Hydroxyzine Pamoate
Pricing Report NDC 0115-1670-01

Latest NADAC: $0.07465 per EA · Effective Apr 21, 2021 · Est. package price $7.47 (100 EA)
Table of Contents
  1. Current Pricing Information
  2. Pricing History

Current Package Pricing Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

The latest wholesale acquisition cost for Hydroxyzine Pamoate (NDC 0115-1670-01) is $0.07465 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Apr 21, 2021.

As a provided by Amneal Pharmaceuticals Of New York Llc, this medication is distributed in a 100 CAPSULE in 1 BOTTLE, PLASTIC configuration. The pricing data is derived from C/I - Chain or Independent Pharmacy surveys, reflecting the actual invoice prices paid by community pharmacies to drug wholesalers.

NADAC Pricing Summary

NADAC pricing snapshot for this package NDC

Acquisition Cost
$0.07465
Per EA

Pricing Unit
Per EA Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Apr 21, 2021
Billable Units
100 EA
Estimated Package Price
$7.47
Data Status
As of Apr 28, 2021
Pharmacy Source Pharmacy Type Indicator
Data collected from Chain/Independent pharmacy surveys.
C/I - Chain or Independent Pharmacy
Rate Classification Classification for Rate Setting
Indicates if the NDC is Brand (B) or Generic (G).
G - Generic
Package NDC
0115-1670-01
Description
100 CAPSULE in 1 BOTTLE, PLASTIC
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Apr 2017, the NADAC wholesale price for (NDC ) has moved within a range of $0.05396 to $0.07506 per EA. Over this 4 years period, the pricing trend reflects the shifting acquisition costs reported by retail and chain pharmacies to the Centers for Medicare and Medicaid Services (CMS). The following interactive chart and historical table detail every recorded price adjustment based on these federal surveys.

Price Range
$0.0540 - $0.0751
Market Volatility
39.10% Variance
Latest Trend
0.55%

Recent NADAC Price History

DateUnit PriceUnitSourceMethodRate
Apr 21, 2021 $0.07465 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 17, 2021 $0.07506 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 17, 2021 $0.07506 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $0.07210 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $0.07210 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2021 $0.07190 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2021 $0.07190 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $0.07233 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $0.07233 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $0.07473 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $0.07473 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2020 $0.07121 EAC/I - Chain or Independent PharmacyCode 1G - Generic

Earlier NADAC Price History

Pricing Methodology Legend

  • Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey.
  • Code 4: The NADAC was carried forward from the previous file.

Understanding NADAC Pricing Data

The National Average Drug Acquisition Cost (NADAC) is compiled by the Centers for Medicare and Medicaid Services (CMS). This data is derived from random monthly surveys of more than 60,000 pharmacies across all 50 states.

Important Price Distinction:

The prices listed on this page represent the wholesale invoice price paid by pharmacies to acquire the drug. This is NOT the retail price paid by consumers at the pharmacy counter. Final patient costs typically include pharmacy markups, professional dispensing fees, and insurance adjustments.

NADAC Pricing Data Last Updated on: October 07, 2026