OpenBilldrug price receipt

NADAC week of 2026-10-14

ALENDRONATE SODIUM 35 MG TAB

For 30 tablets

Pharmacies pay

$8.44 filed

30 × $0.28125 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

$25.57 filed

30 × $0.85218 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

3.0× estimated

Medicare paid 3.0× what pharmacies pay.

Part D averages every strength and form sold under “Alendronate Sodium” 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

$14.71 estimated

$8.44 + $1.27 (15%) + $5.00 fee per fill = $14.71

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

ALENDRONATE SODIUM 35 MG TAB is how the CMS NADAC file names this product. The FDA NDC Directory lists it as alendronate sodium.

FDA gives its dosage form as tablet and its route as oral.

FDA lists 4 labelers (the companies named on the label) for its NDCs, among them NorthStar Rx LLC, Rising Pharma Holdings, Inc. and Aurobindo Pharma Limited.

FDA’s Established Pharmacologic Class for it is Bisphosphonate.

The NADAC file of 2026-10-14 prices it under 7 NDCs (National Drug Codes); the FDA directory lists 6 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 $8.44 for 30 tablets (30 × $0.28125 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 4 labelers

LabelerNDCsPharmacies pay per unit
Cipla USA Inc.2$0.28125 per EA filed
NorthStar Rx LLC2$0.28125 per EA filed
Aurobindo Pharma Limited1$0.28125 per EA filed
Rising Pharma Holdings, Inc.1$0.28125 per EA filed
Not listed as a package in the FDA directory1$0.28125 per EA filed
All 7 NDCs, with labeler and price
  • 16714-0632-01 · NorthStar Rx LLC · $0.28125 per EA · eff. 2026-09-23 filed
  • 16714-0632-02 · NorthStar Rx LLC · $0.28125 per EA · eff. 2026-09-23 filed
  • 64980-0341-14 · Rising Pharma Holdings, Inc. · $0.28125 per EA · eff. 2026-09-23 filed
  • 65862-0328-04 · Aurobindo Pharma Limited · $0.28125 per EA · eff. 2026-09-23 filed
  • 69097-0223-16 · Cipla USA Inc. · $0.28125 per EA · eff. 2026-09-23 filed
  • 69097-0223-76 · Cipla USA Inc. · $0.28125 per EA · eff. 2026-09-23 filed
  • 76282-0681-45 · not listed as a package in the FDA directory · $0.28125 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

5 other products in the NADAC file share the FDA nonproprietary name alendronate sodium with ALENDRONATE SODIUM 35 MG TAB.

ProductPharmacies pay per unitMedicare per unit
ALENDRONATE SOD 70 MG/75 ML
generic · solution
$0.68257 per ML filed
eff. 2026-09-23
We don’t know yet
ALENDRONATE SODIUM 10 MG TAB
generic · tablet
$0.11123 per EA filed
eff. 2026-09-23
$0.85218 per EA filed
Part D 2024 average
ALENDRONATE SODIUM 35 MG TAB this page
generic · tablet
$0.28125 per EA filed
eff. 2026-09-23
$0.85218 per EA filed
Part D 2024 average
ALENDRONATE SODIUM 70 MG TAB
generic · tablet
$0.25627 per EA filed
eff. 2026-09-23
$0.85218 per EA filed
Part D 2024 average
BINOSTO 70 MG EFFERVESCENT TAB
brand · tablet, effervescent
$71.226 per EA filed
eff. 2026-09-23
$73.80871 per EA filed
Part D 2024 average
FOSAMAX 70 MG TABLET
brand · tablet
$38.70415 per EA filed
eff. 2026-01-01
$34.22012 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. 2026-01-01, 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 7 NDCs’ NADAC prices is $0.28125 per EA filed.

Of the 14 other products in FDA’s Bisphosphonate class priced per EA, 12 have a higher middle NADAC price and 2 a lower one. The one in the middle is RISEDRONATE SODIUM 150 MG TAB, at $12.90725 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 $25.57 for 30 tablets, at an average of $0.85218 per EA in 2024 (2024-01-01 to 2024-12-31) for “Alendronate Sodium”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 8,814,023 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 ALENDRONATE SODIUM 35 MG TAB 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 Alendronate Sodium / Alendronate Sodium: 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. 19 of 21 NADAC NDCs joined to this name are priced per EA (2 per ML): CMS's average mixes those units.