Candesartan Cilexetil and Hydrochlorothiazide vs Hydrochlorothiazide — Cost, Coverage & Plan Comparison

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Thiazide Diuretic

Candesartan Cilexetil and Hydrochlorothiazide

Brand: ATACAND HCT

First FDA approval: 2012-12-04

Thiazide Diuretic

Hydrochlorothiazide

Brand: INZIRQO

First FDA approval: 1973-01-12

Lowest NADACAcquisition cost floor across all NDCs

$0.933Per unit

$0.012Per unit

Average NADACAcross all dosage forms and strengths

$1.10Up to $1.20

$0.091Up to $4.45

Generic manufacturersActive ANDA holders — FDA Orange Book

515 total ANDAs filed

1127 total ANDAs filed

Annualized Part D spendCY2024 — CMS Part D Spending Dashboard

—Full year

$122.0MFull year

Part D claims (CY24)Total fills, all strengths

—— beneficiaries

27.6M9.2M beneficiaries

Avg cost per claimCalculated: total spend ÷ total claims

—Per claim, all NDCs

$4Per claim, all NDCs

Part D plans surveyed2026 plan year — CMS Formulary file

329Across CMS plan year

Prior-authorization frictionPlan-NDC pairs requiring PA

0Zero PA friction

2Minimal friction

Step therapy appliedPlan-NDC pairs requiring step therapy

0None

FDA shortage statusLive cross-reference vs FDA Drug Shortage Database

NoneClear

Active shortageSee drug profile

Generic availableFDA Orange Book

Yes5 manufacturers

Yes11 manufacturers