OpenBilldrug price receipt

NADAC week of 2026-10-14

DALIRESP 250 MCG TABLET

FDA nonproprietary name: roflumilast

For 30 tablets

Pharmacies pay

$449.48 filed

30 × $14.98256 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-01 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$406.43 filed

30 × $13.54763 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 “Daliresp” / “Roflumilast” 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. 2026-01-01 (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

$521.90 estimated

$449.48 + $67.42 (15%) + $5.00 fee per fill = $521.90

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. 2026-01-01 (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

DALIRESP 250 MCG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as roflumilast, under the trade name “Daliresp”.

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

The labeler, the company named on the label, is AstraZeneca Pharmaceuticals LP.

FDA’s Established Pharmacologic Class for it is Phosphodiesterase 4 Inhibitor.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

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 $449.48 for 30 tablets (30 × $14.98256 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 4, carried forward from the previous file.

The NADAC of all 2 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2026-01-01. The file is new; the price is not.

NADAC also lists, on the row of its brand NDCs, what pharmacies pay for the generic equivalent, a different product: $1.98132 per EA filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

All 2 NDCs

Other strengths, forms and brands

7 other products in the NADAC file share the FDA nonproprietary name roflumilast with DALIRESP 250 MCG TABLET.

ProductPharmacies pay per unitMedicare per unit
DALIRESP 250 MCG TABLET this page
brand · tablet
$14.98256 per EA filed
eff. 2026-01-01
$13.54763 per EA filed
Part D 2024 average
DALIRESP 500 MCG TABLET
brand · tablet
$14.9036 per EA filed
eff. 2026-09-23
$13.54763 per EA filed
Part D 2024 average
ROFLUMILAST 250 MCG TABLET
generic · tablet
$1.98132 per EA filed
eff. 2026-09-23 to 2026-09-30
$2.07897 per EA filed
Part D 2024 average
ROFLUMILAST 500 MCG TABLET
generic · tablet
$0.31126 per EA filed
eff. 2026-09-23
$2.07897 per EA filed
Part D 2024 average
ZORYVE 0.05% CREAM
brand · cream
$15.40606 per GM filed
eff. 2026-09-23
$14.15272 per GM filed
Part D 2024 average
ZORYVE 0.15% CREAM
brand · cream
$15.39875 per GM filed
eff. 2026-09-23
$14.15272 per GM filed
Part D 2024 average
ZORYVE 0.3% CREAM
brand · cream
$15.38387 per GM filed
eff. 2026-09-23
$14.15272 per GM filed
Part D 2024 average
ZORYVE 0.3% FOAM
brand · aerosol, foam
$15.37781 per GM filed
eff. 2026-09-23
$14.15272 per GM 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. 2026-01-01, 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

The middle of its 2 NDCs’ NADAC prices is $14.98256 per EA filed.

Of the 6 other products in FDA’s Phosphodiesterase 4 Inhibitor class priced per EA, 3 have a higher middle NADAC price and 3 a lower one. The one in the middle is DALIRESP 500 MCG TABLET, at $14.9036 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. 2026-01-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $406.43 for 30 tablets, at an average of $13.54763 per EA in 2024 (2024-01-01 to 2024-12-31) for “Daliresp” and “Roflumilast”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 9,113 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 DALIRESP 250 MCG TABLET 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 Daliresp / Roflumilast: 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.