Hydroxyzine Pamoate Capsule
Pricing Report NDC 62135-817-12

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

The current wholesale acquisition cost for Hydroxyzine Pamoate (NDC 62135-817-12) is $0.08220 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Jun 17, 2026.

As a a human prescription drug provided by Chartwell Rx, Llc, this medication is distributed in a 120 CAPSULE 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
$0.08220
Per EA

Pricing Unit
Per EA Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Jun 17, 2026
Billable Units
120 EA
Estimated Package Price
$9.86
Data Status
As of Jul 08, 2026
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
62135-817-12
Description
120 CAPSULE in 1 BOTTLE
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Jun 2024, the NADAC wholesale price for (NDC ) has moved within a range of $0.06835 to $0.08506 per EA. Over this 2 years 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
$0.0684 - $0.0851
Market Volatility
24.45% Variance
Latest Trend
0.34%
Date Unit Price Unit Source Method Rate
Jun 17, 2026 $0.08220 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2026 $0.08248 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2026 $0.08154 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 18, 2026 $0.08088 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 18, 2026 $0.07965 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 21, 2026 $0.08133 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 17, 2025 $0.08327 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 19, 2025 $0.08506 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 22, 2025 $0.08488 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 17, 2025 $0.08362 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 20, 2025 $0.08337 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 23, 2025 $0.08218 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 18, 2025 $0.08194 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 21, 2025 $0.08129 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 23, 2025 $0.08158 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 19, 2025 $0.08184 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 19, 2025 $0.07940 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2025 $0.07545 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2024 $0.07548 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 20, 2024 $0.06972 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2024 $0.08169 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 18, 2024 $0.07656 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 21, 2024 $0.07318 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2024 $0.06835 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 19, 2024 $0.07615 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 05, 2024 $0.06964 EAC/I - Chain or Independent PharmacyCode 1G - Generic

Pricing Methodology Legend

  • Code 1: The NADAC was calculated using information from the most recently completed pharmacy survey.

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