OpenBilldrug price receipt

NADAC week of 2026-10-14

EPSOM SALT GRANULES

For 454 g

Pharmacies pay

$1.77 filed

454 × $0.00389 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

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

$7.04 estimated

$1.77 + $0.27 (15%) + $5.00 fee per fill = $7.04

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

EPSOM SALT GRANULES is how the CMS NADAC file names this product. The FDA NDC Directory lists it as epsom salt.

FDA gives its dosage form as granule and its route as oral; topical.

The labeler, the company named on the label, is AmerisourceBergen (Good Neighbor Pharmacy) 46122.

FDA lists it under 2 Established Pharmacologic Classes: Calculi Dissolution Agent and Osmotic Laxative.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 46122-0461-43.

NADAC classes it as a generic drug (rate-setting class G), and marks it as sold over the counter.

What pharmacies pay

Pharmacies pay $1.77 for 454 g (454 × $0.00389 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

1 other product in the NADAC file shares the FDA nonproprietary name epsom salt with EPSOM SALT GRANULES.

ProductPharmacies pay per unitMedicare per unit
EPSOM SALT GRANULES this page
generic · granule
$0.00389 per GM filed
eff. 2026-09-23
We don’t know yet
FT EPSOM SALT GRANULES
generic · granule
$0.00389 per GM 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 $0.00389 per GM filed.

Of the 5 other products in FDA’s Calculi Dissolution Agent class priced per GM, 2 have a higher middle NADAC price and 0 a lower one; 3 have the same. The one in the middle is QC EPSOM SALT GRANULES, at $0.00389 per GM filed (eff. 2026-09-23).

Of the 12 other products in FDA’s Osmotic Laxative class priced per GM, 9 have a higher middle NADAC price and 0 a lower one; 3 have the same. The one in the middle is GAVILAX POWDER, at $0.02037 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

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.

Questions

Why does this page start at 454 g?
NADAC prices this product per GM. The FDA NDC Directory’s package description gives 454 g in one package for this product’s NDC (“454 g in 1 POUCH (46122-461-43)”), so the card starts at one package: 454 GM. Change it to match your prescription.