OpenBilldrug price receipt

NADAC week of 2026-10-14

GRANISETRON HCL 1 MG TABLET

For 30 tablets

Pharmacies pay

$39.15 filed

30 × $1.30504 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 B pays

$23.22 derived

30 × $0.774 per EA, Part B limit

Medicare's price is not your price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)


The spread

0.59× derived

Medicare pays 41% less than pharmacies pay.

Derived because only one labeler, Breckenridge Pharmaceutical, Inc., is listed for HCPCS Q0166 on the CMS crosswalk, so the payment limit comes from that company’s own products under the code, not an average across companies.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Cost-plus estimate

$50.02 estimated

$39.15 + $5.87 (15%) + $5.00 fee per fill = $50.02

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

GRANISETRON HCL 1 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as granisetron hydrochloride.

FDA gives its dosage form as “tablet” and “tablet, film coated” and its route as oral.

Its labelers, the companies named on the label, are Breckenridge Pharmaceutical, Inc. and Bionpharma Inc.

FDA’s Established Pharmacologic Class for it is Serotonin-3 Receptor Antagonist.

The NADAC file of 2026-10-14 prices it under 7 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 $39.15 for 30 tablets (30 × $1.30504 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 2 labelers

LabelerNDCsPharmacies pay per unit
Bionpharma Inc.3$1.30504 per EA filed
Breckenridge Pharmaceutical, Inc.2$1.30504 per EA filed
Not listed as a package in the FDA directory2$1.30504 per EA filed
All 7 NDCs, with labeler and price
  • 51991-0735-20 · Breckenridge Pharmaceutical, Inc. · $1.30504 per EA · eff. 2026-09-23 filed
  • 51991-0735-32 · Breckenridge Pharmaceutical, Inc. · $1.30504 per EA · eff. 2026-09-23 filed
  • 51991-0735-99 · not listed as a package in the FDA directory · $1.30504 per EA · eff. 2026-09-23 filed
  • 69452-0350-01 · Bionpharma Inc. · $1.30504 per EA · eff. 2026-09-23 filed
  • 69452-0350-11 · Bionpharma Inc. · $1.30504 per EA · eff. 2026-09-23 filed
  • 69452-0350-60 · not listed as a package in the FDA directory · $1.30504 per EA · eff. 2026-09-23 filed
  • 69452-0350-92 · Bionpharma Inc. · $1.30504 per EA · eff. 2026-09-23 filed

Compared with its class

The middle of its 7 NDCs’ NADAC prices is $1.30504 per EA filed.

Of the 7 other products in FDA’s Serotonin-3 Receptor Antagonist class priced per EA, 3 have a higher middle NADAC price and 4 a lower one. The one in the middle is ONDANSETRON ODT 8 MG TABLET, at $0.16863 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 B’s payment limit for HCPCS Q0166, for 2026-10-01 to 2026-12-31, comes to $23.22 for 30 tablets, or $0.774 per EA once converted to NADAC’s unit for this product.

Medicare Part B pays for this oral drug at a pharmacy only in specific circumstances CMS sets for this code; most prescriptions are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.1548 per 1 MG.

2 of the product’s 7 NDCs have this Medicare figure; the other 5 do not, and the interactive card says why for each.

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.