OpenBilldrug price receipt

NADAC week of 2026-10-14

DIALYVITE TABLET

FDA nonproprietary name: ascorbic acid, thiamine, riboflavin, niacinamide, pyridoxine, folic acid, cobalamin, biotin, pantothenic acid

For 30 tablets

Pharmacies pay

$4.87 filed

30 × $0.16238 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

We don’t know yet

No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.

The spread

We don’t know yet

There is no Medicare figure to compare with, so there is no spread.

Cost-plus estimate

$10.60 estimated

$4.87 + $0.73 (15%) + $5.00 fee per fill = $10.60

This is a model, not a price any pharmacy quoted. Shipping is not included. 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

DIALYVITE TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ascorbic acid, thiamine, riboflavin, niacinamide, pyridoxine, folic acid, cobalamin, biotin, pantothenic acid, under the trade name “Dialyvite”.

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

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

FDA lists it under 2 Established Pharmacologic Classes: Vitamin B6 Analog and Vitamin C.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 10542-0010-10.

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 $4.87 for 30 tablets (30 × $0.16238 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.

What NADAC measures · Why 30 tablets · NADAC explanation codes

The NDC

Compared with its class

Its NADAC price is $0.16238 per EA filed.

Of the 25 other products in FDA’s Vitamin B6 Analog class priced per EA, 19 have a higher middle NADAC price and 6 a lower one. The one in the middle is CONCEPT DHA CAPSULE, at $1.161 per EA filed (eff. 2026-10-01).

Of the 25 other products in FDA’s Vitamin C class priced per EA, 19 have a higher middle NADAC price and 6 a lower one. The one in the middle is CONCEPT DHA CAPSULE, at $1.161 per EA filed (eff. 2026-10-01).

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, 2026-10-01 · as of 2026-10-14 · retrieved 2026-10-17

How the class comparison works

What Medicare paid

We don’t know yet; the card above says why.

Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched

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.

Its pharmacologic classes

Related in the same class

More