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Petroleum White Petrolatum 1 g/g Jelly, 106 g — NDC 70677-1235-01 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Petroleum White Petrolatum 1 g/g Jelly, 106 g — NDC 70677-1235-1 (Billing 70677-1235-01)

by Strategic Sourcing Services LLC · 106 g in 1 JAR

This is a package of 106 g of Petroleum White Petrolatum 1 g/g Jelly from Strategic Sourcing Services LLC, marketed since Jun 1992 and currently FDA-listed; retail pharmacies pay about $0.0132 per g (NADAC).

NDC 70677-1235-01
🏷️ FDA NDC (as labeled) 70677-1235-1 billing pads the package segment with a zero
This package
Contains106 g Cost per g$0.0132 NADAC Per package$1.40 / 106 g Pack sizes2 compare ↓
Also priced by: Medicaid pays $0.0202/unit — full pricing hub ↓
Product page 70677-1235-02 Also comes in: 368 g 70677-1235-2
OTC 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 →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

NDC database record

One package, one record: these facts belong to NDC 70677-1235-1 alone.

Record
FDA NDC Directory package listing · Human OTC drug
Code segments
70677 labeler · 1235 product · 1 package
Package marketed since
Jun 15, 1992
Sample package
No — commercial package
Listing certified through
Dec 31, 2027
Billing quantity
106 g per package
Barcode (UPC-A, from the NDC)
3 7067712351 8
Medicaid fills, this package
12 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) 70677-1235-1
Product NDC 70677-1235
11-digit billing NDC 70677123501
NCPDP billing unit GM — per gram (weight)
RxCUI 204754
UNII 4T6H12BN9U
Application # M016
SPL Set ID 043375b2-e636-4822-9e05-df2327d29986
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 1992-06-15
Route TOPICAL
Dosage form JELLY
Substance PETROLATUM

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

GCN Seq No 008482
GCN 36369
HICL code 003774
Ingredient (HICL) Petrolatum,White
HIC1 code U
Therapeutic class — broad (HIC1) Miscell. Drugs/ Pharmaceutical Adjuvants
HIC2 code U6
Therapeutic class — intermediate (HIC2) Pharmaceutical Adjuvants
HIC3 code U6E
Therapeutic class — specific (HIC3) Ointment/Cream Bases
AHFS code 96:00.00.00
AHFS class Pharmaceutical Aids
FDB label name FT PETROLEUM JELLY
FDB brand name Petroleum Jelly
Legend status O — Over-the-counter (OTC) drug or device
Quick answers
  • GSN (GCN sequence number): 008482
  • GCN: 36369
  • HICL (First Databank): 003774
  • AHFS class code: 96:00.00.00
  • RxCUI (RxNorm): 204754
Why two NDCs? The FDA registers this code as 70677-1235-1 — 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 → 70677-1235-01. 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.

Clinical

Label name FT PETROLEUM JELLY Ingredient Petrolatum,White
🧪 What is this product?

This is a topical jelly containing petrolatum, an occlusive mineral oil product sold over the counter under FDA monograph rules. Petrolatum is typically used as a skin protectant and moisturizer, functioning as a barrier to help seal water into the skin and protect minor cuts, chapped skin, and irritated areas. It is applied directly to the skin surface and is commonly found in first-aid and personal care products.

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
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 gPer package
Retail pharmacies payNADAC · weekly $0.013 $1.40 / 106 g
Medicaid paysCMS SDUD · 12 mo $0.0202 $2.14 / 106 g
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
NADAC price history (per g) — tap or hover for the price & month
Dec 2025 Mar 2026 Jun 2026 Sep 2026 $0.013 $0.012
▲ Up 6% 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 Per unit Per pack Marketing startMarketing endStatus
70677-1235-01 You're viewing this 106 g in 1 JAR $0.0132 / g $1.39 1992-06-15 — Active
70677-1235-02 70677-1235-2 Main listing 368 g in 1 JAR $0.0082 / g $3.00 1992-06-15 — Active

You're viewing the smallest of 2 pack sizes for this product.

Per g, this pack runs about 61% above the cheapest pack (368 g, $0.0082 vs $0.0132 NADAC).

