OpenBilldrug price receipt

NADAC week of 2026-10-14

ENSTILAR 0.005%-0.064% FOAM

FDA nonproprietary name: calcipotriene and betamethasone dipropionate

For 60 g

Pharmacies pay

$1,310.38 filed

60 × $21.8397 per GM

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

$1,293.87 filed

60 × $21.56456 per GM, 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

0.99× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Enstilar” / “Calcipotriene/Betamethasone” 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

$1,511.94 estimated

$1,310.38 + $196.56 (15%) + $5.00 fee per fill = $1,511.94

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

ENSTILAR 0.005%-0.064% FOAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as calcipotriene and betamethasone dipropionate, under the trade name “ENSTILAR”.

FDA gives its dosage form as aerosol, foam and its route as topical.

The labeler, the company named on the label, is LEO Pharma Inc.

FDA lists it under 2 Established Pharmacologic Classes: Corticosteroid and Vitamin D Analog.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 50222-0302-60.

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 $1,310.38 for 60 g (60 × $21.8397 per GM, 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

The NDC

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name calcipotriene and betamethasone dipropionate with ENSTILAR 0.005%-0.064% FOAM.

ProductPharmacies pay per unitMedicare per unit
CALCIPOTRIENE-BETAMETHASONE DP 0.005%-0.064% OINTMENT
generic · ointment
$1.43306 to $2.1825 per GM filed
eff. 2026-09-23
We don’t know yet
CALCIPOTRIENE-BETAMETHASONE DP 0.005%-0.064% SUSPENSION
generic · suspension
$1.21327 to $1.42087 per GM filed
eff. 2026-08-19 to 2026-09-23
We don’t know yet
ENSTILAR 0.005%-0.064% FOAM this page
brand · aerosol, foam
$21.8397 per GM filed
eff. 2026-09-23
$21.56456 per GM filed
Part D 2024 average
TACLONEX 0.005%-0.064% SUSPENSION
brand · suspension
$20.69675 per GM filed
eff. 2025-11-19
$21.08435 per GM 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, 2026-08-19, 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

Its NADAC price is $21.8397 per GM filed.

Of the 122 other products in FDA’s Corticosteroid class priced per GM, 16 have a higher middle NADAC price and 106 a lower one. The one in the middle is CALCIPOTRIENE-BETAMETHASONE DP 0.005%-0.064% OINTMENT, at $1.43306 per GM filed (eff. 2026-09-23).

Of the 5 other products in FDA’s Vitamin D Analog class priced per GM, 0 have a higher middle NADAC price and 5 a lower one. The one in the middle is CALCIPOTRIENE-BETAMETHASONE DP 0.005%-0.064% OINTMENT, at $1.43306 per GM 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 $1,293.87 for 60 g, at an average of $21.56456 per GM in 2024 (2024-01-01 to 2024-12-31) for “Enstilar” and “Calcipotriene/Betamethasone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 4,017 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 ENSTILAR 0.005%-0.064% FOAM 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 Enstilar / Calcipotriene/Betamethasone: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on brand name.
Why does this page start at 60 g?
NADAC prices this product per GM. The FDA NDC Directory’s package description gives 60 g in one package for this product’s NDC (“1 CAN in 1 CARTON (50222-302-60) / 60 g in 1 CAN”), so the card starts at one package: 60 GM. Change it to match your prescription.