OpenBilldrug price receipt

NADAC week of 2026-10-14

ASMANEX TWISTHALER 220 MCG #60

FDA nonproprietary name: mometasone furoate

For 1 unit (EA)

Pharmacies pay

$112.65 filed

1 × $112.64988 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

$117.78 filed

1 × $117.78323 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

1.0× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Asmanex” / “Mometasone Furoate” 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

$134.55 estimated

$112.65 + $16.90 (15%) + $5.00 fee per fill = $134.55

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

ASMANEX TWISTHALER 220 MCG #60 is how the CMS NADAC file names this product. The FDA NDC Directory lists it as mometasone furoate, under the trade name “ASMANEX”.

FDA gives its dosage form as inhalant and its route as respiratory (inhalation).

The labeler, the company named on the label, is Organon LLC.

FDA’s Established Pharmacologic Class for it is Corticosteroid.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 78206-0114-02.

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 $112.65 for 1 unit (EA) (1 × $112.64988 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

The NDC

Other strengths, forms and brands

13 other products in the NADAC file share the FDA nonproprietary name mometasone furoate with ASMANEX TWISTHALER 220 MCG #60.

ProductPharmacies pay per unitMedicare per unit
ALLERGY NASAL 50 MCG SPRAY
generic · spray, metered
$0.71412 per ML filed
eff. 2026-09-23
We don’t know yet
ASMANEX HFA 50 MCG INHALER
brand · aerosol
$6.83925 per GM filed
eff. 2026-09-23
$8.11424 per GM filed
Part D 2024 average
ASMANEX HFA 100 MCG INHALER
brand · aerosol
$7.37626 per GM filed
eff. 2026-09-23
$8.11424 per GM filed
Part D 2024 average
ASMANEX HFA 200 MCG INHALER
brand · aerosol
$8.66783 per GM filed
eff. 2026-09-23
$8.11424 per GM filed
Part D 2024 average
ASMANEX TWISTHALER 110 MCG #30
brand · inhalant
$88.83058 per EA filed
eff. 2026-09-23
$117.78323 per EA filed
Part D 2024 average
ASMANEX TWISTHALER 220 MCG #14
brand · inhalant
$36.98 per EA filed
eff. 2026-04-22
$117.78323 per EA filed
Part D 2024 average
ASMANEX TWISTHALER 220 MCG #30
brand · inhalant
$96.04106 per EA filed
eff. 2026-09-23
$117.78323 per EA filed
Part D 2024 average
ASMANEX TWISTHALER 220 MCG #60 this page
brand · inhalant
$112.64988 per EA filed
eff. 2026-09-23
$117.78323 per EA filed
Part D 2024 average
ASMANEX TWISTHALR 220 MCG #120
brand · inhalant
$161.43234 per EA filed
eff. 2026-09-23
$117.78323 per EA filed
Part D 2024 average
MOMETASONE FUROATE 0.1% CREAM
generic · cream
$0.28693 to $0.42021 per GM filed
eff. 2026-09-23
We don’t know yet
MOMETASONE FUROATE 0.1% OINT
generic · ointment
$0.20768 to $0.29224 per GM filed
eff. 2026-09-23
We don’t know yet
MOMETASONE FUROATE 0.1% SOLN
generic · lotion / solution
$0.47768 to $0.48751 per ML filed
eff. 2026-09-23
We don’t know yet
MOMETASONE FUROATE 50 MCG SPRY
generic · spray, metered
$1.58728 per GM filed
eff. 2026-09-23
We don’t know yet
NASONEX 24HR ALLERGY 50 MCG NASAL SPRAY
brand · spray, metered
$1.19339 to $1.27243 per ML filed
eff. 2026-09-23
We don’t know yet

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. 2026-04-22, 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

Its NADAC price is $112.64988 per EA filed.

Of the 73 other products in FDA’s Corticosteroid class priced per EA, 4 have a higher middle NADAC price and 69 a lower one. The one in the middle is FLUTICASONE PROP 100 MCG DISKUS, at $2.05252 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 $117.78 for 1 unit (EA), at an average of $117.78323 per EA in 2024 (2024-01-01 to 2024-12-31) for “Asmanex” and “Mometasone Furoate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 35,699 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 ASMANEX TWISTHALER 220 MCG #60 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 Asmanex / Mometasone Furoate: 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.
Why does this page start at 1 unit (EA)?
NADAC prices this product per EA, and the FDA NDC Directory lists its NDC as dosage form “INHALANT” with route “RESPIRATORY (INHALATION)”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.