Pack size FAQ

What quantity is in this package?
This package contains 106 g — 106 g in 1 jar.
How does this package differ from NDC 70677-1235-02?
Both are Petroleum White Petrolatum 1 g/g Jelly — the drug itself is identical. This page's package is the 106 g one, while NDC 70677-1235-02 is the 368 g package. Per-g NADAC also differs: $0.0132 here vs $0.0082 for the 368 g pack.
What NDC number is used to bill for this package of Petroleum White Petrolatum 1 g/g Jelly?
Use the 11-digit billing form listed in the identifiers section of this page. 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.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
White Petrolatum 100 g/100g 70000-0487-01 Cardinal 12 jars $0.007 — Availability likely save 44%
Good Neighbor Petroleum Jelly 100 g/100g 46122-0714-26 AmerisourceBergen 113 g $0.010 — Availability likely save 23%
Petroleum 1 g/gthis 70677-1235-01 Strategic 106 g $0.013 — Availability likely —
Petroleum Jelly 100 g/100g 00363-0721-04 Walgreens 106 g — — Discontinued —
Walgreens Baby Petroleum 100 g/100g 00363-0731-13 Walgreen 368 g — — FDA listed —
Petroleum Jelly 100 g/100g 00363-1801-06 WALGREENS 212 g — — FDA listed —
Petroleum Jelly 100 g/100g 00363-1804-07 WALGREENS 71 g — — FDA listed —
White Petrolatum 1 g/g 00404-0169-50 Henry 144 packets — — FDA listed —
Petroleum Skin Protectant 1 g/g 00904-5731-82 Major 368 g — — FDA listed —
Petroleum 1 g/g 10202-0069-96 7-Select 213 g — — FDA listed —
Petroleum Skin Protectant 1 g/g 11344-0069-10 Nice-Pak 28.3 g — — Discontinued —
Pure petroleum 1 g/g 11673-0069-27 Target 369 g — — Discontinued —
Target Up and Up Petroleum Jelly 100 g/100g 11673-0132-59 TARGET 212 g — — FDA listed —
Pure petroleum 1 g/g 11822-3135-02 Rite 369 g — — FDA listed —
White Rose Petroleum Jelly 1000 mg/g 12022-0031-00 J. 340 g — — FDA listed —
Petroleum Jelly 100 g/100g 13709-0331-01 NeilMed 50 g — — FDA listed —
Petroleum Jelly 100 g/100g 13709-0337-01 NeilMed 368 g — — FDA listed —
Pure petroleum 1 g/g 21130-0069-18 Better 70.8 g — — FDA listed —
Petroleum 1 g/g 30142-0069-07 The 9.9 g — — Discontinued —
Pure Petrolatum Jelly 100 g/100g 30400-0509-01 Jell 368 g — — FDA listed —
Pure petroleum 1 g/g 36800-0069-10 Topco 28.3 g — — Discontinued —
Petroleum 1 g/g 36800-0519-27 Topco 368 g — — FDA listed —
Petroleum 1 g/g 37808-0015-27 H 368 g — — FDA listed —
Petroleum Skin Protectant 1 g/g 37808-0069-27 H 368 g — — FDA listed —
Petroleum 100 g/100g 37808-0519-27 H 368 g — — FDA listed —
Petroleum 1 g/g 37808-0960-18 H 71 g — — FDA listed —
Petroleum 1 g/g 41163-0069-07 United 9.9 g — — Discontinued —
Petroleum Jelly 1 g/g 41226-0817-68 KROGER 368 g — — FDA listed —
Comforts Petroleum Jelly 1 g/g 41226-0820-68 KROGER 368 g — — FDA listed —
Petroleum Skin Protectant 1 g/g 41250-0069-18 Meijer, 70.8 g — — Discontinued —
Petroleum 1 g/g 42507-0069-27 Hy-Vee, 368 g — — FDA listed —
White Petrolatum 1 g/g 43473-0309-01 Nantong 5 g — — FDA listed —
