Drospirenone/ethinyl Estradiol/levomefolate Calcium And Levomefolate Calcium Kit
Pricing Report NDC 0781-4103-15
Current Package Pricing Information
The current wholesale acquisition cost for Drospirenone/ethinyl Estradiol/levomefolate Calcium And Levomefolate Calcium (NDC 0781-4103-15) is $3.18183 per EA. 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 Sandoz Inc, this medication is distributed in a 3 BLISTER PACK in 1 PACKAGE / 1 KIT in 1 BLISTER PACK (0781-4103-52) 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 $3.18183 Per EA
The CMS Covered Outpatient File drug category type of S/I/N (Single Source/Innovator/Non-Innovator) has not been applied. Most S/I drugs with the same strength, dosage form and route of administration were grouped together for the purpose of the NADAC calculation and N drugs were also grouped together. In some cases, however, in calculating a NADAC, the CMS S/I/N designation was not applied when the state Medicaid brand or generic payment practices for these drugs generally differed from the CMS Covered Outpatient File designation.
Historical Pricing Trends & Acquisition Cost Benchmarks
Since Sep 2020, the NADAC wholesale price for (NDC ) has moved within a range of $2.95719 to $4.59833 per EA. Over this 5 years and 8 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.
$2.9572 - $4.5983
55.50% Variance
2.99%
| Date | Unit Price | Unit | Source | Method | Rate |
|---|---|---|---|---|---|
| Jun 17, 2026 | $3.18183 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| May 20, 2026 | $3.28001 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Apr 22, 2026 | $3.28192 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Mar 18, 2026 | $3.23795 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Feb 18, 2026 | $3.20490 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Jan 21, 2026 | $3.16809 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Dec 17, 2025 | $3.05581 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Nov 19, 2025 | $3.05612 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Oct 22, 2025 | $2.99149 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Sep 17, 2025 | $3.46419 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Aug 20, 2025 | $3.49299 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Jul 23, 2025 | $3.56669 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Jun 18, 2025 | $3.32020 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| May 21, 2025 | $3.35929 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Apr 23, 2025 | $3.51970 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Mar 19, 2025 | $3.53161 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Feb 19, 2025 | $3.49042 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Jan 22, 2025 | $3.34473 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Dec 18, 2024 | $3.24699 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Nov 20, 2024 | $3.20219 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Oct 23, 2024 | $3.31986 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Sep 18, 2024 | $3.19879 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Aug 21, 2024 | $2.95719 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Jul 17, 2024 | $2.97636 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Jun 19, 2024 | $3.18100 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| May 22, 2024 | $3.01651 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Apr 17, 2024 | $3.58256 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Sep 23, 2020 | $4.59833 | EA | C/I - Chain or Independent Pharmacy | Code 1, 6 | G - Generic |
| Sep 23, 2020 | $4.59833 | EA | C/I - Chain or Independent Pharmacy | Code 4, 6 | G - Generic |
Pricing Methodology Legend
- Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey.
- Code 4: The NADAC was carried forward from the previous file.
- Code 6: The CMS Covered Outpatient File drug category type of S/I/N (Single Source/Innovator/Non-Innovator) has not been applied. Most S/I drugs with the same strength, dosage form and route of administration were grouped together for the purpose of the NADAC calculation and N drugs were also grouped together. In some cases, however, in calculating a NADAC, the CMS S/I/N designation was not applied when the state Medicaid brand or generic payment practices for these drugs generally differed from the CMS Covered Outpatient File designation.
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
