Poly Hist Forte
Pricing Report NDC 50991-216-01
Current Package Pricing Information
The latest wholesale acquisition cost for Poly Hist Forte (NDC 50991-216-01) is $0.53348 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since May 20, 2020.
As a provided by Poly Pharmaceuticals, Inc., this medication is distributed in a 100 TABLET 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 $0.53348 Per EA
Historical Pricing Trends & Acquisition Cost Benchmarks
Since May 2014, the NADAC wholesale price for (NDC ) has moved within a range of $0.53348 to $0.73263 per EA. Over this 5 years and 11 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.
$0.5335 - $0.7326
37.33% Variance
14.16%
| Date | Unit Price | Unit | Source | Method | Rate |
|---|---|---|---|---|---|
| May 20, 2020 | $0.53348 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 20, 2020 | $0.53348 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Aug 21, 2019 | $0.62148 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 21, 2019 | $0.62148 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Jul 17, 2019 | $0.62213 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jun 19, 2019 | $0.63302 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 22, 2019 | $0.62328 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 17, 2019 | $0.62553 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 20, 2019 | $0.62468 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 23, 2019 | $0.63001 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 23, 2019 | $0.63001 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Dec 19, 2018 | $0.62339 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 21, 2018 | $0.63416 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 22, 2018 | $0.67042 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Aug 22, 2018 | $0.67042 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Jul 18, 2018 | $0.61114 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 23, 2018 | $0.62475 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 23, 2018 | $0.62475 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Apr 18, 2018 | $0.61297 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 21, 2018 | $0.64896 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 21, 2018 | $0.67863 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 17, 2018 | $0.62555 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 22, 2017 | $0.68225 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 22, 2017 | $0.68225 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Oct 18, 2017 | $0.73263 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 20, 2017 | $0.63021 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 19, 2017 | $0.61620 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 19, 2017 | $0.61620 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Jun 21, 2017 | $0.61654 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 17, 2017 | $0.61981 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 19, 2017 | $0.61578 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 22, 2017 | $0.62579 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 22, 2017 | $0.62063 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 18, 2017 | $0.61848 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 21, 2016 | $0.62276 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 23, 2016 | $0.61001 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 19, 2016 | $0.61324 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 21, 2016 | $0.61830 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 20, 2016 | $0.60986 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jul 20, 2016 | $0.60986 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Jun 22, 2016 | $0.61900 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 18, 2016 | $0.62142 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 20, 2016 | $0.61599 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Mar 23, 2016 | $0.61715 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 17, 2016 | $0.61471 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Jan 20, 2016 | $0.61070 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 23, 2015 | $0.62221 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Nov 18, 2015 | $0.60490 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Oct 21, 2015 | $0.60678 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Sep 23, 2015 | $0.61836 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 22, 2015 | $0.61648 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Apr 22, 2015 | $0.61648 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Mar 18, 2015 | $0.58467 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Feb 18, 2015 | $0.60096 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 17, 2014 | $0.61008 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| Dec 17, 2014 | $0.61008 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - Generic |
| Nov 19, 2014 | $0.59538 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 21, 2014 | $0.59986 | EA | C/I - Chain or Independent Pharmacy | Code 1 | G - Generic |
| May 21, 2014 | $0.59986 | EA | C/I - Chain or Independent Pharmacy | Code 4 | G - 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
