OpenBilldrug price receipt

NADAC week of 2026-10-14

BETAMETHASONE VA 0.1% CREAM

For 1 g

Pharmacies pay

$0.35 – $0.42 filed

1 × $0.34759 to $0.41536 per GM (the 8 NDCs differ)

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

$0.67 filed

1 × $0.66903 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× – 1.9× estimated

Medicare paid between 1.6× and 1.9× what pharmacies pay, depending on the NDC.

Part D averages every strength and form sold under “Betamethasone Valerate” 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

$5.40 – $5.48 estimated

NADAC for the pack + 15% + $5.00 fee per fill

This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. 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

BETAMETHASONE VA 0.1% CREAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as betamethasone valerate.

FDA gives its dosage form as cream and its route as topical.

Its labelers, the companies named on the label, are E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, Cosette Pharmaceuticals, Inc. and Sun Pharmaceutical Industries, Inc.

FDA’s Established Pharmacologic Class for it is Corticosteroid.

The NADAC file of 2026-10-14 prices it under 8 NDCs (National Drug Codes); the FDA directory lists 6 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 $0.35 – $0.42 for 1 g, depending on the NDC ($0.34759 to $0.41536 per GM), 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.

The 3 labelers

LabelerNDCsPharmacies pay per unit
Cosette Pharmaceuticals, Inc.2$0.34759 to $0.41536 per GM filed
E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC2$0.34759 to $0.41536 per GM filed
Sun Pharmaceutical Industries, Inc.2$0.34759 to $0.41536 per GM filed
Not listed as a package in the FDA directory2$0.34759 to $0.41536 per GM filed
All 8 NDCs, with labeler and price
  • 00168-0040-15 · E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC · $0.41536 per GM · eff. 2026-09-23 filed
  • 00168-0040-46 · E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC · $0.34759 per GM · eff. 2026-09-23 filed
  • 00472-0370-15 · not listed as a package in the FDA directory · $0.41536 per GM · eff. 2026-09-23 filed
  • 00472-0370-45 · not listed as a package in the FDA directory · $0.34759 per GM · eff. 2026-09-23 filed
  • 00713-0326-15 · Cosette Pharmaceuticals, Inc. · $0.41536 per GM · eff. 2026-09-23 filed
  • 00713-0326-37 · Cosette Pharmaceuticals, Inc. · $0.34759 per GM · eff. 2026-09-23 filed
  • 51672-1269-01 · Sun Pharmaceutical Industries, Inc. · $0.41536 per GM · eff. 2026-09-23 filed
  • 51672-1269-06 · Sun Pharmaceutical Industries, Inc. · $0.34759 per GM · eff. 2026-09-23 filed

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name betamethasone valerate with BETAMETHASONE VA 0.1% CREAM.

ProductPharmacies pay per unitMedicare per unit
BETAMETHASONE VA 0.1% CREAM this page
generic · cream
$0.34759 to $0.41536 per GM filed
eff. 2026-09-23
$0.66903 per GM filed
Part D 2024 average
BETAMETHASONE VA 0.1% LOTION
generic · lotion
$0.45228 per ML filed
eff. 2026-09-23
We don’t know yet
BETAMETHASONE VALER 0.1% OINTM
generic · ointment
$0.492 to $0.61436 per GM filed
eff. 2026-09-23
$0.66903 per GM filed
Part D 2024 average
BETAMETHASONE VALER 0.12% FOAM
generic · aerosol, foam
$0.63156 to $0.67341 per GM filed
eff. 2026-09-23
$0.66903 per GM 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

The middle of its 8 NDCs’ NADAC prices is $0.34759 per GM filed.

Of the 122 other products in FDA’s Corticosteroid class priced per GM, 86 have a higher middle NADAC price and 36 a lower one. The one in the middle is DESOXIMETASONE 0.05% CREAM, at $1.50996 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 $0.67 for 1 g, at an average of $0.66903 per GM in 2024 (2024-01-01 to 2024-12-31) for “Betamethasone Valerate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 279,579 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

6 of the product’s 8 NDCs have this Medicare figure; the other 2 do not, and the interactive card says why for each.

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 BETAMETHASONE VA 0.1% CREAM 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 Betamethasone Valerate / Betamethasone Valerate: 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 generic name. 16 of 17 NADAC NDCs joined to this name are priced per GM (1 per ML): CMS's average mixes those units.
Why does this page start at 1 g?
The FDA package descriptions of this product’s NDCs give different amounts (15 g, 45 g). So the card starts at 1 GM; change it to match your prescription.