Theophylline
Pricing Report NDC 0904-5889-61

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 Theophylline (NDC 0904-5889-61) is $2.29880 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Feb 22, 2017.

As a provided by Major Pharmaceuticals, this medication is distributed in a 100 TABLET, EXTENDED RELEASE in 1 BOX, UNIT-DOSE 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
$2.29880
Per EA

Pricing Unit
Per EA Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Feb 22, 2017
Billable Units
100 EA
Estimated Package Price
$229.88
Data Status
As of Mar 01, 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).
G - Generic
Package NDC
0904-5889-61
Description
100 TABLET, EXTENDED RELEASE in 1 BOX, UNIT-DOSE
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Nov 2013, the NADAC wholesale price for (NDC ) has moved within a range of $0.19195 to $2.46468 per EA. Over this 3 years and 3 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
$0.1920 - $2.4647
Market Volatility
1,184.02% Variance
Latest Trend
0.75%
Date Unit Price Unit Source Method Rate
Feb 22, 2017 $2.29880 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 18, 2017 $2.31611 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 21, 2016 $2.35785 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 23, 2016 $2.43032 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 19, 2016 $2.36904 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 21, 2016 $2.35452 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 17, 2016 $2.33741 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 20, 2016 $2.46468 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 22, 2016 $1.97694 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 18, 2016 $1.32345 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 20, 2016 $0.35534 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 23, 2016 $0.30036 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2016 $0.34069 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2016 $0.35602 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2015 $0.34895 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2015 $0.35683 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2015 $0.36707 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2015 $0.34888 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 19, 2015 $0.34870 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2015 $0.30620 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 17, 2015 $0.32607 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2015 $0.33206 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2015 $0.32877 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 18, 2015 $0.31289 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 18, 2015 $0.32356 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 21, 2015 $0.35076 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 17, 2014 $0.34386 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 19, 2014 $0.35115 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 22, 2014 $0.31558 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 17, 2014 $0.34160 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 20, 2014 $0.31451 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 23, 2014 $0.32078 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 18, 2014 $0.24993 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 21, 2014 $0.19199 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 23, 2014 $0.19703 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 19, 2014 $0.20489 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 19, 2014 $0.19829 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2014 $0.19548 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2013 $0.19922 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 21, 2013 $0.19195 EAC/I - Chain or Independent PharmacyCode 1G - Generic

Pricing Methodology Legend

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

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