OpenBilldrug price receipt

NADAC week of 2026-10-14

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.

The 6 labelers

LabelerNDCsPharmacies pay per unit
Fresenius Kabi USA, LLC2$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 LLC1$0.67351 per ML filed
Phlow Corporation1$0.67351 per ML filed
Sagent Pharmaceuticals1$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.

ProductPharmacies pay per unitMedicare per unit
DEXAMETHASONE 0.1% EYE DROP
generic · solution/ drops
$8.17447 per ML filed
eff. 2026-09-23
We don’t know yet
DEXAMETHASONE 4 MG/ML VIAL this page
generic · injection / injection, solution
$0.67351 per ML filed
eff. 2026-09-23
$0.396 per ML derived
Part B limit 2026 Q4
DEXAMETHASONE 10 MG/ML VIAL
generic · injection / injection, solution
$1.1568 to $1.23567 per ML filed
eff. 2026-09-23
$0.99 per ML derived
Part B limit 2026 Q4
DEXAMETHASONE 20 MG/5 ML VIAL
generic · injection / injection, solution
$0.20143 to $0.23813 per ML filed
eff. 2026-03-18 to 2026-07-22
$0.396 per ML derived
Part B limit 2026 Q4
DEXAMETHASONE 100 MG/10 ML VL
generic · injection, solution
$0.5104 per ML filed
eff. 2026-09-23
$0.99 per ML derived
Part B limit 2026 Q4
DEXAMETHASONE 120 MG/30 ML VL
generic · injection, solution
$0.69401 per ML filed
eff. 2026-09-23
$0.396 per ML derived
Part B limit 2026 Q4

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 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?
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.