Levothyroxine Sodium
Pricing Report NDC 0781-5191-92

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

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 Levothyroxine Sodium (NDC 0781-5191-92) is $0.24612 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Nov 17, 2021.

As a provided by Sandoz Inc., this medication is distributed in a 90 TABLET in 1 BOTTLE 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
$0.24612
Per EA

Effective Date
Nov 17, 2021
Billable Units
90 EA
Estimated Package Price
$22.15
Data Status
As of Dec 01, 2021
C/I - Chain or Independent Pharmacy
Package NDC
Description
90 TABLET in 1 BOTTLE
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.
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 Nov 2013, the NADAC wholesale price for (NDC ) has moved within a range of $0.24612 to $0.53752 per EA. Over this 7 years and 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
$0.2461 - $0.5375
Market Volatility
118.40% Variance
Latest Trend
13.49%
Date Unit Price Unit Source Method Rate
Nov 17, 2021 $0.24612 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Oct 20, 2021 $0.28451 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Sep 22, 2021 $0.28634 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Aug 18, 2021 $0.29539 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Jul 21, 2021 $0.30842 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Jun 23, 2021 $0.29992 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
May 19, 2021 $0.32510 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 19, 2021 $0.32510 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Apr 21, 2021 $0.30848 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 17, 2021 $0.30604 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $0.34425 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2021 $0.32677 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $0.32850 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $0.35082 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2020 $0.33990 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2020 $0.33609 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 19, 2020 $0.36803 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2020 $0.35428 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 17, 2020 $0.35858 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2020 $0.35351 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2020 $0.37348 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 18, 2020 $0.39304 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 19, 2020 $0.40066 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2020 $0.38265 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2019 $0.38849 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 20, 2019 $0.40174 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2019 $0.38152 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 18, 2019 $0.39831 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 21, 2019 $0.38948 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2019 $0.41465 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 19, 2019 $0.41292 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 22, 2019 $0.41569 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 17, 2019 $0.42401 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 20, 2019 $0.42535 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 20, 2019 $0.41979 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 23, 2019 $0.41088 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 19, 2018 $0.42326 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 21, 2018 $0.43427 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 17, 2018 $0.42827 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 19, 2018 $0.42736 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 22, 2018 $0.42966 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.43014 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 20, 2018 $0.41907 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 23, 2018 $0.43413 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 18, 2018 $0.44193 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 21, 2018 $0.45352 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 21, 2018 $0.46067 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 17, 2018 $0.45471 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 20, 2017 $0.43001 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 22, 2017 $0.43826 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 18, 2017 $0.45783 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 20, 2017 $0.45533 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 23, 2017 $0.46475 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 19, 2017 $0.46341 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 21, 2017 $0.47370 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 17, 2017 $0.45930 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 19, 2017 $0.44996 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 22, 2017 $0.45813 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 22, 2017 $0.47689 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 18, 2017 $0.45431 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 21, 2016 $0.47585 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 23, 2016 $0.45314 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 19, 2016 $0.48358 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 21, 2016 $0.49756 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 17, 2016 $0.47520 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 20, 2016 $0.45797 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 22, 2016 $0.46743 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 18, 2016 $0.48536 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 20, 2016 $0.49651 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 23, 2016 $0.50214 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2016 $0.49149 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2016 $0.50666 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2015 $0.50889 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2015 $0.49013 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2015 $0.49815 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2015 $0.50254 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 19, 2015 $0.48491 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 19, 2015 $0.48491 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Jul 22, 2015 $0.53309 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Jun 17, 2015 $0.53174 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
May 20, 2015 $0.51538 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Apr 22, 2015 $0.50260 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Mar 18, 2015 $0.51627 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Feb 18, 2015 $0.53253 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Jan 21, 2015 $0.53006 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Dec 17, 2014 $0.51910 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Nov 19, 2014 $0.52817 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Oct 22, 2014 $0.52437 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Sep 17, 2014 $0.53752 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Aug 20, 2014 $0.53625 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Jun 18, 2014 $0.45437 EAC/I - Chain or Independent PharmacyCode 3, 6G - Generic
Jun 18, 2014 $0.45437 EAC/I - Chain or Independent PharmacyCode 4, 6G - Generic
May 21, 2014 $0.33971 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Apr 23, 2014 $0.33554 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Mar 19, 2014 $0.34220 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Feb 19, 2014 $0.34105 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Jan 22, 2014 $0.33392 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Dec 18, 2013 $0.33378 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic
Nov 21, 2013 $0.29443 EAC/I - Chain or Independent PharmacyCode 1, 6G - Generic

Pricing Methodology Legend

  • Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey.
  • 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 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