Levothyroxine And Liothyronine
Pricing Report NDC 69367-158-04

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 69367-158-04) is $1.18646 per EA. This benchmark price is based on the National Average Drug Acquisition Cost (NADAC) and has been effective since Jun 23, 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
$1.18646
Per EA

Pricing Unit
Per EA Pricing Unit
Indicates the billing unit (ML, GM or EA).
Effective Date
Jun 23, 2021
Billable Units
100 EA
Estimated Package Price
$118.65
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
69367-158-04
Description
100 TABLET in 1 BOTTLE, PLASTIC
Pricing Methodology Explanation
The NADAC was carried forward from the previous file.

Historical Pricing Trends & Acquisition Cost Benchmarks

Since Apr 2018, the NADAC wholesale price for (NDC ) has moved within a range of $0.76423 to $1.20950 per EA. Over this 3 years and 2 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
$0.7642 - $1.2095
Market Volatility
58.26% Variance
Latest Trend
1.90%
Date Unit Price Unit Source Method Rate
Jun 23, 2021 $1.18646 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 23, 2021 $1.18646 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Feb 17, 2021 $1.20950 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $1.20950 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Jan 20, 2021 $1.20380 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $1.15490 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $1.18540 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2020 $1.16860 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2020 $1.17992 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2020 $1.18393 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2020 $1.18393 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Jun 17, 2020 $1.17704 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2020 $1.18979 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2020 $1.16643 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 18, 2020 $1.13364 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 19, 2020 $1.10662 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2019 $1.14482 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 18, 2019 $1.14482 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Oct 23, 2019 $1.08658 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2019 $1.08658 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Sep 18, 2019 $1.05371 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2019 $1.04920 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2019 $1.04920 EAC/I - Chain or Independent PharmacyCode 4G - Generic
May 22, 2019 $1.02571 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 22, 2019 $1.02571 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Apr 17, 2019 $1.07455 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 20, 2019 $0.96357 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 19, 2018 $0.97482 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 19, 2018 $0.97482 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Nov 21, 2018 $0.97663 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.84388 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.84388 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Jun 20, 2018 $0.80595 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 23, 2018 $0.76423 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 18, 2018 $0.87962 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