OpenBilldrug price receipt

NADAC week of 2026-10-14

ACETAZOLAMIDE ER 500 MG CAP

For 30 capsules

Pharmacies pay

$8.65 filed

30 × $0.28822 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$23.18 filed

30 × $0.77281 per EA, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

2.7× estimated

Medicare paid 2.7× what pharmacies pay.

Part D averages every strength and form sold under “Acetazolamide ER” / “Acetazolamide” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$14.95 estimated

$8.65 + $1.30 (15%) + $5.00 fee per fill = $14.95

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

ACETAZOLAMIDE ER 500 MG CAP is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “acetazolamide” and “acetazolamide extended-release”, as its NDCs’ listings variously write the nonproprietary name.

FDA gives its dosage form as “capsule, extended release” and “capsule” and its route as oral.

FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Accord Healthcare Inc., Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. and Micro Labs Limited.

FDA’s Established Pharmacologic Class for it is Carbonic Anhydrase Inhibitor.

The NADAC file of 2026-10-14 prices it under 11 NDCs (National Drug Codes); the FDA directory lists 8 of them.

NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $8.65 for 30 capsules (30 × $0.28822 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 1, calculated from the most recently completed pharmacy survey.

The 8 labelers

LabelerNDCsPharmacies pay per unit
Accord Healthcare Inc.1$0.28822 per EA filed
American Health Packaging1$0.28822 per EA filed
AvPAK1$0.28822 per EA filed
Chartwell RX, LLC1$0.28822 per EA filed
Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.1$0.28822 per EA filed
Micro Labs Limited1$0.28822 per EA filed
Westminster Pharmaceuticals, LLC1$0.28822 per EA filed
Zydus Pharmaceuticals (USA) Inc.1$0.28822 per EA filed
Not listed as a package in the FDA directory3$0.28822 per EA filed
All 11 NDCs, with labeler and price
  • 16729-0331-01 · Accord Healthcare Inc. · $0.28822 per EA · eff. 2026-09-23 filed
  • 23155-0120-01 · not listed as a package in the FDA directory · $0.28822 per EA · eff. 2026-09-23 filed
  • 23155-0787-01 · Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. · $0.28822 per EA · eff. 2026-09-23 filed
  • 42571-0243-01 · Micro Labs Limited · $0.28822 per EA · eff. 2026-09-23 filed
  • 50268-0042-11 · not listed as a package in the FDA directory · $0.28822 per EA · eff. 2026-09-23 filed
  • 50268-0042-12 · AvPAK · $0.28822 per EA · eff. 2026-09-23 filed
  • 60687-0578-11 · not listed as a package in the FDA directory · $0.28822 per EA · eff. 2026-09-23 filed
  • 60687-0578-21 · American Health Packaging · $0.28822 per EA · eff. 2026-09-23 filed
  • 62135-0612-60 · Chartwell RX, LLC · $0.28822 per EA · eff. 2026-09-23 filed
  • 69367-0209-01 · Westminster Pharmaceuticals, LLC · $0.28822 per EA · eff. 2026-09-23 filed
  • 70710-1591-01 · Zydus Pharmaceuticals (USA) Inc. · $0.28822 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

2 other products in the NADAC file share an FDA nonproprietary name with ACETAZOLAMIDE ER 500 MG CAP.

ProductPharmacies pay per unitMedicare per unit
ACETAZOLAMIDE 125 MG TABLET
generic · tablet
$0.09649 per EA filed
eff. 2026-09-23
$0.6079 per EA filed
Part D 2024 average
ACETAZOLAMIDE 250 MG TABLET
generic · tablet
$0.13397 per EA filed
eff. 2026-09-23
$0.6079 per EA filed
Part D 2024 average
ACETAZOLAMIDE ER 500 MG CAP this page
generic · capsule, extended release / capsule
$0.28822 per EA filed
eff. 2026-09-23
$0.77281 per EA filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 11 NDCs’ NADAC prices is $0.28822 per EA filed.

Of the 4 other products in FDA’s Carbonic Anhydrase Inhibitor class priced per EA, 2 have a higher middle NADAC price and 2 a lower one. The one in the middle is ACETAZOLAMIDE 250 MG TABLET, at $0.13397 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $23.18 for 30 capsules, at an average of $0.77281 per EA in 2024 (2024-01-01 to 2024-12-31) for “Acetazolamide ER” and “Acetazolamide”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 87,073 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for ACETAZOLAMIDE ER 500 MG CAP labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Acetazolamide ER / Acetazolamide: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name.