OpenBilldrug price receipt

NADAC week of 2026-10-14

ATROVENT 17 MCG HFA INHALER

FDA nonproprietary name: ipratropium bromide

For 1 g

Pharmacies pay

$22.76 filed

1 × $22.76435 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 Part D paid

$36.19 filed

1 × $36.19351 per GM, 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

1.6× estimated

Medicare paid 1.6× what pharmacies pay.

Part D averages every strength and form sold under “Atrovent HFA” / “Ipratropium Bromide” 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

$31.17 estimated

$22.76 + $3.41 (15%) + $5.00 fee per fill = $31.17

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

ATROVENT 17 MCG HFA INHALER is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ipratropium bromide, under the trade name “Atrovent HFA”.

FDA gives its dosage form as aerosol, metered and its route as respiratory (inhalation).

The labeler, the company named on the label, is Boehringer Ingelheim Pharmaceuticals, Inc.

FDA’s Established Pharmacologic Class for it is Anticholinergic.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00597-0087-17.

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 $22.76 for 1 g (1 × $22.76435 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $22.10952 per GM filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

The NDC

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name ipratropium bromide with ATROVENT 17 MCG HFA INHALER.

ProductPharmacies pay per unitMedicare per unit
ATROVENT 17 MCG HFA INHALER this page
brand · aerosol, metered
$22.76435 per GM filed
eff. 2026-09-23
$36.19351 per GM filed
Part D 2024 average
IPRATROPIUM 0.03% SPRAY
generic · spray / spray, metered
$0.36783 per ML filed
eff. 2026-09-23
We don’t know yet
IPRATROPIUM 0.06% SPRAY
generic · spray / spray, metered
$0.77751 per ML filed
eff. 2026-09-23
We don’t know yet
IPRATROPIUM BR 0.02% SOLN
generic · solution
$0.10402 to $0.1122 per ML filed
eff. 2026-09-23
$1.06579 per ML 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. 2026-09-23 · 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 $22.76435 per GM filed.

Of the 7 other products in FDA’s Anticholinergic class priced per GM, 6 have a higher middle NADAC price and 1 a lower one. The one in the middle is STIOLTO RESPIMAT INHALER (60), at $115.80015 per GM 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 $36.19 for 1 g, at an average of $36.19351 per GM in 2024 (2024-01-01 to 2024-12-31) for “Atrovent HFA” and “Ipratropium Bromide”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 200,254 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 ATROVENT 17 MCG HFA INHALER 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 Atrovent HFA / Ipratropium Bromide: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on brand name.
Why does this page start at 1 g?
The FDA package description of NDC 00597-0087-17 (“1 CANISTER in 1 CARTON (0597-0087-17) / 200 AEROSOL, METERED in 1 CANISTER”) 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.