CITRANATAL 90 DHA COMBO PACK
FDA nonproprietary name: vitamin c, calcium, iron, vitamin d3, vitamin e, thiamin, riboflavin, niacinamide, vitamin b6, folic acid, iodine, zinc, copper, docusate sodium
For 30 tablets
Pharmacies pay
$58.24 filed
30 × $1.94143 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
$71.98 estimated
$58.24 + $8.74 (15%) + $5.00 fee per fill = $71.98
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
CITRANATAL 90 DHA COMBO PACK is how the CMS NADAC file names this product. The FDA NDC Directory lists it as vitamin c, calcium, iron, vitamin d3, vitamin e, thiamin, riboflavin, niacinamide, vitamin b6, folic acid, iodine, zinc, copper, docusate sodium, under the trade name “CitraNatal 90 DHA”.
FDA gives its dosage form as tablet and its route as oral.
The labeler, the company named on the label, is Mission Pharmacal Company.
FDA lists it under 4 Established Pharmacologic Classes: Blood Coagulation Factor, Phosphate Binder, Vitamin B6 Analog and Vitamin C.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00178-0821-30.
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 $58.24 for 30 tablets (30 × $1.94143 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 tablets · NADAC explanation codes
The NDC
- 00178-0821-30 · Mission Pharmacal Company · $1.94143 per EA · eff. 2026-09-23 filed
Compared with its class
Its NADAC price is $1.94143 per EA filed.
Of the 23 other products in FDA’s Blood Coagulation Factor class priced per EA, 3 have a higher middle NADAC price and 20 a lower one. The one in the middle is SMOOTH ANTACID 750 MG CHEW TAB, at $0.03154 per EA filed (eff. 2026-09-23).
Of the 34 other products in FDA’s Phosphate Binder class priced per EA, 10 have a higher middle NADAC price and 24 a lower one. The one in the middle is SEVELAMER CARBONATE 800 MG TAB, at $0.214 per EA filed (eff. 2026-09-23).
Of the 25 other products in FDA’s Vitamin B6 Analog class priced per EA, 9 have a higher middle NADAC price and 16 a lower one. The one in the middle is PNV-OMEGA SOFTGEL, at $1.12187 per EA filed (eff. 2026-09-23).
Of the 25 other products in FDA’s Vitamin C class priced per EA, 10 have a higher middle NADAC price and 15 a lower one. The one in the middle is PNV-OMEGA SOFTGEL, at $1.12187 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
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 30 tablets? Is it lower than what I would pay through my insurance?
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.