OpenBilldrug price receipt

NADAC week of 2026-10-14

CETIRIZINE HCL 1 MG/ML SYRUP

For 120 mL

Pharmacies pay

$2.68 filed

120 × $0.02231 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 Part D paid

$5.66 filed

120 × $0.0472 per ML, 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

2.1× estimated

Medicare paid 2.1× what pharmacies pay.

Part D averages every strength and form sold under “Cetirizine HCl” 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

$8.08 estimated

$2.68 + $0.40 (15%) + $5.00 fee per fill = $8.08

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

CETIRIZINE HCL 1 MG/ML SYRUP is how the CMS NADAC file names this product. The FDA NDC Directory lists it as cetirizine hydrochloride.

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

The labeler, the company named on the label, is Rising Pharma Holdings, Inc.

FDA’s Established Pharmacologic Class for it is Histamine-1 Receptor Antagonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 16571-0134-12.

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 $2.68 for 120 mL (120 × $0.02231 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.

The NDC

Other strengths, forms and brands

15 other products in the NADAC file share the FDA nonproprietary name cetirizine hydrochloride with CETIRIZINE HCL 1 MG/ML SYRUP.

ProductPharmacies pay per unitMedicare per unit
ALL DAY ALLERGY 10 MG TABLET
generic · tablet, film coated / tablet
$0.06128 per EA filed
eff. 2026-09-23
We don’t know yet
ALLERGY RLF (CETRZN) 5 MG TAB
generic · tablet
$0.04763 per EA filed
eff. 2026-09-23
We don’t know yet
ALLERGY RLF (CETRZN) 10 MG TAB
generic · tablet
$0.06128 per EA filed
eff. 2026-09-23
We don’t know yet
CETIRIZINE HCL 1 MG/ML SOLN
generic · solution
$0.02231 to $0.3318 per ML filed
eff. 2026-03-18 to 2026-09-23
$0.0472 per ML filed
Part D 2024 average
CETIRIZINE HCL 1 MG/ML SYRUP this page
generic · solution
$0.02231 per ML filed
eff. 2026-09-23
$0.0472 per ML filed
Part D 2024 average
CETIRIZINE HCL 5 MG CHEW TAB
generic · tablet, chewable
$1.99212 per EA filed
eff. 2026-09-23
We don’t know yet
CETIRIZINE HCL 5 MG TABLET
generic · tablet, film coated / tablet
$0.04763 per EA filed
eff. 2026-09-23
We don’t know yet
CETIRIZINE HCL 10 MG CHEW TAB
generic · tablet, chewable
$2.11353 per EA filed
eff. 2026-09-23
We don’t know yet
CETIRIZINE HCL 10 MG TABLET
generic · tablet, film coated / tablet / tablet, coated
$0.06128 per EA filed
eff. 2026-09-23
We don’t know yet
CHILD ALL DAY ALLERGY 1 MG/ML
generic · solution
$0.03526 to $0.0379 per ML filed
eff. 2026-09-23
We don’t know yet
CHILD ALLERGY RELIEF 1 MG/ML
generic · solution
$0.0379 per ML filed
eff. 2026-09-23
We don’t know yet
CHILD CETIRIZINE HCL 1 MG/ML
generic · solution
$0.03526 to $0.0379 per ML filed
eff. 2026-09-23
We don’t know yet
FT ALLERGY (CETRZN) 10 MG TAB
generic · tablet, film coated
$0.06128 per EA filed
eff. 2026-09-23
We don’t know yet
FT CHILD ALL DAY ALLER 1 MG/ML
generic · solution
$0.03526 per ML filed
eff. 2026-09-23
We don’t know yet
GS ALL DAY ALLERGY 10 MG TAB
generic · tablet, film coated
$0.06128 per EA filed
eff. 2026-09-23
We don’t know yet
QC ALLERGY (CETRZN) 10 MG TAB
generic · tablet, coated
$0.06128 per EA filed
eff. 2026-09-23
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. 2026-03-18, 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

Its NADAC price is $0.02231 per ML filed.

Of the 46 other products in FDA’s Histamine-1 Receptor Antagonist class priced per ML, 33 have a higher middle NADAC price and 13 a lower one. The one in the middle is ED-A-HIST DM LIQUID, at $0.06691 per ML 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 $5.66 for 120 mL, at an average of $0.0472 per ML in 2024 (2024-01-01 to 2024-12-31) for “Cetirizine HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 16,308 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 CETIRIZINE HCL 1 MG/ML SYRUP 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 Cetirizine HCl / Cetirizine HCl: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on generic name.
Why does this page start at 120 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 120 mL in one package for this product’s NDC (“120 mL in 1 BOTTLE, PLASTIC (16571-134-12)”), so the card starts at one package: 120 ML. Change it to match your prescription.