /100k
6 Illinois 235 /100k
7 Arkansas 226 /100k
8 Indiana 223 /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.
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.