Xultophy 100/3.6 Injection, Solution
Pricing Report NDC 0169-2911-15

Current NADAC: $85.89806 per ML · Effective Aug 19, 2026
Table of Contents
  1. Current Pricing Information
  2. Pricing History

Current Package Pricing Information

The current wholesale acquisition cost for Xultophy 100/3.6 (NDC 0169-2911-15) is $85.89806 per ML. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Aug 19, 2026.

As a a human prescription drug provided by Novo Nordisk, this medication is distributed in a 5 SYRINGE, PLASTIC in 1 CARTON / 3 mL in 1 SYRINGE, 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
$85.89806
Per ML

Pricing Unit
Per ML Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Aug 19, 2026
Data Status
As of Sep 09, 2026
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).
B - Brand
Package NDC
0169-2911-15
Description
5 SYRINGE, PLASTIC in 1 CARTON / 3 mL in 1 SYRINGE, PLASTIC
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.
The NADAC was calculated based on package size.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Dec 2017, the NADAC wholesale price for (NDC ) has moved within a range of $61.39022 to $85.90918 per ML. Over this 8 years and 7 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
$61.3902 - $85.9092
Market Volatility
39.94% Variance
Latest Trend
0.01%

Recent NADAC Price History

DateUnit PriceUnitSourceMethodRate
Aug 19, 2026 $85.89806 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Jul 22, 2026 $85.90387 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Jun 17, 2026 $85.89382 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
May 20, 2026 $85.90918 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Apr 22, 2026 $85.85578 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Mar 18, 2026 $85.85985 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Feb 18, 2026 $85.84428 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Dec 17, 2025 $85.83450 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Dec 17, 2025 $85.83450 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Nov 19, 2025 $85.82312 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Oct 22, 2025 $85.83167 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Sep 17, 2025 $85.81127 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand

Earlier NADAC Price History

Pricing Methodology Legend

  • Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey.
  • Code 2: The average acquisition cost of the most recent survey was within ± 2% of the current NADAC; therefore, the NADAC was carried forward from the previous file.
  • Code 3: The NADAC based on survey data has been adjusted to reflect changes in published pricing, or as a result of an inquiry to the help desk.
  • Code 4: The NADAC was carried forward from the previous file.
  • Code 5: The NADAC was calculated based on package size.

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: September 09, 2026