DEXAMETHASONE 4 MG/ML VIAL
For 1 mL
Pharmacies pay
$0.67 filed
1 × $0.67351 per ML
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
$0.40 derived
1 × $0.396 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
0.59× estimated
Medicare pays 41% less than pharmacies pay.
12 labelers share HCPCS J1100 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
$5.77 estimated
$0.67 + $0.10 (15%) + $5.00 fee per fill = $5.77
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 4 MG/ML VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dexamethasone sodium phosphate.
FDA gives its dosage form as “injection” and “injection, solution” and its route as “intra-articular; intralesional; intramuscular; intravenous; soft tissue” and “intramuscular; intravenous”.
FDA lists 6 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Sagent Pharmaceuticals and Fresenius Kabi USA, LLC.
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 $0.67 for 1 mL (1 × $0.67351 per ML, 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.
What NADAC measures · NADAC explanation codes
The 6 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| Fresenius Kabi USA, LLC | 2 | $0.67351 per ML filed |
| Civica, Inc. | 1 | $0.67351 per ML filed |
| Hikma Pharmaceuticals USA Inc. | 1 | $0.67351 per ML filed |
| Mylan Institutional LLC | 1 | $0.67351 per ML filed |
| Phlow Corporation | 1 | $0.67351 per ML filed |
| Sagent Pharmaceuticals | 1 | $0.67351 per ML filed |
All 7 NDCs, with labeler and price
- 00641-6145-25 · Hikma Pharmaceuticals USA Inc. · $0.67351 per ML · eff. 2026-09-23 filed
- 25021-0052-01 · Sagent Pharmaceuticals · $0.67351 per ML · eff. 2026-09-23 filed
- 63323-0165-01 · Fresenius Kabi USA, LLC · $0.67351 per ML · eff. 2026-09-23 filed
- 63323-0165-16 · Fresenius Kabi USA, LLC · $0.67351 per ML · eff. 2026-09-23 filed
- 67457-0423-12 · Mylan Institutional LLC · $0.67351 per ML · eff. 2026-09-23 filed
- 72572-0120-25 · Civica, Inc. · $0.67351 per ML · eff. 2026-09-23 filed
- 81565-0202-02 · Phlow Corporation · $0.67351 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
5 other products in the NADAC file share the FDA nonproprietary name dexamethasone sodium phosphate with DEXAMETHASONE 4 MG/ML VIAL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| DEXAMETHASONE 0.1% EYE DROP | $8.17447 per ML filed | We don’t know yet |
| DEXAMETHASONE 4 MG/ML VIAL this page | $0.67351 per ML filed | $0.396 per ML derived |
| DEXAMETHASONE 10 MG/ML VIAL | $1.1568 to $1.23567 per ML filed | $0.99 per ML derived |
| DEXAMETHASONE 20 MG/5 ML VIAL | $0.20143 to $0.23813 per ML filed | $0.396 per ML derived |
| DEXAMETHASONE 100 MG/10 ML VL | $0.5104 per ML filed | $0.99 per ML derived |
| DEXAMETHASONE 120 MG/30 ML VL | $0.69401 per ML filed | $0.396 per ML derived |
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-03-18, 2026-07-22, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
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 $0.67351 per ML filed.
Of the 106 other products in FDA’s Corticosteroid class priced per ML, 77 have a higher middle NADAC price and 29 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 J1100, for 2026-10-01 to 2026-12-31, comes to $0.40 for 1 mL, or $0.396 per ML once converted to NADAC’s unit for this product.
Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.
The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.0198 per 1 MG.
Medicare's price is not your price.
What the Part B payment limit is · Converting it to the NADAC unit · How the spread is worked out
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.
- What is your cash price for 1 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 1 mL; your package may hold a different amount.
- If you have Medicare Part B: is this drug covered for me in this setting, and what is my share?
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why does this page start at 1 mL?
- NADAC prices this product per ML. In the FDA NDC Directory, 7 of this product’s NDCs are wholesale packs of identical units, so OpenBill counts one unit of each; for example, NDC 00641-6145-25 (“25 VIAL in 1 CARTON (0641-6145-25) / 1 mL in 1 VIAL (0641-6145-01)”) is a carton of 25 vials, 25 mL in all. So the card starts at one unit: 1 ML. Change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- PREDNISONE 1 MG TABLET
- TRELEGY ELLIPTA 100-62.5-25
- METHYLPREDNISOLONE 16 MG TAB
- PREDNISOLONE AC 1% EYE DROP
- BREO ELLIPTA 100-25 MCG INHALR