OpenBilldrug price receipt

NADAC week of 2026-10-14

DICLEGIS DR 10-10 MG TABLET

FDA nonproprietary name: doxylamine succinate and pyridoxine hydrochloride

For 30 tablets

Pharmacies pay

$50.28 filed

30 × $1.67584 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

$62.82 estimated

$50.28 + $7.54 (15%) + $5.00 fee per fill = $62.82

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

DICLEGIS DR 10-10 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as doxylamine succinate and pyridoxine hydrochloride, under the trade name “DICLEGIS”.

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

The labeler, the company named on the label, is Duchesnay USA, Inc.

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

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 55494-0100-10.

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $50.28 for 30 tablets (30 × $1.67584 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $1.09163 per EA filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

The NDC

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name doxylamine succinate and pyridoxine hydrochloride with DICLEGIS DR 10-10 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
BONJESTA ER 20-20 MG TABLET
brand · tablet, extended release
$11.11533 per EA filed
eff. 2026-09-23
We don’t know yet
DICLEGIS DR 10-10 MG TABLET this page
brand · tablet, delayed release
$1.67584 per EA filed
eff. 2026-09-23
We don’t know yet
DOXYLAMINE-PYRIDOXINE 10-10 MG
generic · tablet, delayed release
$1.09163 per EA filed
eff. 2026-09-23
We don’t know yet

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Compared with its class

Its NADAC price is $1.67584 per EA filed.

Of the 21 other products in FDA’s Antihistamine class priced per EA, 1 has a higher middle NADAC price and 20 a lower one. The one in the middle is GS SLEEP AID 25 MG TABLET, at $0.11579 per EA filed (eff. 2026-09-23).

Of the 25 other products in FDA’s Vitamin B6 Analog class priced per EA, 11 have a higher middle NADAC price and 14 a lower one. The one in the middle is PNV-OMEGA SOFTGEL, at $1.12187 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.

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.