Levothyroxine And Liothyronine
Pricing Report NDC 69367-159-04

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 69367-159-04) 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%
Date Unit Price Unit Source Method Rate
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
Aug 19, 2020 $0.47766 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 22, 2020 $0.48538 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jun 17, 2020 $0.48366 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 20, 2020 $0.46664 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 22, 2020 $0.48330 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2020 $0.46406 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 22, 2020 $0.46406 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Dec 18, 2019 $0.45173 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2019 $0.45492 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Oct 23, 2019 $0.45492 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Sep 18, 2019 $0.44612 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Aug 21, 2019 $0.45133 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 17, 2019 $0.44001 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 22, 2019 $0.42366 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 22, 2019 $0.42366 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Apr 17, 2019 $0.43921 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 20, 2019 $0.43248 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 20, 2019 $0.40444 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 23, 2019 $0.41948 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 19, 2018 $0.37533 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Nov 21, 2018 $0.37885 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.35135 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jul 18, 2018 $0.35135 EAC/I - Chain or Independent PharmacyCode 4G - Generic
Jun 20, 2018 $0.32587 EAC/I - Chain or Independent PharmacyCode 1G - Generic
May 23, 2018 $0.32111 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Apr 18, 2018 $0.32018 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Mar 21, 2018 $0.31400 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Feb 21, 2018 $0.35441 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Jan 17, 2018 $0.35040 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 20, 2017 $0.36402 EAC/I - Chain or Independent PharmacyCode 1G - Generic
Dec 13, 2017 $0.34704 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