Petroleum Skin Protectant 1 g/g 49035-0038-10 Walmart 28.3 g — — Discontinued —
White Petrolatum 100 g/100g 49035-0518-18 Walmart 70 g — — Discontinued —
Petroleum 1 g/g 50594-0069-27 Big 368 g — — Discontinued —
GoodSense Petroleum Jelly 100 g/100g 50804-0050-04 GOOD 113 g — — FDA listed —
Pure Petrolatum Jelly 100 g/100g 51628-4246-01 MY 368 g — — FDA listed —
Pure Petrolatum Jelly 100 g/100g 51628-4249-01 MY 368 g — — FDA listed —
Pure Petrolatum Jelly 100 g/100g 51628-4600-01 MY 170 g — — FDA listed —
Pure Petrolatum 100 g/100g 51628-5600-01 MY 170 g — — FDA listed —
CAREALL Petroleum 1 g/g 51824-0041-01 New 28.25 g — — FDA listed —
Universal Pure Petroleum 1 g/g 52000-0005-19 Universal 226 g — — FDA listed —
Universal Pure Petroleum Cocoa Butter Scented 1 g/g 52000-0007-19 Universal 226 g — — FDA listed —
Novita Pure Petrolatum Jelly 100 g/100g 52410-1010-03 Shield 226 g — — FDA listed —
Medpride 100 g/100g 52410-3020-02 Shield 5 g — — FDA listed —
Health Smart Original Petroleum 100 g/100g 52862-0013-01 Home 226 g — — FDA listed —
White Rain Original Petroleum 100 g/100g 52862-0131-01 INTERNATIONAL 170 g — — FDA listed —
Petroleum 1 g/g 53329-0068-01 Medline 1 tube — — FDA listed —
Medline 1 g/g 53329-0150-44 Medline 113 g — — FDA listed —
Petroleum Skin Protectant 1 g/g 53942-0069-27 Demoulas 369 g — — FDA listed —
Petroleum 100 g/100g 53942-0519-27 Demoulas 368 g — — FDA listed —
Petroleum Skin Protectant 1 g/g 55301-0069-18 Your 71 g — — Discontinued —
Petroleum Skin Protectant 1 g/g 55319-0069-27 Family 368 g — — Discontinued —
ProCure Petroleum 100 g/100g 55681-0049-02 Twin 56.6 g — — FDA listed —
procure 1 g/g 55681-0211-01 TWIN 5 g — — FDA listed —
Pure petroleum 1 g/g 55910-0069-27 Old 369 g — — FDA listed —
Petroleum Skin Protectant 1 g/g 56062-0069-18 Publix 70.8 g — — FDA listed —
Petroleum 1 g/g 57243-0069-54 Salado 106 g — — FDA listed —
Petroleum Jelly Fragrance Free 3.53oz 100 g/100g 57337-0161-01 Rejoice 100 g — — FDA listed —
White Petrolatum 100 g/100g 57896-0164-14 Geri-Care 144 packets — — FDA listed —
Petrolatum Jelly 100 g/100g 58037-0009-01 NEW 368 g — — FDA listed —
Petroleum 1 g/g 59779-0069-18 CVS 71 g — — FDA listed —
Petroleum with Cocoa 100 g/100g 63868-0599-75 QUALITY 212 g — — FDA listed —
Petroleum 100 g/100g 63868-0601-04 QUALITY 113 g — — FDA listed —
Pure petroleum 1 g/g 63941-0069-27 Valu 368 g — — FDA listed —
Petroleum 100 g/100g 63941-0340-27 Valu 368 g — — FDA listed —
Petroleum Jelly 1 g/g 64772-0202-01 Derma 113 g — — FDA listed —
Vaseline 99.96 g/100g 64942-1866-01 Conopco 368 g — — FDA listed —
Vaseline 99.96 g/100g 64942-1874-01 Conopco 49 g — — FDA listed —
Dawnmist Petroleum 100 g/100g 65517-2020-01 Dukal 56 g — — Discontinued —
Dukal White Petrolatum 1 g/g 65517-2023-01 Dukal 144 packets — — FDA listed —
Lil Drug Store Petroleum Jelly 1 g/g 66715-6835-04 Lil 106 g — — FDA listed —
WinCo FoodsPetroleum Jelly 100 g/100g 67091-0411-13 WinCo 368 g — — FDA listed —
