OpenBilldrug price receipt

NADAC week of 2026-10-14

DESOXIMETASONE 0.25% CREAM

For 1 g

Pharmacies pay

$0.32 – $0.45 filed

1 × $0.32267 to $0.44737 per GM (the 10 NDCs differ)

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

$1.11 filed

1 × $1.11095 per GM, 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

2.5× – 3.4× estimated

Medicare paid between 2.5× and 3.4× what pharmacies pay, depending on the NDC.

Part D averages every strength and form sold under “Desoximetasone” 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

$5.37 – $5.52 estimated

NADAC for the pack + 15% + $5.00 fee per fill

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

DESOXIMETASONE 0.25% CREAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as desoximetasone.

FDA gives its dosage form as cream and its route as topical.

FDA lists 4 labelers (the companies named on the label) for its NDCs, among them Padagis Israel Pharmaceuticals Ltd, Lupin Pharmaceuticals, Inc. and Saptalis Pharmaceuticals, LLC.

FDA’s Established Pharmacologic Class for it is Corticosteroid.

The NADAC file of 2026-10-14 prices it under 10 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 $0.32 – $0.45 for 1 g, depending on the NDC ($0.32267 to $0.44737 per GM), 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 4 labelers

LabelerNDCsPharmacies pay per unit
Lupin Pharmaceuticals, Inc.3$0.32267 to $0.44737 per GM filed
Viona Pharmaceuticals Inc3$0.32267 to $0.44737 per GM filed
Padagis Israel Pharmaceuticals Ltd2$0.32267 to $0.39788 per GM filed
Saptalis Pharmaceuticals, LLC.2$0.32267 to $0.39788 per GM filed
All 10 NDCs, with labeler and price
  • 45802-0495-35 · Padagis Israel Pharmaceuticals Ltd · $0.39788 per GM · eff. 2026-09-23 filed
  • 45802-0495-37 · Padagis Israel Pharmaceuticals Ltd · $0.32267 per GM · eff. 2026-09-23 filed
  • 68180-0950-01 · Lupin Pharmaceuticals, Inc. · $0.39788 per GM · eff. 2026-09-23 filed
  • 68180-0950-02 · Lupin Pharmaceuticals, Inc. · $0.32267 per GM · eff. 2026-09-23 filed
  • 68180-0950-04 · Lupin Pharmaceuticals, Inc. · $0.44737 per GM · eff. 2026-09-23 filed
  • 71656-0087-15 · Saptalis Pharmaceuticals, LLC. · $0.39788 per GM · eff. 2026-09-23 filed
  • 71656-0087-60 · Saptalis Pharmaceuticals, LLC. · $0.32267 per GM · eff. 2026-09-23 filed
  • 72578-0091-01 · Viona Pharmaceuticals Inc · $0.39788 per GM · eff. 2026-09-23 filed
  • 72578-0091-02 · Viona Pharmaceuticals Inc · $0.32267 per GM · eff. 2026-09-23 filed
  • 72578-0091-03 · Viona Pharmaceuticals Inc · $0.44737 per GM · eff. 2026-09-23 filed

Other strengths, forms and brands

5 other products in the NADAC file share the FDA nonproprietary name desoximetasone with DESOXIMETASONE 0.25% CREAM.

ProductPharmacies pay per unitMedicare per unit
DESOXIMETASONE 0.05% CREAM
generic · cream
$1.50996 per GM filed
eff. 2026-09-23
$1.11095 per GM filed
Part D 2024 average
DESOXIMETASONE 0.05% GEL
generic · gel
$3.1892 to $3.75133 per GM filed
eff. 2026-03-18 to 2026-08-19
$1.11095 per GM filed
Part D 2024 average
DESOXIMETASONE 0.05% OINTMENT
generic · ointment
$1.02828 per GM filed
eff. 2026-09-23
$1.11095 per GM filed
Part D 2024 average
DESOXIMETASONE 0.25% CREAM this page
generic · cream
$0.32267 to $0.44737 per GM filed
eff. 2026-09-23
$1.11095 per GM filed
Part D 2024 average
DESOXIMETASONE 0.25% OINTMENT
generic · ointment
$0.20004 to $1.05556 per GM filed
eff. 2026-09-23
$1.11095 per GM filed
Part D 2024 average
DESOXIMETASONE 0.25% SPRAY
generic · spray
$0.648 per ML 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, 2026-08-19, 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 10 NDCs’ NADAC prices is $0.39788 per GM filed.

Of the 122 other products in FDA’s Corticosteroid class priced per GM, 81 have a higher middle NADAC price and 41 a lower one. The one in the middle is DESOXIMETASONE 0.05% CREAM, at $1.50996 per GM 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 $1.11 for 1 g, at an average of $1.11095 per GM in 2024 (2024-01-01 to 2024-12-31) for “Desoximetasone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 46,030 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 DESOXIMETASONE 0.25% CREAM 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 Desoximetasone / Desoximetasone: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on generic name. 26 of 27 NADAC NDCs joined to this name are priced per GM (1 per ML): CMS's average mixes those units.
Why does this page start at 1 g?
The FDA package descriptions of this product’s NDCs give different amounts (15 g, 60 g, 100 g, 225 g, 3,600 g). So the card starts at 1 GM; change it to match your prescription.