AMNESTEEM 20 MG CAPSULE
FDA nonproprietary name: isotretinoin
For 30 capsules
Pharmacies pay
$57.97 filed
30 × $1.93248 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
$97.18 filed
30 × $3.23922 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
1.7× estimated
Medicare paid 1.7× what pharmacies pay.
Part D averages every strength and form sold under “Amnesteem” / “Isotretinoin” 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
$71.67 estimated
$57.97 + $8.70 (15%) + $5.00 fee per fill = $71.67
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
AMNESTEEM 20 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as isotretinoin, under the trade name “Amnesteem”.
FDA gives its dosage form as capsule and its route as oral.
The labeler, the company named on the label, is Mylan Pharmaceuticals Inc.
FDA’s Established Pharmacologic Class for it is Retinoid.
The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 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 $57.97 for 30 capsules (30 × $1.93248 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.
What NADAC measures · Why 30 capsules · NADAC explanation codes
All 2 NDCs
- 00378-6612-85 · not listed as a package in the FDA directory · $1.93248 per EA · eff. 2026-09-23 filed
- 00378-6612-93 · Mylan Pharmaceuticals Inc. · $1.93248 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
22 other products in the NADAC file share the FDA nonproprietary name isotretinoin with AMNESTEEM 20 MG CAPSULE.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| ABSORICA 20 MG CAPSULE | $35.74413 per EA filed | We don’t know yet |
| ABSORICA 30 MG CAPSULE | $38.20855 per EA filed | We don’t know yet |
| ABSORICA 40 MG CAPSULE | $38.21939 per EA filed | We don’t know yet |
| ABSORICA LD 16 MG CAPSULE | $38.4106 per EA filed | We don’t know yet |
| ABSORICA LD 24 MG CAPSULE | $42.22828 per EA filed | We don’t know yet |
| ABSORICA LD 32 MG CAPSULE | $42.42393 per EA filed | We don’t know yet |
| AMNESTEEM 10 MG CAPSULE | $1.96311 per EA filed | $3.23922 per EA filed |
| AMNESTEEM 20 MG CAPSULE this page | $1.93248 per EA filed | $3.23922 per EA filed |
| AMNESTEEM 30 MG CAPSULE | $2.12538 per EA filed | $3.23922 per EA filed |
| AMNESTEEM 40 MG CAPSULE | $2.20779 per EA filed | $3.23922 per EA filed |
| CLARAVIS 10 MG CAPSULE | $1.96311 per EA filed | $3.34748 per EA filed |
| CLARAVIS 20 MG CAPSULE | $1.93248 per EA filed | $3.34748 per EA filed |
| CLARAVIS 30 MG CAPSULE | $2.12538 per EA filed | $3.34748 per EA filed |
| CLARAVIS 40 MG CAPSULE | $2.20779 per EA filed | $3.34748 per EA filed |
| ISOTRETINOIN 10 MG CAPSULE | $1.96311 to $11.936 per EA filed | $4.4049 per EA filed |
| ISOTRETINOIN 20 MG CAPSULE | $1.93248 to $4.25389 per EA filed | $4.4049 per EA filed |
| ISOTRETINOIN 25 MG CAPSULE | $10.55124 per EA filed | $4.4049 per EA filed |
| ISOTRETINOIN 30 MG CAPSULE | $2.12538 to $4.4724 per EA filed | $4.4049 per EA filed |
| ISOTRETINOIN 40 MG CAPSULE | $2.20779 to $6.6653 per EA filed | $4.4049 per EA filed |
| ZENATANE 10 MG CAPSULE | $1.96311 per EA filed | $3.46783 per EA filed |
| ZENATANE 20 MG CAPSULE | $1.93248 per EA filed | $3.46783 per EA filed |
| ZENATANE 30 MG CAPSULE | $2.12538 per EA filed | $3.46783 per EA filed |
| ZENATANE 40 MG CAPSULE | $2.20779 per EA filed | $3.46783 per EA 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. between 2025-12-17 and 2026-09-23 (5 dates) · 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 2 NDCs’ NADAC prices is $1.93248 per EA filed.
Of the 26 other products in FDA’s Retinoid class priced per EA, 24 have a higher middle NADAC price and 0 a lower one; 2 have the same. The one in the middle is ACITRETIN 25 MG CAPSULE, at $3.5423 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 $97.18 for 30 capsules, at an average of $3.23922 per EA in 2024 (2024-01-01 to 2024-12-31) for “Amnesteem” and “Isotretinoin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 1,519 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 Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out
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 30 capsules? Is it lower than what I would pay through my insurance?
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for AMNESTEEM 20 MG CAPSULE 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 Amnesteem / Isotretinoin: 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 brand name.
Related pages
Its pharmacologic class
Related in the same class
- ACITRETIN 10 MG CAPSULE
- TAZAROTENE 0.05% CREAM
- ADAPALENE 0.1% CREAM
- ADAPALENE-BNZYL PEROX 0.1-2.5%
- CLINDA-TRETINOIN 1.2%-0.025%