OpenBilldrug price receipt

NADAC week of 2026-10-14

DIGOXIN 125 MCG TABLET

For 30 tablets

Pharmacies pay

$3.98 filed

30 × $0.1327 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 Part D paid

$12.99 filed

30 × $0.433 per EA, Part D average

Medicare's price is not your price.

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


The spread

3.3× estimated

Medicare paid 3.3× what pharmacies pay.

Part D averages every strength and form sold under “Digoxin*” / “Digoxin” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$9.58 estimated

$3.98 + $0.60 (15%) + $5.00 fee per fill = $9.58

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

DIGOXIN 125 MCG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as digoxin.

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

FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Major Pharmaceuticals and AvPAK.

FDA’s Established Pharmacologic Class for it is Cardiac Glycoside.

The NADAC file of 2026-10-14 prices it under 15 NDCs (National Drug Codes); the FDA directory lists 13 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 $3.98 for 30 tablets (30 × $0.1327 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.

The 8 labelers

LabelerNDCsPharmacies pay per unit
ANI Pharmaceuticals, Inc.2$0.1327 per EA filed
Amneal Pharmaceuticals NY LLC2$0.1327 per EA filed
Aurobindo Pharma Limited2$0.1327 per EA filed
Hikma Pharmaceuticals USA Inc.2$0.1327 per EA filed
Oliva Therapeutics, LLC2$0.1327 per EA filed
American Health Packaging1$0.1327 per EA filed
AvPAK1$0.1327 per EA filed
Major Pharmaceuticals1$0.1327 per EA filed
Not listed as a package in the FDA directory2$0.1327 per EA filed
All 15 NDCs, with labeler and price
  • 00143-1240-01 · Hikma Pharmaceuticals USA Inc. · $0.1327 per EA · eff. 2026-09-23 filed
  • 00143-1240-10 · Hikma Pharmaceuticals USA Inc. · $0.1327 per EA · eff. 2026-09-23 filed
  • 00904-5921-61 · Major Pharmaceuticals · $0.1327 per EA · eff. 2026-09-23 filed
  • 50268-0238-11 · not listed as a package in the FDA directory · $0.1327 per EA · eff. 2026-09-23 filed
  • 50268-0238-15 · AvPAK · $0.1327 per EA · eff. 2026-09-23 filed
  • 59651-0437-01 · Aurobindo Pharma Limited · $0.1327 per EA · eff. 2026-09-23 filed
  • 59651-0437-99 · Aurobindo Pharma Limited · $0.1327 per EA · eff. 2026-09-23 filed
  • 60687-0858-01 · American Health Packaging · $0.1327 per EA · eff. 2026-09-23 filed
  • 60687-0858-11 · not listed as a package in the FDA directory · $0.1327 per EA · eff. 2026-09-23 filed
  • 69238-1991-01 · Amneal Pharmaceuticals NY LLC · $0.1327 per EA · eff. 2026-09-23 filed
  • 69238-1991-07 · Amneal Pharmaceuticals NY LLC · $0.1327 per EA · eff. 2026-09-23 filed
  • 70954-0201-10 · ANI Pharmaceuticals, Inc. · $0.1327 per EA · eff. 2026-09-23 filed
  • 70954-0201-20 · ANI Pharmaceuticals, Inc. · $0.1327 per EA · eff. 2026-09-23 filed
  • 82685-0201-01 · Oliva Therapeutics, LLC · $0.1327 per EA · eff. 2026-09-23 filed
  • 82685-0201-10 · Oliva Therapeutics, LLC · $0.1327 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name digoxin with DIGOXIN 125 MCG TABLET.

ProductPharmacies pay per unitMedicare per unit
DIGOXIN 0.05 MG/ML SOLUTION
generic · solution
$1.14686 per ML filed
eff. 2026-09-23
We don’t know yet
DIGOXIN 62.5 MCG TABLET
generic · tablet
$8.59432 per EA filed
eff. 2026-09-23
$0.433 per EA filed
Part D 2024 average
DIGOXIN 125 MCG TABLET this page
generic · tablet
$0.1327 per EA filed
eff. 2026-09-23
$0.433 per EA filed
Part D 2024 average
DIGOXIN 250 MCG TABLET
generic · tablet
$0.14843 per EA filed
eff. 2026-09-23
$0.433 per EA filed
Part D 2024 average

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

What Medicare paid

Medicare Part D paid $12.99 for 30 tablets, at an average of $0.433 per EA in 2024 (2024-01-01 to 2024-12-31) for “Digoxin*” and “Digoxin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,579,920 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

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 is the comparison with Medicare for DIGOXIN 125 MCG TABLET labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Digoxin* / Digoxin: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name. *: CMS says this average reflects multiple routes of administration, which may have different unit prices. All 33 NADAC NDCs the name join matched to it have an FDA route including ORAL. 3 of the 30 NDCs that point at this name are not listed in the FDA NDC Directory as packages of their own; their route was taken from FDA's record for the same product (labeler and product code). 30 of 33 NADAC NDCs joined to this name are priced per EA (3 per ML): CMS's average mixes those units.