OpenBilldrug price receipt

NADAC week of 2026-10-14

CLARITHROMYCIN ER 500 MG TAB

For 30 tablets

Pharmacies pay

$57.55 filed

30 × $1.91822 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

$118.69 filed

30 × $3.95624 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

2.1× estimated

Medicare paid 2.1× what pharmacies pay.

Part D averages every strength and form sold under “Clarithromycin ER” / “Clarithromycin” 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

$71.18 estimated

$57.55 + $8.63 (15%) + $5.00 fee per fill = $71.18

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

CLARITHROMYCIN ER 500 MG TAB is how the CMS NADAC file names this product. The FDA NDC Directory lists it as clarithromycin.

FDA gives its dosage form as tablet, film coated, extended release and its route as oral.

FDA lists 4 labelers (the companies named on the label) for its NDCs, among them Lannett Company, Inc., Actavis Pharma, Inc. and Chartwell RX, LLC.

FDA’s Established Pharmacologic Class for it is Macrolide Antimicrobial.

The NADAC file of 2026-10-14 prices it under 4 NDCs (National Drug Codes).

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 $57.55 for 30 tablets (30 × $1.91822 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 code for it: 1, calculated from the most recently completed pharmacy survey.

All 4 NDCs

Other strengths, forms and brands

4 other products in the NADAC file share the FDA nonproprietary name clarithromycin with CLARITHROMYCIN ER 500 MG TAB.

ProductPharmacies pay per unitMedicare per unit
CLARITHROMYCIN 125 MG/5 ML SUS
generic · for suspension
$0.93931 per ML filed
eff. 2026-09-23
We don’t know yet
CLARITHROMYCIN 250 MG TABLET
generic · tablet, film coated
$0.39391 per EA filed
eff. 2026-09-23
We don’t know yet
CLARITHROMYCIN 250 MG/5 ML SUS
generic · for suspension
$1.34544 to $1.56592 per ML filed
eff. 2026-09-23
We don’t know yet
CLARITHROMYCIN 500 MG TABLET
generic · tablet, film coated
$0.46583 per EA filed
eff. 2026-09-23
We don’t know yet
CLARITHROMYCIN ER 500 MG TAB this page
generic · tablet, film coated, extended release
$1.91822 per EA filed
eff. 2026-09-23
$3.95624 per EA 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. 2026-09-23 · 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

The middle of its 4 NDCs’ NADAC prices is $1.91822 per EA filed.

Of the 15 other products in FDA’s Macrolide Antimicrobial class priced per EA, 9 have a higher middle NADAC price and 6 a lower one. The one in the middle is ERYTHROMYCIN DR 250 MG TABLET, at $1.92505 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 $118.69 for 30 tablets, at an average of $3.95624 per EA in 2024 (2024-01-01 to 2024-12-31) for “Clarithromycin ER” and “Clarithromycin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 4,553 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 CLARITHROMYCIN ER 500 MG TAB 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 Clarithromycin ER / Clarithromycin: 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 generic name.