ACULAR LS 0.4% OPHTH SOL
FDA nonproprietary name: ketorolac tromethamine
For 5 mL
Pharmacies pay
$272.28 filed
5 × $54.455 per ML
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
Medicare
We don’t know yet
No Medicare reference price. Part D: The Part D file flags this drug’s average spending per dosage unit as an outlier, so OpenBill does not use it as a reference price. Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.
The spread
We don’t know yet
There is no Medicare figure to compare with, so there is no spread.
Cost-plus estimate
$318.12 estimated
$272.28 + $40.84 (15%) + $5.00 fee per fill = $318.12
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
ACULAR LS 0.4% OPHTH SOL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ketorolac tromethamine, under the trade name “ACULAR LS”.
FDA gives its dosage form as solution/ drops and its route as ophthalmic.
The labeler, the company named on the label, is Allergan, Inc.
FDA lists it under 2 Established Pharmacologic Classes: Cyclooxygenase Inhibitor and Nonsteroidal Anti-inflammatory Drug.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00023-9277-05.
NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.
What pharmacies pay
Pharmacies pay $272.28 for 5 mL (5 × $54.455 per ML, 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.
NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $12.67371 per ML filed.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
What NADAC measures · NADAC explanation codes
The NDC
- 00023-9277-05 · Allergan, Inc. · $54.455 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
5 other products in the NADAC file share the FDA nonproprietary name ketorolac tromethamine with ACULAR LS 0.4% OPHTH SOL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| ACULAR LS 0.4% OPHTH SOL this page | $54.455 per ML filed | We don’t know yet |
| KETOROLAC 0.4% OPHTH SOLUTION | $12.67371 per ML filed | We don’t know yet |
| KETOROLAC 0.5% OPHTH SOLUTION | $1.33836 to $1.45085 per ML filed | We don’t know yet |
| KETOROLAC 10 MG TABLET | $0.16448 per EA filed | We don’t know yet |
| KETOROLAC 30 MG/ML VIAL | $1.01747 per ML filed | $1.138 per ML derived |
| KETOROLAC 60 MG/2 ML VIAL | $0.55237 per ML filed | $1.138 per ML derived |
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)
Compared with its class
Its NADAC price is $54.455 per ML filed.
Of the 4 other products in FDA’s Cyclooxygenase Inhibitor class priced per ML, 0 have a higher middle NADAC price and 4 a lower one. The one in the middle is KETOROLAC 30 MG/ML VIAL, at $1.01747 per ML filed (eff. 2026-09-23).
Of the 25 other products in FDA’s Nonsteroidal Anti-inflammatory Drug class priced per ML, 3 have a higher middle NADAC price and 22 a lower one. The one in the middle is KETOROLAC 30 MG/ML VIAL, at $1.01747 per ML 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
We don’t know yet; the card above says why.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
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.
- What is your cash price for 5 mL? Is it lower than what I would pay through my insurance?
- Is a generic version available, and would it suit me? NADAC lists a generic with the same ingredient, strength and dosage form by FDA: KETOROLAC 0.4% OPHTH SOLUTION. Ask your pharmacist or prescriber; do not switch on your own.
- How much is in the package I am getting? This page uses 5 mL; your package may hold a different amount.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why does this page start at 5 mL?
- NADAC prices this product per ML. The FDA NDC Directory’s package description gives 5 mL in one package for this product’s NDC (“1 BOTTLE, DROPPER in 1 CARTON (0023-9277-05) / 5 mL in 1 BOTTLE, DROPPER”), so the card starts at one package: 5 ML. Change it to match your prescription.
Related pages
Its pharmacologic classes
Related in the same class
- IBUPROFEN 400 MG TABLET
- CELECOXIB 100 MG CAPSULE
- NABUMETONE 500 MG TABLET
- DICLOFENAC POT 25 MG TABLET
- INDOMETHACIN 25 MG CAPSULE