Levothyroxine And Liothyronine
Pricing Report NDC 69367-159-04

Latest NADAC: $0.48830 per EA · Effective Aug 18, 2021 · Est. package price $48.83 (100 EA)
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 69367-159-04) is $0.48830 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
$0.48830
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
$48.83
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
69367-159-04
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 $0.31400 to $0.49728 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
$0.3140 - $0.4973
Market Volatility
58.37% Variance
Latest Trend
0.63%

Recent NADAC Price History

DateUnit PriceUnitSourceMethodRate
Aug 18, 2021 $0.48830 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 21, 2021 $0.49138 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 23, 2021 $0.48939 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 19, 2021 $0.48357 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 21, 2021 $0.49728 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 17, 2021 $0.48894 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 17, 2021 $0.48198 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 20, 2021 $0.48512 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 23, 2020 $0.48206 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 18, 2020 $0.48590 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 21, 2020 $0.47193 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Sep 23, 2020 $0.46264 EAC/I - Chain or Independent PharmacyCode 1G - Generic

Earlier NADAC Price History

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: October 07, 2026