CIPRO HC OTIC SUSPENSION
FDA nonproprietary name: ciprofloxacin hydrochloride and hydrocortisone
For 10 mL
Pharmacies pay
$349.32 filed
10 × $34.9317 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
$365.56 filed
10 × $36.55609 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
1.0× estimated
Medicare paid about what pharmacies pay.
Part D averages every strength and form sold under “Cipro HC” / “Ciprofloxacin/Hydrocortisone” 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
$406.72 estimated
$349.32 + $52.40 (15%) + $5.00 fee per fill = $406.72
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
CIPRO HC OTIC SUSPENSION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ciprofloxacin hydrochloride and hydrocortisone, under the trade name “CIPRO HC”.
FDA gives its dosage form as suspension/ drops and its route as auricular (otic).
The labeler, the company named on the label, is Sandoz Inc.
FDA lists it under 2 Established Pharmacologic Classes: Corticosteroid and Fluoroquinolone Antibacterial.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 66758-0087-70.
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 $349.32 for 10 mL (10 × $34.9317 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.
NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $26.90905 per ML filed.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
What NADAC measures · NADAC explanation codes
The NDC
- 66758-0087-70 · Sandoz Inc · $34.9317 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
1 other product in the NADAC file shares the FDA nonproprietary name ciprofloxacin hydrochloride and hydrocortisone with CIPRO HC OTIC SUSPENSION.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| CIPRO HC OTIC SUSPENSION this page | $34.9317 per ML filed | $36.55609 per ML filed |
| CIPROFLOXACIN-HYDROCORT 0.2-1% | $26.90905 per ML 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. 2026-09-23, 2026-09-30 · 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 $34.9317 per ML filed.
Of the 106 other products in FDA’s Corticosteroid class priced per ML, 6 have a higher middle NADAC price and 100 a lower one. The one in the middle is FLUNISOLIDE 0.025% SPRAY, at $1.98777 per ML filed (eff. 2026-09-23).
Of the 5 other products in FDA’s Fluoroquinolone Antibacterial class priced per ML, 0 have a higher middle NADAC price and 5 a lower one. The one in the middle is CIPROFLOX-DEXAMETH OTIC SUSP, at $7.12383 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 $365.56 for 10 mL, at an average of $36.55609 per ML in 2024 (2024-01-01 to 2024-12-31) for “Cipro HC” and “Ciprofloxacin/Hydrocortisone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 10,023 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 10 mL? Is it lower than what I would pay through my insurance?
- Is a generic version available, and would it suit me? NADAC lists a generic with the same ingredient, strength and dosage form by FDA: CIPROFLOXACIN-HYDROCORT 0.2-1%. Ask your pharmacist or prescriber; do not switch on your own.
- How much is in the package I am getting? This page uses 10 mL; your package may hold a different amount.
- 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 CIPRO HC OTIC SUSPENSION 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 Cipro HC / Ciprofloxacin/Hydrocortisone: 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 brand name.
- Why does this page start at 10 mL?
- NADAC prices this product per ML. The FDA NDC Directory’s package description gives 10 mL in one package for this product’s NDC (“1 BOTTLE in 1 CARTON (66758-087-70) / 10 mL in 1 BOTTLE”), so the card starts at one package: 10 ML. Change it to match your prescription.
Related pages
Its pharmacologic classes
Related in the same class
- CIPROFLOX-DEXAMETH OTIC SUSP
- PREDNISONE 1 MG TABLET
- TRELEGY ELLIPTA 100-62.5-25
- METHYLPREDNISOLONE 16 MG TAB
- CIPROFLOXACIN HCL 250 MG TAB