BACTERIOSTATIC WATER VIAL
For 30 mL
Pharmacies pay
$5.77 filed
30 × $0.19238 per ML
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: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). 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
$11.64 estimated
$5.77 + $0.87 (15%) + $5.00 fee per fill = $11.64
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
BACTERIOSTATIC WATER VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as bacteriostatic water.
FDA gives its dosage form as injection, solution and its route as intramuscular; intravenous; subcutaneous.
The labeler, the company named on the label, is Hospira, Inc.
FDA lists no Established Pharmacologic Class for it.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00409-3977-03.
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 $5.77 for 30 mL (30 × $0.19238 per ML, 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.
What NADAC measures · NADAC explanation codes
The NDC
- 00409-3977-03 · Hospira, Inc. · $0.19238 per ML · eff. 2026-09-23 filed
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 30 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 30 mL; 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 30 mL?
- NADAC prices this product per ML. In the FDA NDC Directory, NDC 00409-3977-03 (“25 VIAL, MULTI-DOSE in 1 TRAY (0409-3977-03) / 30 mL in 1 VIAL, MULTI-DOSE (0409-3977-01)”) is a tray of 25 vials, 750 mL in all: a wholesale pack of identical units, so OpenBill counts one vial of it. So the card starts at one vial: 30 ML. Change it to match your prescription.