Hydroxyzine Pamoate
Pricing Report NDC 0115-1671-01
View Wholesale Price per Unit, Acquisition Costs, and Historic Pricing Trends
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 0115-1671-01) is $0.07828 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Mar 17, 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 $0.07828 Per EA
Pricing Unit
Effective Date
Mar 17, 2021
Billable Units
100 EA
Estimated Package Price
$7.83
Data Status
As of Mar 24, 2021
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.
Historical Pricing Trends & Acquisition Cost Benchmarks
Since Feb 2017, the NADAC wholesale price for (NDC ) has moved within a range of $0.07138 to $0.08527 per EA. Over this 4 years and 3 months 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
$0.0714 - $0.0853
$0.0714 - $0.0853
Market Volatility
19.46% Variance
19.46% Variance
Latest Trend
1.14%
1.14%
| Date | Unit Price | Unit | Source | Method | Rate |
|---|---|---|---|---|---|
| May 19, 2021 | $0.07785 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 21, 2021 | $0.07875 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 17, 2021 | $0.07828 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 17, 2021 | $0.07828 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 17, 2021 | $0.07754 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 17, 2021 | $0.07754 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 20, 2021 | $0.07944 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 20, 2021 | $0.07944 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 23, 2020 | $0.07906 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 23, 2020 | $0.07906 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 18, 2020 | $0.07923 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 18, 2020 | $0.07923 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 21, 2020 | $0.07971 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 21, 2020 | $0.07971 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 23, 2020 | $0.07937 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 23, 2020 | $0.07937 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 19, 2020 | $0.08229 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 19, 2020 | $0.08229 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 22, 2020 | $0.08210 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 22, 2020 | $0.08210 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 17, 2020 | $0.08097 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 17, 2020 | $0.08097 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 20, 2020 | $0.07913 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 20, 2020 | $0.07913 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 22, 2020 | $0.08324 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 22, 2020 | $0.08324 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 18, 2020 | $0.08408 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 18, 2020 | $0.08408 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 19, 2020 | $0.07868 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 19, 2020 | $0.07868 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 22, 2020 | $0.08153 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 22, 2020 | $0.08153 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 18, 2019 | $0.08138 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 18, 2019 | $0.08138 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 20, 2019 | $0.08251 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 20, 2019 | $0.08251 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 23, 2019 | $0.08169 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 23, 2019 | $0.08169 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 18, 2019 | $0.08134 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 18, 2019 | $0.08134 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 21, 2019 | $0.08144 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 21, 2019 | $0.08144 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 17, 2019 | $0.07889 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 17, 2019 | $0.07889 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 19, 2019 | $0.08003 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 19, 2019 | $0.08003 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 22, 2019 | $0.08162 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 22, 2019 | $0.08162 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 17, 2019 | $0.08042 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 17, 2019 | $0.08042 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 20, 2019 | $0.08081 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 20, 2019 | $0.08081 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 20, 2019 | $0.08235 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 20, 2019 | $0.08235 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 23, 2019 | $0.08527 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 23, 2019 | $0.08527 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 19, 2018 | $0.07748 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 19, 2018 | $0.07748 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 21, 2018 | $0.07299 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 21, 2018 | $0.07299 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 17, 2018 | $0.07394 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 17, 2018 | $0.07394 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 19, 2018 | $0.07138 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 19, 2018 | $0.07138 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 22, 2018 | $0.07747 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 22, 2018 | $0.07747 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 18, 2018 | $0.07732 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 18, 2018 | $0.07732 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 20, 2018 | $0.07753 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 20, 2018 | $0.07753 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 23, 2018 | $0.07967 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 23, 2018 | $0.07967 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 18, 2018 | $0.07766 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 18, 2018 | $0.07766 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 21, 2018 | $0.08196 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 21, 2018 | $0.08196 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 21, 2018 | $0.08297 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 21, 2018 | $0.08297 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 17, 2018 | $0.07771 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 17, 2018 | $0.07771 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 20, 2017 | $0.07624 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 20, 2017 | $0.07624 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 22, 2017 | $0.08002 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 22, 2017 | $0.08002 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 18, 2017 | $0.08175 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 18, 2017 | $0.08175 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 20, 2017 | $0.08096 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 20, 2017 | $0.08096 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 23, 2017 | $0.07783 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 23, 2017 | $0.07783 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 19, 2017 | $0.07952 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 19, 2017 | $0.07952 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 21, 2017 | $0.08040 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 21, 2017 | $0.08040 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 17, 2017 | $0.08119 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 17, 2017 | $0.08119 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 19, 2017 | $0.07800 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 22, 2017 | $0.07933 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 22, 2017 | $0.07857 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 08, 2017 | $0.07639 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
Pricing Methodology Legend
- Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey.
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: July 08, 2026
