ALVESCO 160 MCG INHALER
FDA nonproprietary name: ciclesonide
For 1 g
Pharmacies pay
$42.97 filed
1 × $42.97099 per GM
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
$54.42 estimated
$42.97 + $6.45 (15%) + $5.00 fee per fill = $54.42
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
ALVESCO 160 MCG INHALER is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ciclesonide, under the trade name “Alvesco”.
FDA gives its dosage form as aerosol, metered and its route as respiratory (inhalation).
The labeler, the company named on the label, is Covis Pharma US, Inc.
FDA lists no Established Pharmacologic Class for it.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 70515-0712-01.
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 $42.97 for 1 g (1 × $42.97099 per GM, 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.
What NADAC measures · NADAC explanation codes
The NDC
- 70515-0712-01 · Covis Pharma US, Inc · $42.97099 per GM · eff. 2026-09-23 filed
Other strengths, forms and brands
2 other products in the NADAC file share the FDA nonproprietary name ciclesonide with ALVESCO 160 MCG INHALER.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| ALVESCO 80 MCG INHALER | $42.95871 per GM filed | We don’t know yet |
| ALVESCO 160 MCG INHALER this page | $42.97099 per GM filed | We don’t know yet |
| OMNARIS 50 MCG NASAL SPRAY | $22.5531 per GM filed | $22.87264 per GM filed |
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
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 1 g? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 1 g; 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 1 g?
- The FDA package description of NDC 70515-0712-01 (“1 INHALER in 1 CARTON (70515-712-01) / 60 AEROSOL, METERED in 1 INHALER”) does not give one amount in g, NADAC’s unit for this product. So the card starts at 1 GM; change it to match your prescription.