WinCo FoodsPetroleum Jelly 100 g/100g 67091-0412-04 WinCo 113 g — — FDA listed —
White Petrolatum 1 g/g 67777-0005-00 Dynarex 144 packets — — FDA listed —
Petroleum Skin Protectant 1 g/g 68016-0069-27 Pharmacy 369 g — — FDA listed —
White Petrolatum 1 g/g 68786-0211-01 Sion 144 packets — — FDA listed —
White Petrolatum 100 g/100g 69396-0114-05 Trifecta 144 packets — — FDA listed —
Geri-Gentle petrolatum 100 g/100g 69771-0016-12 Geri-gentle 5 g — — FDA listed —
Petroleum 1 g/g 70677-0120-01 Strategic 369 g — — FDA listed —
HealthWise Petroleum Jelly 100 g/100g 71101-0042-04 Veridian 113 g — — FDA listed —
HealthWise Petroleum Jelly Original 100 g/100g 71101-0093-01 Veridian 368 g — — FDA listed —
HealthWise Petroleum Jelly Baby Fresh 100 g/100g 71101-0094-01 Veridian 368 g — — FDA listed —
Caring Mills Petroleum Jelly 100 g/100g 71101-0207-01 Veridian 212 g — — FDA listed —
TheraCare Petroleum Jelly 100 g/100g 71101-0208-01 Veridian 113 g — — FDA listed —
Petroleum 1 g/g 72036-0069-27 Harris 368 g — — FDA listed —
Pharmacys Prescription Petroleum Jelly 99.9 g/100g 72197-0044-06 American 170 g — — FDA listed —
Pharmacys Prescription Petroleum Jelly 99.9 g/100g 72197-0045-06 American 170 g — — Discontinued —
Petroleum 1 g/g 72288-0069-54 Amazon.com 106 g — — FDA listed —
Petrolatum 1 g/g 72476-0069-27 Retail 369 g — — FDA listed —
Petrolatum 1 g/g 72476-0519-27 Retail 368 g — — FDA listed —
Little Me Multipurpose Baby Balm 1000 mg/g 73025-0089-10 Shalom 400 g — — FDA listed —
Petroleum 1 g/g 75981-0069-27 Perrigo 368 g — — FDA listed —
Cars Petroleum 100 g/100g 78495-0003-01 Ultra 113 g — — FDA listed —
Princess Petroleum 100 g/100g 78495-0004-01 Ultra 113 g — — FDA listed —
Meijer Petroleum Jelly 100 g/100g 79481-0007-01 Meijer 368 g — — FDA listed —
Meijer Baby Petroleum Jelly Skin Protectant Frag Free 100 g/100g 79481-0046-01 Meijer 212 g — — FDA listed —
Meijer Baby Petroleum Jelly Skin Protectant Fresh Scent 100 g/100g 79481-0050-01 Meijer 368 g — — FDA listed —
Petroleum 1 g/g 79481-0960-06 Meijer, 213 g — — FDA listed —
Petroleum Jelly 100 g/100g 79903-0183-20 Walmart 566 g — — FDA listed —
Petroleum Jelly 1 g/g 79903-0801-68 WAL-MART 368 g — — FDA listed —
Coconut Milk and Shea Petroleum Jelly 1 g/g 82442-0680-96 Target 212 g — — FDA listed —
Petroleum 100 g/100g 83324-0259-04 QUALITY 113 g — — FDA listed —
Petroleum 100 g/100g 83324-0260-13 QUALITY 368 g — — FDA listed —
Petroleum 100 g/100g 84722-3035-00 VIVE 1 g — — FDA listed —
Pure Petrolatum Jelly 100 g/100g 85114-1010-01 UMENDRA 226 g — — Discontinued —
Pure Petrolatum 100 g/100g 85571-5600-01 VASA 170 g — — FDA listed —
Pharmacys Prescription Petroleum 100 g/100g 85891-0012-01 SPARROW 24 jars — — Discontinued —
Petroleum Jelly 1 g/g 87236-0009-01 Aldermed 1 tube — — FDA listed —
Doue Pure petroleum Original 100 g/100g 87510-0004-01 ONEST 425 g — — 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

