Forfivo
Pricing Report NDC 49909-010-30

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 Forfivo Xl (NDC 49909-010-30) is $14.19839 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Apr 22, 2020.

As a provided by Edgemont Pharmaceuticals, Llc, this medication is distributed in a 30 TABLET, FILM COATED, EXTENDED RELEASE 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
$14.19839
Per EA

Pricing Unit
Per EA Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Apr 22, 2020
Billable Units
30 EA
Estimated Package Price
$425.95
Data Status
As of Jul 08, 2020
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).
B - Brand
Package NDC
49909-010-30
Description
30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
Generic Benchmark
The generic equivalent rate is $9.84390 (Effective: Jun 17, 2020)
Pricing Methodology Explanation
The NADAC was carried forward from the previous file.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Oct 2014, the NADAC wholesale price for (NDC ) has moved within a range of $7.75833 to $14.39157 per EA. Over this 5 years and 6 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
$7.7583 - $14.3916
Market Volatility
85.50% Variance
Latest Trend
1.20%
Date Unit Price Unit Source Method Rate
Apr 22, 2020 $14.19839 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Apr 22, 2020 $14.19839 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Apr 22, 2020 $14.19839 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Dec 18, 2019 $14.37113 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Dec 18, 2019 $14.37113 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Dec 18, 2019 $14.37113 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Dec 18, 2019 $14.37113 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 23, 2019 $14.39157 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Jan 23, 2019 $14.39157 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 23, 2019 $14.39157 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 23, 2019 $14.39157 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 23, 2019 $14.39157 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Apr 10, 2018 $14.27432 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Apr 10, 2018 $14.27432 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Apr 10, 2018 $14.27432 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Oct 18, 2017 $13.65950 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Oct 18, 2017 $13.65950 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Oct 18, 2017 $13.65950 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jul 01, 2017 $13.68467 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jul 01, 2017 $13.68467 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Jul 01, 2017 $13.68467 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Feb 23, 2017 $12.44061 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Feb 23, 2017 $12.44061 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Feb 22, 2017 $11.51908 EAC/I - Chain or Independent PharmacyCode 1B - Brand
May 02, 2016 $11.59420 EAC/I - Chain or Independent PharmacyCode 2B - Brand
May 02, 2016 $11.59420 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Jan 01, 2016 $10.57971 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 01, 2016 $10.57971 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Jan 01, 2016 $10.57971 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jul 01, 2015 $9.62317 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jul 01, 2015 $9.62317 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Apr 22, 2015 $8.92753 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Apr 22, 2015 $8.92753 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Feb 14, 2015 $8.87211 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Feb 14, 2015 $8.87211 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Nov 19, 2014 $7.75833 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Nov 19, 2014 $7.75833 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Nov 19, 2014 $7.75833 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Oct 22, 2014 $7.81759 EAC/I - Chain or Independent PharmacyCode 3B - Brand

Pricing Methodology Legend

  • Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey.
  • Code 2: The average acquisition cost of the most recent survey was within ± 2% of the current NADAC; therefore, the NADAC was carried forward from the previous file.
  • 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.

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