Levothyroxine And Liothyronine
Pricing Report NDC 69367-155-04

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 Levothyroxine And Liothyronine Thyroid (NDC 69367-155-04) is $0.57642 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Aug 18, 2021.

As a provided by Westminster Pharmaceuticals, Llc, this medication is distributed in a 100 TABLET in 1 BOTTLE, PLASTIC 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
$0.57642
Per EA

Pricing Unit
Per EA Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Aug 18, 2021
Billable Units
100 EA
Estimated Package Price
$57.64
Data Status
As of Aug 18, 2021
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
69367-155-04
Description
100 TABLET in 1 BOTTLE, PLASTIC
Pricing Methodology Explanation
The NADAC was calculated using information from the most recently completed pharmacy survey.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Dec 2017, the NADAC wholesale price for (NDC ) has moved within a range of $0.38879 to $0.58678 per EA. Over this 3 years and 8 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
$0.3888 - $0.5868
Market Volatility
50.92% Variance
Latest Trend
0.21%
Date Unit Price Unit Source Method Rate
Aug 18, 2021 $0.57642 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 21, 2021 $0.57762 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 23, 2021 $0.58678 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 19, 2021 $0.58487 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 21, 2021 $0.58055 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 17, 2021 $0.58060 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $0.55633 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2021 $0.55538 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $0.55819 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $0.56777 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2020 $0.55933 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2020 $0.55866 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 19, 2020 $0.56774 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2020 $0.56146 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 17, 2020 $0.54548 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2020 $0.55642 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2020 $0.55749 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 18, 2020 $0.53949 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 19, 2020 $0.52676 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2020 $0.53040 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2019 $0.54345 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 20, 2019 $0.52212 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2019 $0.54037 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 18, 2019 $0.53108 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 21, 2019 $0.52681 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2019 $0.53071 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 22, 2019 $0.51779 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 22, 2019 $0.51779 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Apr 17, 2019 $0.51692 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 20, 2019 $0.48967 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 20, 2019 $0.45357 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 23, 2019 $0.47732 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 19, 2018 $0.44005 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 21, 2018 $0.44251 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.39425 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.39425 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Jun 20, 2018 $0.39312 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 23, 2018 $0.39360 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 18, 2018 $0.38879 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 21, 2018 $0.40640 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 21, 2018 $0.39990 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 17, 2018 $0.42122 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 20, 2017 $0.40586 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 13, 2017 $0.41207 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.
  • 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