🏛️
1992
On the market since
Jun 1992
📍
2026
Currently FDA-listed
34 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.

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.

From the label’s inactive-ingredient sectionNone

This is label-wide narrative text, not a normalized exact-product ingredient list. A label can cover multiple strengths or packages.

Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

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

LabelerStrategic Sourcing Services LLC
FDA applicationM016 (OTC MONOGRAPH DRUG)
Labeler code70677
First marketedJun 1992
Product typeHuman Otc Drug
Portfolio316 products on file

More NDCs from Strategic Sourcing Services LLC labeler code 70677

The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 🤒 Adverse Reactions 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Do Not Use 📄 When Using This Product 📄 Stop Use and Ask a Doctor If 📄 Keep Out of Reach of Children 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 29 words ▾

Use temporarily protects minor: cuts scrapes burns temporarily protects and helps relieve chapped or cracked skin and lips helps protect from the drying effects of wind and cold weather

⏱️ Dosage and Administration 4 words ▾

Directions Apply as needed

⚠️ Warnings 5 words ▾

Warnings For external use only

🤒 Adverse Reactions 40 words ▾

Adverse Reaction Distributed by: Mckesson Corp., via SSSL Memphis, TN 38141 Money Back Guarantee www.fosterandthrive.com ©2023 McKesson Corporation *This product is not manufactured or distributed by Unilever, distributor of Vaseline ® Original Healing Jelly ® 100% White Petroleum Skin Protectant.

🧪 Active Ingredient 6 words ▾

Active ingredient White Petrolatum USP (100%)

🧪 Inactive Ingredients 3 words ▾

Inactive ingredients None

🎯 Purpose 3 words ▾

Purpose Skin Protectant

📄 Do Not Use 12 words ▾

Do not use on deep or punture wounds animal bites serious burns

📄 When Using This Product 9 words ▾

When using this product do not get into eyes

📄 Stop Use and Ask a Doctor If 25 words ▾

Stop use and ask a doctor if condition worsens symptoms last more than 7 days or clear up and occur again within a few days

📄 Keep Out of Reach of Children 19 words ▾

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

📄 Package Label / Principal Display Panel 35 words ▾

Principal display panel NDC 70677-1235-2 COMPARE TO VASELINE ® ORIGINAL HEALING JELLY ® * Foster & Thrive™ Petroleum Jelly 100% White Petrolatum SKIN PROTECTANT Hypoallergenic NET WT 13 OZ (368 g) image description image description

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
12
Units reimbursed last 4 qtrs
1.5K
Gross reimbursed last 4 qtrs
$30.03
Avg / prescription
$2.50
Avg / unit
$0.0202
Latest quarter Q1 2026
0Rx
Medicaid pays / g
$0.0202
gross reimbursed
vs
NADAC / g
$0.0132
acquisition cost
=
Spread
+$0.0070
+53% 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 ⓘ
100% MCO
Fee-for-service · 0 Rx Managed care · 12 Rx
State Medicaid map
Alaska: no data reported AK Maine: no data reported ME Washington: no data reported WA Idaho: no data reported ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: 1,484 units · 25.9 per 100k residents MN Wisconsin: no data reported WI Michigan: no data reported MI New York: no data reported NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: no data reported OR Nevada: no data reported NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: no data reported IA Illinois: no data reported IL Indiana: no data reported IN Ohio: no data reported OH Pennsylvania: no data reported PA New Jersey: no data reported NJ Massachusetts: no data reported MA California: no data reported CA Utah: no data reported UT Colorado: no data reported CO Nebraska: no data reported NE Missouri: no data reported MO Kentucky: no data reported KY West Virginia: no data reported WV Virginia: no data reported VA Maryland: no data reported MD Connecticut: no data reported CT Rhode Island: no data reported RI Arizona: no data reported AZ New Mexico: no data reported NM Kansas: no data reported KS Arkansas: no data reported 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: no data reported 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
25.925.9
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 Minnesota 25.9 /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.
368 g70677-1235-02 33 Rx · $399
106 g this page70677-1235-01 12 Rx · $30
Drug total (last 4 qtrs): 45 Rx · 13,366 units · $429 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.
← 70677-1234-01 · Strategic 70677-1236-01 · STRATEGIC →
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.