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

View Wholesale Price per Unit, Acquisition Costs, and Historic Pricing Trends

Current Package Pricing Information

The current wholesale acquisition cost for Xultophy 100/3.6 (NDC 0169-2911-15) is $85.89382 per ML. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Jun 17, 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
$85.89382
Per ML

Effective Date
Jun 17, 2026
Data Status
As of Jul 08, 2026
C/I - Chain or Independent Pharmacy
Package NDC
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 5 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
0.02%
Date Unit Price Unit Source Method Rate
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
Aug 20, 2025 $85.80014 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Jul 23, 2025 $85.77163 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Jun 18, 2025 $85.72578 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
May 21, 2025 $85.66863 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Jan 01, 2025 $85.89664 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 01, 2025 $85.89664 MLC/I - Chain or Independent PharmacyCode 3, 5B - Brand
Jan 01, 2025 $85.89664 MLC/I - Chain or Independent PharmacyCode 4, 5B - Brand
Dec 18, 2024 $82.99192 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Nov 20, 2024 $82.98878 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Oct 23, 2024 $83.01075 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Sep 18, 2024 $82.98779 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Aug 21, 2024 $82.97125 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Jul 17, 2024 $83.03301 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Jun 19, 2024 $82.90667 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
May 22, 2024 $83.00161 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Jan 01, 2024 $82.70318 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 01, 2024 $82.70318 MLC/I - Chain or Independent PharmacyCode 3, 5B - Brand
Jan 01, 2024 $82.70318 MLC/I - Chain or Independent PharmacyCode 4, 5B - Brand
Oct 18, 2023 $79.06613 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Oct 18, 2023 $79.06613 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 04, 2023 $79.47468 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 04, 2023 $79.47468 MLC/I - Chain or Independent PharmacyCode 3, 5B - Brand
Jan 04, 2023 $79.47468 MLC/I - Chain or Independent PharmacyCode 4, 5B - Brand
Jan 06, 2022 $75.69017 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 06, 2022 $75.69017 MLC/I - Chain or Independent PharmacyCode 3, 5B - Brand
Jan 06, 2022 $75.69017 MLC/I - Chain or Independent PharmacyCode 4, 5B - Brand
Oct 20, 2021 $73.48561 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Oct 20, 2021 $73.48561 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 15, 2021 $73.20631 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 15, 2021 $73.20631 MLC/I - Chain or Independent PharmacyCode 3, 5B - Brand
Jan 15, 2021 $73.20631 MLC/I - Chain or Independent PharmacyCode 4, 5B - Brand
Oct 21, 2020 $69.78675 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Oct 21, 2020 $69.78675 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 10, 2020 $70.05492 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 10, 2020 $70.05492 MLC/I - Chain or Independent PharmacyCode 3, 5B - Brand
Jan 10, 2020 $70.05492 MLC/I - Chain or Independent PharmacyCode 4, 5B - Brand
Oct 23, 2019 $66.71898 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Oct 23, 2019 $66.71898 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 08, 2019 $66.79008 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 08, 2019 $66.79008 MLC/I - Chain or Independent PharmacyCode 3, 5B - Brand
Jan 08, 2019 $66.79008 MLC/I - Chain or Independent PharmacyCode 4, 5B - Brand
Oct 17, 2018 $63.67024 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand
Oct 17, 2018 $63.67024 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 03, 2018 $63.84583 MLC/I - Chain or Independent PharmacyCode 2, 5B - Brand
Jan 03, 2018 $63.84583 MLC/I - Chain or Independent PharmacyCode 3, 5B - Brand
Jan 03, 2018 $63.84583 MLC/I - Chain or Independent PharmacyCode 4, 5B - Brand
Dec 20, 2017 $61.39022 MLC/I - Chain or Independent PharmacyCode 1, 5B - Brand

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: July 08, 2026