OpenBilldrug price receipt

NADAC week of 2026-10-14

EFFER-K 25 MEQ TABLET EFF

FDA nonproprietary name: potassium bicarbonate

For 30 tablets

Pharmacies pay

$10.70 – $25.78 filed

30 × $0.35667 to $0.85942 per EA (the 9 NDCs differ)

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 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

0.57× – 1.4× estimated

Medicare paid between 0.57× and 1.4× what pharmacies pay, depending on the NDC.

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. 2025-11-19, 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

$17.31 – $34.65 estimated

NADAC for the pack + 15% + $5.00 fee per fill

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. 2025-11-19, 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 25 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 Cherry Berry”, “Effer-K Lemon Citrus”, “Effer-K Orange” and “Effer-K 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 no Established Pharmacologic Class for it.

The NADAC file of 2026-10-14 prices it under 9 NDCs (National Drug Codes); the FDA directory lists 5 of them.

NADAC classes it under the rate-setting classes B and G, depending on the NDC, and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $10.70 – $25.78 for 30 tablets, depending on the NDC ($0.35667 to $0.85942 per EA), by the CMS NADAC file of 2026-10-14; those prices took effect between 2025-11-19 and 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 4, carried forward from the previous file; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

The NADAC of 3 of these 9 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2025-11-19. The file is new; the price is not.

The 1 labelers

LabelerNDCsPharmacies pay per unit
Nomax Inc.5$0.35667 per EA filed
Not listed as a package in the FDA directory4$0.35667 to $0.85942 per EA filed

When these prices took effect

All 9 NDCs, with labeler and price
  • 51801-0001-01 · not listed as a package in the FDA directory · $0.35667 per EA · eff. 2026-09-23 filed
  • 51801-0001-30 · Nomax Inc. · $0.35667 per EA · eff. 2026-09-23 filed
  • 51801-0001-40 · Nomax Inc. · $0.35667 per EA · eff. 2026-09-23 filed
  • 51801-0005-01 · not listed as a package in the FDA directory · $0.85942 per EA · eff. 2025-11-19 filed carried forward
  • 51801-0005-30 · Nomax Inc. · $0.35667 per EA · eff. 2026-09-23 filed
  • 51801-0006-01 · not listed as a package in the FDA directory · $0.85942 per EA · eff. 2025-11-19 filed carried forward
  • 51801-0006-30 · Nomax Inc. · $0.35667 per EA · eff. 2026-09-23 filed
  • 51801-0007-01 · not listed as a package in the FDA directory · $0.85942 per EA · eff. 2025-11-19 filed carried forward
  • 51801-0007-30 · Nomax Inc. · $0.35667 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name potassium bicarbonate with EFFER-K 25 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
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 this page
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

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 25 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.