OpenBilldrug price receipt

NADAC week of 2026-10-14

EZETIMIBE-SIMVASTATIN 10-20 MG

For 30 tablets

Pharmacies pay

$5.96 filed

30 × $0.1985 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

$34.60 filed

30 × $1.15335 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

5.8× estimated

Medicare paid 5.8× what pharmacies pay.

Part D averages every strength and form sold under “Ezetimibe-Simvastatin” / “Ezetimibe/Simvastatin” 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

$11.85 estimated

$5.96 + $0.89 (15%) + $5.00 fee per fill = $11.85

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

EZETIMIBE-SIMVASTATIN 10-20 MG is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ezetimibe and simvastatin.

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

Its labelers, the companies named on the label, are Dr.Reddys Laboratories Inc, Ascend Laboratories, LLC and Glenmark Pharmaceuticals Inc., USA.

FDA lists it under 2 Established Pharmacologic Classes: Dietary Cholesterol Absorption Inhibitor and HMG-CoA Reductase Inhibitor.

The NADAC file of 2026-10-14 prices it under 7 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 $5.96 for 30 tablets (30 × $0.1985 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 3 labelers

LabelerNDCsPharmacies pay per unit
Dr.Reddys Laboratories Inc3$0.1985 per EA filed
Ascend Laboratories, LLC2$0.1985 per EA filed
Glenmark Pharmaceuticals Inc., USA2$0.1985 per EA filed
All 7 NDCs, with labeler and price
  • 43598-0744-10 · Dr.Reddys Laboratories Inc · $0.1985 per EA · eff. 2026-09-23 filed
  • 43598-0744-30 · Dr.Reddys Laboratories Inc · $0.1985 per EA · eff. 2026-09-23 filed
  • 43598-0744-90 · Dr.Reddys Laboratories Inc · $0.1985 per EA · eff. 2026-09-23 filed
  • 67877-0508-30 · Ascend Laboratories, LLC · $0.1985 per EA · eff. 2026-09-23 filed
  • 67877-0508-90 · Ascend Laboratories, LLC · $0.1985 per EA · eff. 2026-09-23 filed
  • 68462-0322-30 · Glenmark Pharmaceuticals Inc., USA · $0.1985 per EA · eff. 2026-09-23 filed
  • 68462-0322-90 · Glenmark Pharmaceuticals Inc., USA · $0.1985 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

5 other products in the NADAC file share the FDA nonproprietary name ezetimibe and simvastatin with EZETIMIBE-SIMVASTATIN 10-20 MG.

ProductPharmacies pay per unitMedicare per unit
EZETIMIBE-SIMVASTATIN 10-10 MG
generic · tablet
$0.27376 per EA filed
eff. 2026-09-23
$1.15335 per EA filed
Part D 2024 average
EZETIMIBE-SIMVASTATIN 10-20 MG this page
generic · tablet
$0.1985 per EA filed
eff. 2026-09-23
$1.15335 per EA filed
Part D 2024 average
EZETIMIBE-SIMVASTATIN 10-40 MG
generic · tablet
$0.18305 per EA filed
eff. 2026-09-23
$1.15335 per EA filed
Part D 2024 average
EZETIMIBE-SIMVASTATIN 10-80 MG
generic · tablet
$0.28477 per EA filed
eff. 2026-09-23
$1.15335 per EA filed
Part D 2024 average
VYTORIN 10-20 MG TABLET
brand · tablet
$13.6206 per EA filed
eff. 2026-09-23
$12.40053 per EA filed
Part D 2024 average
VYTORIN 10-40 MG TABLET
brand · tablet
$13.79507 per EA filed
eff. 2026-09-23
$12.40053 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. 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 7 NDCs’ NADAC prices is $0.1985 per EA filed.

Of the 8 other products in FDA’s Dietary Cholesterol Absorption Inhibitor class priced per EA, 6 have a higher middle NADAC price and 2 a lower one. The one in the middle is EZETIMIBE-SIMVASTATIN 10-80 MG, at $0.28477 per EA filed (eff. 2026-09-23).

Of the 56 other products in FDA’s HMG-CoA Reductase Inhibitor class priced per EA, 35 have a higher middle NADAC price and 21 a lower one. The one in the middle is AMLODIPINE-ATORVAST 10-10 MG, at $0.97947 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 $34.60 for 30 tablets, at an average of $1.15335 per EA in 2024 (2024-01-01 to 2024-12-31) for “Ezetimibe-Simvastatin” and “Ezetimibe/Simvastatin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 265,265 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 EZETIMIBE-SIMVASTATIN 10-20 MG 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 Ezetimibe-Simvastatin / Ezetimibe/Simvastatin: 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.