BUDESONIDE 32 MCG NASAL SPRAY
For 1 mL
Pharmacies pay
$1.41 filed
1 × $1.41168 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
$6.62 estimated
$1.41 + $0.21 (15%) + $5.00 fee per fill = $6.62
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
BUDESONIDE 32 MCG NASAL SPRAY is how the CMS NADAC file names this product. The FDA NDC Directory lists it as budesonide.
FDA gives its dosage form as spray, metered and its route as nasal.
Its labelers, the companies named on the label, are Rugby Laboratories and Apotex Corp.
FDA’s Established Pharmacologic Class for it is Corticosteroid.
The NADAC file of 2026-10-14 prices it under 3 NDCs (National Drug Codes); the FDA directory lists 2 of them.
NADAC classes it as a generic drug (rate-setting class G), and marks it as sold over the counter.
What pharmacies pay
Pharmacies pay $1.41 for 1 mL (1 × $1.41168 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.
What NADAC measures · NADAC explanation codes
All 3 NDCs
- 00536-1456-84 · Rugby Laboratories · $1.41168 per ML · eff. 2026-09-23 filed
- 46122-0389-76 · not listed as a package in the FDA directory · $1.41168 per ML · eff. 2026-09-23 filed
- 60505-6129-02 · Apotex Corp. · $1.41168 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
12 other products in the NADAC file share the FDA nonproprietary name budesonide with BUDESONIDE 32 MCG NASAL SPRAY.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| BUDESONIDE 0.25 MG/2 ML SUSP | $0.6974 per ML filed | $2.29303 per ML filed |
| BUDESONIDE 0.5 MG/2 ML SUSP | $0.67608 per ML filed | $2.29303 per ML filed |
| BUDESONIDE 1 MG/2 ML INH SUSP | $3.42737 per ML filed | $2.29303 per ML filed |
| BUDESONIDE 2 MG RECTAL FOAM | $9.56406 per GM filed | We don’t know yet |
| BUDESONIDE 32 MCG NASAL SPRAY this page | $1.41168 per ML filed | We don’t know yet |
| BUDESONIDE DR 3 MG CAPSULE | $0.49753 per EA filed | $1.28354 per EA filed |
| BUDESONIDE EC 3 MG CAPSULE | $0.49753 per EA filed | $1.95114 per EA filed |
| BUDESONIDE ER 9 MG TABLET | $15.54905 per EA filed | $12.69315 per EA filed |
| EOHILIA 2 MG/10 ML PACKET | $3.28718 per ML filed | $3.03401 per ML filed |
| PULMICORT 0.5 MG/2 ML RESPULE | $4.9112 per ML filed | $5.53027 per ML filed |
| PULMICORT 1 MG/2 ML RESPULE | $9.8448 per ML filed | $5.53027 per ML filed |
| PULMICORT 90 MCG FLEXHALER | $188.51627 per EA filed | We don’t know yet |
| PULMICORT 180 MCG FLEXHALER | $253.49738 per EA filed | We don’t know yet |
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. between 2026-01-21 and 2026-09-23 (4 dates) · 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 3 NDCs’ NADAC prices is $1.41168 per ML filed.
Of the 106 other products in FDA’s Corticosteroid class priced per ML, 56 have a higher middle NADAC price and 50 a lower one. The one in the middle is HYDROCORTISONE BUTYR 0.1% SOLN, at $2.17643 per ML filed (eff. 2026-06-17).
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. 2026-06-17, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
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 1 mL? Is it lower than what I would pay through my insurance?
- It is sold over the counter, so shelf prices vary from store to store: what does it cost per unit here?
- How much is in the package I am getting? This page uses 1 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 1 mL?
- The FDA package description of NDC 00536-1456-84 (“1 BOTTLE, SPRAY in 1 CARTON (0536-1456-84) / 120 SPRAY, METERED in 1 BOTTLE, SPRAY”) does not give one amount in mL, NADAC’s unit for this product. So the card starts at 1 ML; change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- PREDNISONE 1 MG TABLET
- TRELEGY ELLIPTA 100-62.5-25
- METHYLPREDNISOLONE 16 MG TAB
- PREDNISOLONE AC 1% EYE DROP
- BREO ELLIPTA 100-25 MCG INHALR