OpenBilldrug price receipt

NADAC week of 2026-10-14

EFFER-K 20 MEQ TABLET EFF

FDA nonproprietary name: potassium bicarbonate

For 30 tablets

Pharmacies pay

$15.69 filed

30 × $0.523 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

$14.74 filed

30 × $0.49139 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

0.94× estimated

Medicare paid 6% less than pharmacies pay.

Part D averages every strength and form sold under “Effer-K” / “Potassium Bicarbonate/Cit Ac” 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

$23.04 estimated

$15.69 + $2.35 (15%) + $5.00 fee per fill = $23.04

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

EFFER-K 20 MEQ TABLET EFF is how the CMS NADAC file names this product. The FDA NDC Directory lists it as potassium bicarbonate, under the trade names “Effer-K 20 mEq Orange Cream” and “Effer-K 20 mEq Unflavored”.

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

The labeler, the company named on the label, is Nomax Inc.

FDA lists it under 2 Established Pharmacologic Classes: Osmotic Laxative and Potassium Salt.

The NADAC file of 2026-10-14 prices it under 2 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 $15.69 for 30 tablets (30 × $0.523 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.

All 2 NDCs

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name potassium bicarbonate with EFFER-K 20 MEQ TABLET EFF.

ProductPharmacies pay per unitMedicare per unit
EFFER-K 10 MEQ TABLET EFF
generic · tablet, effervescent
$0.4545 per EA filed
eff. 2026-09-23
$0.49139 per EA filed
Part D 2024 average
EFFER-K 20 MEQ TABLET EFF this page
generic · tablet, effervescent
$0.523 per EA filed
eff. 2026-09-23
$0.49139 per EA filed
Part D 2024 average
EFFER-K 25 MEQ TABLET EFF
brand and generic · tablet, effervescent
$0.35667 to $0.85942 per EA filed
eff. 2025-11-19 to 2026-09-23
$0.49139 per EA filed
Part D 2024 average
KLOR-CON-EF 25 MEQ TAB EFF
brand · tablet, effervescent
$0.85942 per EA filed
eff. 2025-11-19
$0.92014 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. 2025-11-19, 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 $0.523 per EA filed.

Of the 43 other products in FDA’s Osmotic Laxative class priced per EA, 21 have a higher middle NADAC price and 22 a lower one. The one in the middle is KLOR-CON M15 TABLET, at $0.49604 per EA filed (eff. 2026-09-23).

Of the 16 other products in FDA’s Potassium Salt class priced per EA, 4 have a higher middle NADAC price and 12 a lower one. The one in the middle is POTASSIUM CL ER 20 MEQ TABLET, at $0.14078 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

Medicare Part D paid $14.74 for 30 tablets, at an average of $0.49139 per EA in 2024 (2024-01-01 to 2024-12-31) for “Effer-K” and “Potassium Bicarbonate/Cit Ac”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 10,059 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 EFFER-K 20 MEQ TABLET EFF 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 Effer-K / Potassium Bicarbonate/Cit Ac: 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 brand name.