Levothyroxine And Liothyronine
Pricing Report NDC 69367-157-04

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 69367-157-04) is $1.00812 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
$1.00812
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
$100.81
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
69367-157-04
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 $0.68661 to $1.02257 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
$0.6866 - $1.0226
Market Volatility
48.93% Variance
Latest Trend
2.49%
Date Unit Price Unit Source Method Rate
Aug 18, 2021 $1.00812 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 21, 2021 $0.98360 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 23, 2021 $1.00399 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 19, 2021 $1.02257 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 21, 2021 $0.99694 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 17, 2021 $1.02018 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $0.97189 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2021 $0.97151 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $0.97357 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $0.98921 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2020 $0.97616 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2020 $0.96891 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 19, 2020 $0.97466 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2020 $0.98426 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 17, 2020 $0.95451 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2020 $0.97898 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2020 $0.98615 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 18, 2020 $0.94321 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 19, 2020 $0.91975 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2020 $0.92767 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2019 $0.91739 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 20, 2019 $0.89158 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2019 $0.92988 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 18, 2019 $0.90180 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 21, 2019 $0.89603 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2019 $0.89370 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 22, 2019 $0.88152 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 22, 2019 $0.88152 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Apr 17, 2019 $0.89458 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 20, 2019 $0.88095 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 20, 2019 $0.82989 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 23, 2019 $0.85000 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 19, 2018 $0.81417 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 21, 2018 $0.76028 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.70422 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.70422 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Jun 20, 2018 $0.69902 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 23, 2018 $0.69352 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 18, 2018 $0.71025 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 21, 2018 $0.73635 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 21, 2018 $0.77459 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 17, 2018 $0.76802 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 20, 2017 $0.75278 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 13, 2017 $0.68661 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