OpenBilldrug price receipt

NADAC week of 2026-10-14

DEXAMETHASONE 0.75 MG TABLET

For 30 tablets

Pharmacies pay

$2.69 filed

30 × $0.08973 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

$15.97 filed

30 × $0.53232 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

5.9× estimated

Medicare paid 5.9× what pharmacies pay.

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

$8.09 estimated

$2.69 + $0.40 (15%) + $5.00 fee per fill = $8.09

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 0.75 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dexamethasone.

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

FDA lists 6 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA, Inc., Apotex Corp. and ANI Pharmaceuticals, Inc.

FDA’s Established Pharmacologic Class for it is Corticosteroid.

The NADAC file of 2026-10-14 prices it under 7 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 $2.69 for 30 tablets (30 × $0.08973 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.

The 6 labelers

LabelerNDCsPharmacies pay per unit
Hikma Pharmaceuticals USA, Inc.2$0.08973 per EA filed
ANI Pharmaceuticals, Inc.1$0.08973 per EA filed
Advagen Pharma Ltd.1$0.08973 per EA filed
Apotex Corp.1$0.08973 per EA filed
NorthStar Rx LLC1$0.08973 per EA filed
Viona Pharmaceuticals Inc1$0.08973 per EA filed
All 7 NDCs, with labeler and price
  • 00054-4180-25 · Hikma Pharmaceuticals USA, Inc. · $0.08973 per EA · eff. 2026-09-23 filed
  • 00054-8180-25 · Hikma Pharmaceuticals USA, Inc. · $0.08973 per EA · eff. 2026-09-23 filed
  • 60505-6250-01 · Apotex Corp. · $0.08973 per EA · eff. 2026-09-23 filed
  • 70954-0399-10 · ANI Pharmaceuticals, Inc. · $0.08973 per EA · eff. 2026-09-23 filed
  • 72578-0169-01 · Viona Pharmaceuticals Inc · $0.08973 per EA · eff. 2026-09-23 filed
  • 72603-0213-01 · NorthStar Rx LLC · $0.08973 per EA · eff. 2026-09-23 filed
  • 72888-0236-01 · Advagen Pharma Ltd. · $0.08973 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

9 other products in the NADAC file share the FDA nonproprietary name dexamethasone with DEXAMETHASONE 0.75 MG TABLET.

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
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 this page
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 7 NDCs’ NADAC prices is $0.08973 per EA filed.

Of the 73 other products in FDA’s Corticosteroid class priced per EA, 67 have a higher middle NADAC price and 6 a lower one. The one in the middle is ADVAIR 100-50 DISKUS, at $2.48669 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 $15.97 for 30 tablets, at an average of $0.53232 per EA in 2024 (2024-01-01 to 2024-12-31) for “Dexamethasone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,472,228 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 DEXAMETHASONE 0.75 MG 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 Dexamethasone / Dexamethasone: 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. 65 of 71 NADAC NDCs joined to this name are priced per EA (6 per ML): CMS's average mixes those units.