OpenBilldrug price receipt

NADAC week of 2026-10-14

DEXAMETHASONE 0.5 MG/5 ML LIQ

For 1 mL

Pharmacies pay

$0.03 – $0.17 filed

1 × $0.02943 to $0.17177 per ML (the 2 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 B pays

$0.01 derived

1 × $0.0088 per ML, Part B limit

Medicare's price is not your price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)


The spread

0.30× estimated

Medicare pays 70% less than pharmacies pay.

10 labelers share HCPCS J8540 on the CMS crosswalk, so its payment limit is an average across all their products billed under that code, not this NDC’s own price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Cost-plus estimate

$5.03 – $5.20 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

DEXAMETHASONE 0.5 MG/5 ML LIQ is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dexamethasone.

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

The labeler, the company named on the label, is Hikma Pharmaceuticals USA, Inc.

FDA’s Established Pharmacologic Class for it is Corticosteroid.

The NADAC file of 2026-10-14 prices it under 2 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 $0.03 – $0.17 for 1 mL, depending on the NDC ($0.02943 to $0.17177 per ML), 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.

All 2 NDCs

Other strengths, forms and brands

9 other products in the NADAC file share the FDA nonproprietary name dexamethasone with DEXAMETHASONE 0.5 MG/5 ML LIQ.

ProductPharmacies pay per unitMedicare per unit
DEXAMETHASONE 0.5 MG TABLET
generic · tablet
$0.07073 per EA filed
eff. 2026-09-23
$0.53232 per EA filed
Part D 2024 average
DEXAMETHASONE 0.5 MG/5 ML ELX
generic · elixir
$0.10498 per ML filed
eff. 2026-09-23
We don’t know yet
DEXAMETHASONE 0.5 MG/5 ML LIQ this page
generic · solution
$0.02943 to $0.17177 per ML filed
eff. 2026-09-23
$0.0088 per ML derived
Part B limit 2026 Q4
DEXAMETHASONE 0.75 MG TABLET
generic · tablet
$0.08973 per EA filed
eff. 2026-09-23
$0.53232 per EA filed
Part D 2024 average
DEXAMETHASONE 1 MG TABLET
generic · tablet
$0.15533 per EA filed
eff. 2026-09-23
$0.53232 per EA filed
Part D 2024 average
DEXAMETHASONE 1.5 MG TABLET
generic · tablet
$0.1744 per EA filed
eff. 2026-09-23
$0.53232 per EA filed
Part D 2024 average
DEXAMETHASONE 2 MG TABLET
generic · tablet
$0.2519 per EA filed
eff. 2026-09-23
$0.53232 per EA filed
Part D 2024 average
DEXAMETHASONE 4 MG TABLET
generic · tablet
$0.19285 per EA filed
eff. 2026-09-23
$0.53232 per EA filed
Part D 2024 average
DEXAMETHASONE 6 MG TABLET
generic · tablet
$0.38175 per EA filed
eff. 2026-09-23
$0.53232 per EA filed
Part D 2024 average
MAXIDEX 0.1% EYE DROPS
brand · for suspension
$13.1863 per ML filed
eff. 2026-09-23
$16.74566 per ML 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

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $0.02943 per ML filed.

Of the 106 other products in FDA’s Corticosteroid class priced per ML, 106 have a higher middle NADAC price and 0 a lower one. The one in the middle is HYDROCORTISONE BUTYR 0.1% SOLN, at $2.17643 per ML filed (eff. 2026-06-17).

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. 2026-06-17, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part B’s payment limit for HCPCS J8540, for 2026-10-01 to 2026-12-31, comes to $0.01 for 1 mL, or $0.0088 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for this oral drug at a pharmacy only in specific circumstances CMS sets for this code; most prescriptions are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.0044 per 0.25 MG.

1 of the product’s 2 NDCs have this Medicare figure; the other 1 do not, and the interactive card says why for each.

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 does this page start at 1 mL?
The FDA package descriptions of this product’s NDCs give different amounts (240 mL, 500 mL). So the card starts at 1 ML; change it to match your prescription.