BINOSTO 70 MG EFFERVESCENT TAB
FDA nonproprietary name: alendronate sodium
For 30 tablets
Pharmacies pay
$2,136.78 filed
30 × $71.226 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
$2,214.26 filed
30 × $73.80871 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 “Binosto” / “Alendronate Sodium” 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
$2,462.30 estimated
$2,136.78 + $320.52 (15%) + $5.00 fee per fill = $2,462.30
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
BINOSTO 70 MG EFFERVESCENT TAB is how the CMS NADAC file names this product. The FDA NDC Directory lists it as alendronate sodium, under the trade name “Binosto”.
FDA gives its dosage form as tablet, effervescent and its route as oral.
The labeler, the company named on the label, is Radius Health, Inc.
FDA’s Established Pharmacologic Class for it is Bisphosphonate.
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 brand-name drug (rate-setting class B), and does not mark it as sold over the counter.
What pharmacies pay
Pharmacies pay $2,136.78 for 30 tablets (30 × $71.226 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 tablets · NADAC explanation codes
All 2 NDCs
- 70539-0400-00 · not listed as a package in the FDA directory · $71.226 per EA · eff. 2026-09-23 filed
- 70539-0400-04 · Radius Health, Inc. · $71.226 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
5 other products in the NADAC file share the FDA nonproprietary name alendronate sodium with BINOSTO 70 MG EFFERVESCENT TAB.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| ALENDRONATE SOD 70 MG/75 ML | $0.68257 per ML filed | We don’t know yet |
| ALENDRONATE SODIUM 10 MG TAB | $0.11123 per EA filed | $0.85218 per EA filed |
| ALENDRONATE SODIUM 35 MG TAB | $0.28125 per EA filed | $0.85218 per EA filed |
| ALENDRONATE SODIUM 70 MG TAB | $0.25627 per EA filed | $0.85218 per EA filed |
| BINOSTO 70 MG EFFERVESCENT TAB this page | $71.226 per EA filed | $73.80871 per EA filed |
| FOSAMAX 70 MG TABLET | $38.70415 per EA filed | $34.22012 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. 2026-01-01, 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 2 NDCs’ NADAC prices is $71.226 per EA filed.
Of the 14 other products in FDA’s Bisphosphonate class priced per EA, 1 has a higher middle NADAC price and 13 a lower one. The one in the middle is IBANDRONATE SODIUM 150 MG TAB, at $2.67507 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 $2,214.26 for 30 tablets, at an average of $73.80871 per EA in 2024 (2024-01-01 to 2024-12-31) for “Binosto” and “Alendronate Sodium”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 1,123 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 tablets? 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 BINOSTO 70 MG EFFERVESCENT TAB 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 Binosto / Alendronate Sodium: 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
- RISEDRONATE SODIUM 150 MG TAB
- FOSAMAX PLUS D 70 MG-2800 UNIT
- IBANDRONATE 3 MG/3 ML SYRINGE
- ZOLEDRONIC ACID 5 MG/100 ML