Hydrocodone Polistirex And Chlorpheniramine Polistirex
Pricing Report NDC 24486-200-16

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 Hydrocodone Polistirex And Chlorpheniramine Polistirex Extended-release (NDC 24486-200-16) is $0.44981 per ML. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Nov 18, 2015.

As a provided by Aristos Phamaceuticals, Inc., this medication is distributed in a 473 mL 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
$0.44981
Per ML

Pricing Unit
Per ML Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Nov 18, 2015
Billable Units
473 ML
Estimated Package Price
$212.76
Data Status
As of Dec 02, 2015
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
24486-200-16
Description
473 mL in 1 BOTTLE
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 Feb 2014, the NADAC wholesale price for (NDC ) has moved within a range of $0.44981 to $0.48132 per ML. Over this 1 year and 9 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
$0.4498 - $0.4813
Market Volatility
7.01% Variance
Latest Trend
1.72%
Date Unit Price Unit Source Method Rate
Nov 18, 2015 $0.44981 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Oct 21, 2015 $0.45766 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Sep 23, 2015 $0.45722 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Aug 19, 2015 $0.45421 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jul 22, 2015 $0.46973 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jun 17, 2015 $0.48132 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
May 20, 2015 $0.45751 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Apr 22, 2015 $0.45374 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Mar 18, 2015 $0.45303 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Feb 18, 2015 $0.46895 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jan 21, 2015 $0.46486 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Dec 17, 2014 $0.45645 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Nov 19, 2014 $0.46506 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Oct 22, 2014 $0.47028 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Sep 17, 2014 $0.46740 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Aug 20, 2014 $0.46674 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jul 23, 2014 $0.46444 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Jun 18, 2014 $0.46273 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
May 21, 2014 $0.46605 MLC/I - Chain or Independent PharmacyCode 1, 5G - Generic
Apr 23, 2014 $0.47803 MLC/I - Chain or Independent PharmacyCode 1, 5, 6G - Generic
Mar 19, 2014 $0.47134 MLC/I - Chain or Independent PharmacyCode 1, 5, 6G - Generic
Feb 19, 2014 $0.47846 MLC/I - Chain or Independent PharmacyCode 1, 5, 6G - Generic
Feb 12, 2014 $0.47426 MLC/I - Chain or Independent PharmacyCode 1, 5, 6G - 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.
  • 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