Activella
Pricing Report NDC 0169-5174-01

View Wholesale Price per Unit, Acquisition Costs, and Historic Pricing Trends
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 discontinued by the firm.

The latest wholesale acquisition cost for Activella (NDC 0169-5174-01) is $5.80199 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Sep 03, 2014.

As a provided by Novo Nordisk, this medication is distributed in a 5 CARTON in 1 CELLO PACK / 1 DIALPACK in 1 CARTON / 28 TABLET, FILM COATED in 1 DIALPACK 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
$5.80199
Per EA

Pricing Unit
Per EA Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Sep 03, 2014
Billable Units
5 EA
Estimated Package Price
$29.01
Data Status
As of Nov 26, 2014
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
0169-5174-01
Description
5 CARTON in 1 CELLO PACK / 1 DIALPACK in 1 CARTON / 28 TABLET, FILM COATED in 1 DIALPACK
Generic Benchmark
The generic equivalent rate is $3.58775 (Effective: Nov 19, 2014)
Pricing Methodology Explanation
The NADAC was carried forward from the previous file.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Sep 2013, the NADAC wholesale price for (NDC ) has moved within a range of $4.62146 to $5.80199 per EA. Over this 11 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
$4.6215 - $5.8020
Market Volatility
25.54% Variance
Latest Trend
9.94%
Date Unit Price Unit Source Method Rate
Sep 03, 2014 $5.80199 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Sep 03, 2014 $5.80199 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.80199 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.80199 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.80199 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Sep 03, 2014 $5.80199 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.80199 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.80199 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $5.27722 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 19, 2014 $4.80105 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Feb 19, 2014 $4.80105 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Sep 19, 2013 $4.62146 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.62146 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.62146 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.62146 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.62146 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.62146 EAC/I - Chain or Independent PharmacyCode 4B - 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.

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