Ortho Tri Cyclen Lo
Pricing Report NDC 50458-251-15

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 Ortho Tri Cyclen Lo (NDC 50458-251-15) is $5.11512 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Aug 22, 2018.

As a provided by Janssen Pharmaceuticals, Inc., this medication is distributed in a 6 DIALPACK in 1 CARTON / 1 KIT in 1 DIALPACK (50458-251-00) 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
$5.11512
Per EA

Effective Date
Aug 22, 2018
Billable Units
6 EA
Estimated Package Price
$30.69
Data Status
As of May 22, 2019
C/I - Chain or Independent Pharmacy
Package NDC
Description
6 DIALPACK in 1 CARTON / 1 KIT in 1 DIALPACK (50458-251-00)
Generic Benchmark
The generic equivalent rate is $0.26066 (Effective: May 22, 2019)
Pricing Methodology Explanation
The NADAC was carried forward from the previous file.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Mar 2013, the NADAC wholesale price for (NDC ) has moved within a range of $3.64303 to $5.16081 per EA. Over this 5 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
$3.6430 - $5.1608
Market Volatility
41.66% Variance
Latest Trend
1.28%
Date Unit Price Unit Source Method Rate
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Aug 22, 2018 $5.11512 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 17, 2018 $5.05043 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Jan 17, 2018 $5.05043 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 17, 2018 $5.05043 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 17, 2018 $5.05043 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 17, 2018 $5.05043 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 17, 2018 $5.05043 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 17, 2018 $5.05043 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Sep 20, 2017 $5.16081 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Sep 20, 2017 $5.16081 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Sep 20, 2017 $5.16081 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Sep 20, 2017 $5.16081 EAC/I - Chain or Independent PharmacyCode 4B - Brand
Jan 18, 2017 $5.15010 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Jan 18, 2017 $5.15010 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 18, 2017 $5.15010 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 18, 2017 $5.15010 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 18, 2017 $5.15010 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 18, 2017 $5.15010 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 18, 2017 $5.15010 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 18, 2017 $5.15010 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Mar 23, 2016 $5.14744 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 06, 2016 $5.15170 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 06, 2016 $5.15170 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Jul 02, 2015 $4.68762 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jul 02, 2015 $4.68762 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Jan 06, 2015 $4.38505 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 06, 2015 $4.38505 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Mar 19, 2014 $3.99004 EAC/I - Chain or Independent PharmacyCode 1B - Brand
Mar 19, 2014 $3.99004 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 07, 2014 $4.00351 EAC/I - Chain or Independent PharmacyCode 2B - Brand
Jan 07, 2014 $4.00351 EAC/I - Chain or Independent PharmacyCode 3B - Brand
Mar 21, 2013 $3.64303 EAC/I - Chain or Independent PharmacyCode 2B - 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