Activella
Pricing Report NDC 0169-5175-10

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 0169-5175-10) is $6.88081 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Jan 20, 2016.

As a provided by Novo Nordisk, this medication is distributed in a 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
$6.88081
Per EA

Pricing Unit
Per EA Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Jan 20, 2016
Billable Units
1 EA
Estimated Package Price
$6.88
Data Status
As of Feb 15, 2017
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
0169-5175-10
Description
1 DIALPACK in 1 CARTON / 28 TABLET, FILM COATED in 1 DIALPACK
Generic Benchmark
The generic equivalent rate is $2.84597 (Effective: Jan 18, 2017)
Pricing Methodology Explanation
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.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Sep 2013, the NADAC wholesale price for (NDC ) has moved within a range of $4.33974 to $6.88081 per EA. Over this 2 years and 4 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
$4.3397 - $6.8808
Market Volatility
58.55% Variance
Latest Trend
31.19%
Date Unit Price Unit Source Method Rate
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 20, 2016 $6.88081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.24483 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Sep 03, 2014 $5.24483 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.24483 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.24483 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.24483 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Sep 03, 2014 $5.24483 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.24483 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 03, 2014 $5.24483 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 25, 2014 $4.77037 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.33974 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Sep 19, 2013 $4.33974 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.33974 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.33974 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.33974 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Sep 19, 2013 $4.33974 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.33974 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 19, 2013 $4.33974 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