Lidocaine And Prilocaine
Pricing Report NDC 0904-6989-31

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 Lidocaine And Prilocaine (NDC 0904-6989-31) is $0.24373 per GM. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Sep 22, 2021.

As a provided by Major Pharmaceuticals, this medication is distributed in a 1 TUBE in 1 CARTON / 30 g in 1 TUBE 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
$0.24373
Per GM

Pricing Unit
Per GM Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Sep 22, 2021
Billable Units
30 GM
Estimated Package Price
$7.31
Data Status
As of Sep 29, 2021
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
0904-6989-31
Description
1 TUBE in 1 CARTON / 30 g in 1 TUBE
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.
The NADAC was calculated based on package size.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Nov 2019, the NADAC wholesale price for (NDC ) has moved within a range of $0.24085 to $0.28060 per GM. Over this 1 year and 10 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
$0.2409 - $0.2806
Market Volatility
16.50% Variance
Latest Trend
1.20%
Date Unit Price Unit Source Method Rate
Sep 22, 2021 $0.24373 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Aug 18, 2021 $0.24085 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jul 21, 2021 $0.24525 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jun 23, 2021 $0.24910 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
May 19, 2021 $0.24831 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Apr 21, 2021 $0.24405 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Mar 17, 2021 $0.24758 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Feb 17, 2021 $0.24243 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jan 20, 2021 $0.24660 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Dec 23, 2020 $0.26156 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Nov 18, 2020 $0.25696 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Oct 21, 2020 $0.24872 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Sep 23, 2020 $0.25708 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Aug 19, 2020 $0.27514 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jul 22, 2020 $0.27945 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jun 17, 2020 $0.25312 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
May 20, 2020 $0.27105 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Apr 22, 2020 $0.25013 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Mar 18, 2020 $0.27411 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Feb 19, 2020 $0.27583 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jan 22, 2020 $0.28060 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Dec 18, 2019 $0.28002 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Nov 20, 2019 $0.28054 GMC/I - Chain or Independent PharmacyCode 1, 5G - Generic

Pricing Methodology Legend

  • Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey.
  • Code 5: The NADAC was calculated based on package size.

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