DIAZEPAM 20 MG RECTAL GEL (2PK)
For 1 unit (EA)
Pharmacies pay
$171.54 filed
1 × $171.53691 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
$202.27 estimated
$171.54 + $25.73 (15%) + $5.00 fee per fill = $202.27
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
DIAZEPAM 20 MG RECTAL GEL (2PK) is how the CMS NADAC file names this product. The FDA NDC Directory lists it as diazepam.
FDA gives its dosage form as gel and its route as rectal.
The labeler, the company named on the label, is Zydus Pharmaceuticals USA Inc.
FDA’s Established Pharmacologic Class for it is Benzodiazepine.
The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 of them.
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 $171.54 for 1 unit (EA) (1 × $171.53691 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 · NADAC explanation codes
All 2 NDCs
- 43386-0281-01 · not listed as a package in the FDA directory · $171.53691 per EA · eff. 2026-09-23 filed
- 70710-2080-02 · Zydus Pharmaceuticals USA Inc. · $171.53691 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
10 other products in the NADAC file share the FDA nonproprietary name diazepam with DIAZEPAM 20 MG RECTAL GEL (2PK).
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| DIAZEPAM 2 MG TABLET | $0.02123 per EA filed | $0.94085 per EA filed |
| DIAZEPAM 5 MG TABLET | $0.02761 per EA filed | $0.94085 per EA filed |
| DIAZEPAM 5 MG/5 ML SOLUTION | $0.10708 per ML filed | We don’t know yet |
| DIAZEPAM 10 MG RECTAL GEL (2PK) | $208.71283 per EA filed | We don’t know yet |
| DIAZEPAM 10 MG RECTAL GEL SYRG | $208.71283 per EA filed | We don’t know yet |
| DIAZEPAM 10 MG TABLET | $0.02828 per EA filed | $0.94085 per EA filed |
| DIAZEPAM 20 MG RECTAL GEL (2PK) this page | $171.53691 per EA filed | We don’t know yet |
| VALTOCO 5 MG NASAL SPRAY | $366.14353 per EA filed | $354.13314 per EA filed |
| VALTOCO 10 MG NASAL SPRAY | $365.46786 per EA filed | $354.13314 per EA filed |
| VALTOCO 15 MG NASAL SPRAY | $365.51001 per EA filed | $354.13314 per EA filed |
| VALTOCO 20 MG NASAL SPRAY | $365.63626 per EA filed | $354.13314 per EA filed |
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
Compared with its class
The middle of its 2 NDCs’ NADAC prices is $171.53691 per EA filed.
Of the 76 other products in FDA’s Benzodiazepine class priced per EA, 7 have a higher middle NADAC price and 69 a lower one. The one in the middle is CLONAZEPAM 1 MG DIS TABLET, at $0.56689 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
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.
- What is your cash price for 1 unit (EA)? Is it lower than what I would pay through my insurance?
- 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 unit (EA)?
- NADAC prices this product per EA, and the FDA NDC Directory lists 1 of its 2 NDCs (it does not list the other one) as dosage form “GEL” with route “RECTAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- ALPRAZOLAM 0.25 MG TABLET
- CLONAZEPAM 0.5 MG TABLET
- TEMAZEPAM 15 MG CAPSULE
- CLORAZEPATE 15 MG TABLET
- TRIAZOLAM 0.125 MG TABLET