Hydroxychloroquine Sulfate
Pricing Report NDC 0904-6884-06

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 Hydroxychloroquine Sulfate (NDC 0904-6884-06) is $0.27582 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Oct 20, 2021.

As a provided by Major Pharmaceuticals, this medication is distributed in a 50 BLISTER PACK in 1 CARTON / 1 TABLET, FILM COATED in 1 BLISTER PACK 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
$0.27582
Per EA

Effective Date
Oct 20, 2021
Billable Units
50 EA
Estimated Package Price
$13.79
Data Status
As of Oct 27, 2021
C/I - Chain or Independent Pharmacy
Package NDC
Description
50 BLISTER PACK in 1 CARTON / 1 TABLET, FILM COATED in 1 BLISTER PACK
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since May 2019, the NADAC wholesale price for (NDC ) has moved within a range of $0.25728 to $0.35521 per EA. Over this 2 years and 5 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
$0.2573 - $0.3552
Market Volatility
38.06% Variance
Latest Trend
7.21%
Date Unit Price Unit Source Method Rate
Oct 20, 2021 $0.27582 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 20, 2021 $0.27582 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 22, 2021 $0.25728 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 22, 2021 $0.25728 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 18, 2021 $0.26612 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 18, 2021 $0.26612 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 21, 2021 $0.28136 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 21, 2021 $0.28136 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 23, 2021 $0.28190 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 23, 2021 $0.28190 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 19, 2021 $0.28455 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 19, 2021 $0.28455 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 21, 2021 $0.28633 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 21, 2021 $0.28633 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 17, 2021 $0.28628 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 17, 2021 $0.28628 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $0.28235 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $0.28235 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2021 $0.28061 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2021 $0.28061 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $0.28604 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $0.28604 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $0.28063 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $0.28063 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2020 $0.32882 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2020 $0.32882 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2020 $0.29589 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2020 $0.29589 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 19, 2020 $0.27693 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 19, 2020 $0.27693 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2020 $0.30968 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2020 $0.30968 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 17, 2020 $0.35324 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 17, 2020 $0.35324 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2020 $0.35521 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2020 $0.35521 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2020 $0.26821 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2020 $0.26821 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 18, 2020 $0.31769 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 18, 2020 $0.31769 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 19, 2020 $0.34091 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 19, 2020 $0.34091 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2020 $0.29191 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2020 $0.29191 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2019 $0.34698 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2019 $0.34698 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 20, 2019 $0.31387 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 20, 2019 $0.31387 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2019 $0.26075 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2019 $0.26075 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 18, 2019 $0.26982 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 18, 2019 $0.26982 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 21, 2019 $0.27779 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 21, 2019 $0.27779 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2019 $0.28157 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2019 $0.28157 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 19, 2019 $0.28883 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 19, 2019 $0.28883 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 15, 2019 $0.28665 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 15, 2019 $0.28665 EAC/I - Chain or Independent PharmacyCode 4G - Generic
May 15, 2019 $0.28665 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 15, 2019 $0.28665 EAC/I - Chain or Independent PharmacyCode 4G - 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.

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