OpenBilldrug price receipt

NADAC week of 2026-10-14

BISMUTH-METRONIDAZOLE-TETRACYCLINE 140-125-125 MG CAPSULE

For 30 capsules

Pharmacies pay

$72.08 filed

30 × $2.40281 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

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

$87.89 estimated

$72.08 + $10.81 (15%) + $5.00 fee per fill = $87.89

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

BISMUTH-METRONIDAZOLE-TETRACYCLINE 140-125-125 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “bismuth subcitrate potassium, metronidazole and tetracycline hydrochloride” and “bismuth subcitrate potassium, metronidazole, tetracycline hydrochloride”, as its NDCs’ listings variously write the nonproprietary name.

FDA gives its dosage form as capsule and its route as oral.

Its labelers, the companies named on the label, are Par Health USA, LLC and Ingenus Pharmaceuticals, LLC.

FDA lists it under 3 Established Pharmacologic Classes: Bismuth, Nitroimidazole Antimicrobial and Tetracycline-class Antimicrobial.

The NADAC file of 2026-10-14 prices it under 4 NDCs (National Drug Codes); the FDA directory lists 2 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 $72.08 for 30 capsules (30 × $2.40281 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; 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 · Why 30 capsules · NADAC explanation codes

All 4 NDCs

Compared with its class

The middle of its 4 NDCs’ NADAC prices is $2.40281 per EA filed.

Of the 7 other products in FDA’s Nitroimidazole Antimicrobial class priced per EA, 3 have a higher middle NADAC price and 4 a lower one. The one in the middle is TINIDAZOLE 500 MG TABLET, at $2.35434 per EA filed (eff. 2026-09-23).

Of the 5 other products in FDA’s Tetracycline-class Antimicrobial class priced per EA, 2 have a higher middle NADAC price and 3 a lower one. The one in the middle is DEMECLOCYCLINE 150 MG TABLET, at $2.27261 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

How the class comparison works

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.

Its pharmacologic classes

Related in the same class

More