OpenBilldrug price receipt

NADAC week of 2026-10-14

EVEROLIMUS 0.25 MG TABLET

For 30 tablets

Pharmacies pay

$53.56 filed

30 × $1.78523 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

$3,114.92 filed

30 × $103.83052 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

58.2× estimated

These two figures may not measure the same thing

At 58.2×, the Medicare figure is 20 or more times what pharmacies pay. A gap that large means the two figures may not describe the same unit or product, or the price may have changed between their dates; check what each one covers before relying on the multiple.

Part D averages every strength and form sold under “Everolimus” 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

$66.59 estimated

$53.56 + $8.03 (15%) + $5.00 fee per fill = $66.59

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

EVEROLIMUS 0.25 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “everolimus” and “everolimus tablets”, as its NDCs’ listings variously write the nonproprietary name.

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

FDA lists 4 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Breckenridge Pharmaceutical, Inc. and Ascend Laboratories, LLC.

FDA lists it under 2 Established Pharmacologic Classes: Kinase Inhibitor and mTOR Inhibitor Immunosuppressant.

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 as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $53.56 for 30 tablets (30 × $1.78523 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 4 labelers

LabelerNDCsPharmacies pay per unit
Breckenridge Pharmaceutical, Inc.2$1.78523 per EA filed
Ascend Laboratories, LLC1$1.78523 per EA filed
Biocon Pharma Inc.1$1.78523 per EA filed
Hikma Pharmaceuticals USA Inc.1$1.78523 per EA filed
Not listed as a package in the FDA directory4$1.78523 per EA filed
All 9 NDCs, with labeler and price
  • 00054-0470-21 · Hikma Pharmaceuticals USA Inc. · $1.78523 per EA · eff. 2026-09-23 filed
  • 49884-0158-02 · not listed as a package in the FDA directory · $1.78523 per EA · eff. 2026-09-23 filed
  • 49884-0158-52 · not listed as a package in the FDA directory · $1.78523 per EA · eff. 2026-09-23 filed
  • 51991-0379-06 · Breckenridge Pharmaceutical, Inc. · $1.78523 per EA · eff. 2026-09-23 filed
  • 51991-0379-60 · Breckenridge Pharmaceutical, Inc. · $1.78523 per EA · eff. 2026-09-23 filed
  • 51991-0379-99 · not listed as a package in the FDA directory · $1.78523 per EA · eff. 2026-09-23 filed
  • 67877-0718-31 · Ascend Laboratories, LLC · $1.78523 per EA · eff. 2026-09-23 filed
  • 67877-0718-33 · not listed as a package in the FDA directory · $1.78523 per EA · eff. 2026-09-23 filed
  • 70377-0069-11 · Biocon Pharma Inc. · $1.78523 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

9 other products in the NADAC file share an FDA nonproprietary name with EVEROLIMUS 0.25 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
EVEROLIMUS 0.25 MG TABLET this page
generic · tablet
$1.78523 per EA filed
eff. 2026-09-23
$103.83052 per EA filed
Part D 2024 average
EVEROLIMUS 0.5 MG TABLET
generic · tablet
$3.52462 per EA filed
eff. 2026-09-23 to 2026-09-30
$103.83052 per EA filed
Part D 2024 average
EVEROLIMUS 0.75 MG TABLET
generic · tablet
$4.18252 per EA filed
eff. 2026-09-23
$103.83052 per EA filed
Part D 2024 average
EVEROLIMUS 1 MG TABLET
generic · tablet
$5.25295 per EA filed
eff. 2026-09-23 to 2026-09-30
$103.83052 per EA filed
Part D 2024 average
EVEROLIMUS 5 MG TABLET
generic · tablet
$14.77078 per EA filed
eff. 2026-04-22 to 2026-09-30
$103.83052 per EA filed
Part D 2024 average
EVEROLIMUS 10 MG TABLET
generic · tablet
$26.32425 per EA filed
eff. 2026-01-21 to 2026-09-30
$103.83052 per EA filed
Part D 2024 average
TORPENZ 5 MG TABLET
generic · tablet
$14.77078 per EA filed
eff. 2026-04-22 to 2026-05-13
$103.83052 per EA filed
Part D 2024 average
TORPENZ 10 MG TABLET
generic · tablet
$26.32425 per EA filed
eff. 2026-01-21 to 2026-05-13
$103.83052 per EA filed
Part D 2024 average
YULITHIRA 5 MG TABLET
generic · tablet
$14.77078 per EA filed
eff. 2026-09-09
$103.83052 per EA filed
Part D 2024 average
YULITHIRA 10 MG TABLET
generic · tablet
$26.32425 per EA filed
eff. 2026-09-09
$103.83052 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. between 2026-01-21 and 2026-09-30 (8 dates) · 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 9 NDCs’ NADAC prices is $1.78523 per EA filed.

Of the 20 other products in FDA’s Kinase Inhibitor class priced per EA, 17 have a higher middle NADAC price and 3 a lower one. The one in the middle is EVEROLIMUS 5 MG TABLET, at $14.77078 per EA filed (eff. 2026-04-22).

Of the 12 other products in FDA’s mTOR Inhibitor Immunosuppressant class priced per EA, 10 have a higher middle NADAC price and 2 a lower one. The one in the middle is EVEROLIMUS 1 MG TABLET, at $5.25295 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. 2026-04-22, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $3,114.92 for 30 tablets, at an average of $103.83052 per EA in 2024 (2024-01-01 to 2024-12-31) for “Everolimus”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 40,638 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 EVEROLIMUS 0.25 MG 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 Everolimus / Everolimus: 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.