OpenBilldrug price receipt

NADAC week of 2026-10-14

GS NASAL FOUR 1% NASAL SPRAY

FDA nonproprietary name: phenylephrine hydrochloride

For 29.6 mL

Pharmacies pay

$1.99 filed

29.6 × $0.06719 per ML

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

$7.29 estimated

$1.99 + $0.30 (15%) + $5.00 fee per fill = $7.29

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

GS NASAL FOUR 1% NASAL SPRAY is how the CMS NADAC file names this product. The FDA NDC Directory lists it as phenylephrine hydrochloride, under the trade name “Good Sense Nasal Four”.

FDA gives its dosage form as spray and its route as nasal.

The labeler, the company named on the label, is L. Perrigo Company.

FDA’s Established Pharmacologic Class for it is alpha-1 Adrenergic Agonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00113-0648-10.

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

What pharmacies pay

Pharmacies pay $1.99 for 29.6 mL (29.6 × $0.06719 per ML, 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

4 other products in the NADAC file share the FDA nonproprietary name phenylephrine hydrochloride with GS NASAL FOUR 1% NASAL SPRAY.

ProductPharmacies pay per unitMedicare per unit
GS NASAL FOUR 1% NASAL SPRAY this page
generic · spray
$0.06719 per ML filed
eff. 2026-09-23
We don’t know yet
PHENYLEPHRINE 2.5% EYE DROP
generic · solution/ drops / solution
$9.29238 per ML filed
eff. 2026-09-23
$13.16058 per ML filed
Part D 2024 average
PHENYLEPHRINE 10% EYE DROP
generic · solution/ drops / solution
$5.23834 per ML filed
eff. 2026-09-23
$13.16058 per ML filed
Part D 2024 average
QC NASAL SPRAY 1%
generic · solution/ drops
$0.0703 per ML filed
eff. 2026-09-23
We don’t know yet
SINUS RELIEF 1% NASAL SPRAY
generic · spray
$0.0703 per ML filed
eff. 2026-09-23
We don’t know yet

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

Its NADAC price is $0.06719 per ML filed.

Of the 30 other products in FDA’s alpha-1 Adrenergic Agonist class priced per ML, 12 have a higher middle NADAC price and 18 a lower one. The one in the middle is RYNEX DM LIQUID, at $0.05121 per ML 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 29.6 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 29.6 mL in one package for this product’s NDC (“1 BOTTLE, SPRAY in 1 CARTON (0113-0648-10) / 29.6 mL in 1 BOTTLE, SPRAY”), so the card starts at one package: 29.6 ML. Change it to match your prescription.