OpenBilldrug price receipt

NADAC week of 2026-10-14

CEQUA 0.09% SOLUTION

FDA nonproprietary name: cyclosporine

For 1 unit (EA)

Pharmacies pay

$10.38 filed

1 × $10.38279 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

$9.34 filed

1 × $9.33517 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

0.90× estimated

Medicare paid 10% less than pharmacies pay.

Part D averages every strength and form sold under “Cequa” / “Cyclosporine” 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

$16.94 estimated

$10.38 + $1.56 (15%) + $5.00 fee per fill = $16.94

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

CEQUA 0.09% SOLUTION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as cyclosporine, under the trade name “CEQUA”.

FDA gives its dosage form as solution/ drops and its route as ophthalmic; topical.

The labeler, the company named on the label, is Sun Pharmaceutical Industries, Inc.

FDA’s Established Pharmacologic Class for it is Calcineurin Inhibitor Immunosuppressant.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 47335-0506-96.

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 $10.38 for 1 unit (EA) (1 × $10.38279 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; 5, calculated based on package size.

The NDC

Other strengths, forms and brands

12 other products in the NADAC file share the FDA nonproprietary name cyclosporine with CEQUA 0.09% SOLUTION.

ProductPharmacies pay per unitMedicare per unit
CEQUA 0.09% SOLUTION this page
brand · solution/ drops
$10.38279 per EA filed
eff. 2026-09-23
$9.33517 per EA filed
Part D 2024 average
CYCLOSPORINE 0.05% EYE EMULSION
generic · emulsion
$0.90945 to $1.18033 per EA filed
eff. 2026-09-23
$4.32927 per EA filed
Part D 2024 average
CYCLOSPORINE 25 MG CAPSULE
generic · capsule, gelatin coated
$2.5957 per EA filed
eff. 2026-09-23
$0.576 per EA derived
Part B limit 2026 Q4
CYCLOSPORINE 100 MG CAPSULE
generic · capsule, gelatin coated
$7.50676 per EA filed
eff. 2026-09-23
$1.455 per EA derived
Part B limit 2026 Q4
CYCLOSPORINE MODIFIED 25 MG
generic · capsule, liquid filled
$0.31377 per EA filed
eff. 2026-09-23
$0.576 per EA derived
Part B limit 2026 Q4
CYCLOSPORINE MODIFIED 50 MG
generic · capsule, liquid filled
$0.76459 per EA filed
eff. 2026-09-23
$0.7275 to $1.152 per EA derived
Part B limit 2026 Q4
CYCLOSPORINE MODIFIED 100 MG
generic · capsule, liquid filled
$1.23348 per EA filed
eff. 2026-09-23
$1.455 per EA derived
Part B limit 2026 Q4
CYCLOSPORINE MODIFIED 100 MG/ML
generic · solution
$2.03685 per ML filed
eff. 2026-09-23
$1.455 per ML derived
Part B limit 2026 Q4
GENGRAF 25 MG CAPSULE
brand · capsule
$1.86549 per EA filed
eff. 2026-01-02
$1.14257 per EA filed
Part D 2024 average
NEORAL 25 MG GELATIN CAPSULE
brand · capsule, liquid filled
$2.94566 per EA filed
eff. 2026-07-08
$3.90784 per EA filed
Part D 2024 average
NEORAL 100 MG GELATIN CAPSULE
brand · capsule, liquid filled
$11.7731 per EA filed
eff. 2026-07-08
$3.90784 per EA filed
Part D 2024 average
RESTASIS 0.05% EYE EMULSION
brand · emulsion
$10.31247 to $10.31333 per EA filed
eff. 2026-09-23
$10.19841 per EA filed
Part D 2024 average
RESTASIS MULTIDOSE 0.05% EYE
brand · emulsion
$112.32159 per ML filed
eff. 2026-09-23
$111.93625 per ML 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. 2026-01-02, 2026-07-08, 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

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

Its NADAC price is $10.38279 per EA filed.

Of the 19 other products in FDA’s Calcineurin Inhibitor Immunosuppressant class priced per EA, 1 has a higher middle NADAC price and 18 a lower one. The one in the middle is ASTAGRAF XL 0.5 MG CAPSULE, at $2.88173 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 $9.34 for 1 unit (EA), at an average of $9.33517 per EA in 2024 (2024-01-01 to 2024-12-31) for “Cequa” and “Cyclosporine”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 90,056 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 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 CEQUA 0.09% SOLUTION 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 Cequa / Cyclosporine: 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.
Why does this page start at 1 unit (EA)?
NADAC prices this product per EA, and the FDA NDC Directory lists its NDC as dosage form “SOLUTION/ DROPS” with route “OPHTHALMIC; TOPICAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.