Why is the comparison with Medicare for HYDROCORTISONE SS 100 MG VIAL 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 Hydrocortisone Sod Succinate / Hydrocortisone Sod Succinate: 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.

Why does this page start at 1 unit (EA)?

NADAC prices this product per EA, and the FDA NDC Directory lists its 3 NDCs as dosage forms “INJECTION”, “INJECTION, POWDER, FOR SOLUTION” with route “INTRAMUSCULAR; INTRAVENOUS”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and none of these is one. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.

HYDROCORTISONE SS 100 MG VIAL

For 1 unit (EA)

Pharmacies pay

$14.62 filed

1 × $14.61713 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

$13.62 filed

1 × $13.61789 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

0.93× estimated

Medicare paid 7% less than pharmacies pay.

Part D averages every strength and form sold under “Hydrocortisone Sod Succinate” 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

$21.81 estimated

$14.62 + $2.19 (15%) + $5.00 fee per fill = $21.81

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

HYDROCORTISONE SS 100 MG VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as hydrocortisone sodium succinate.

FDA gives its dosage form as “injection, powder, for solution” and “injection” and its route as intramuscular; intravenous.

Its labelers, the companies named on the label, are Apotex Corp., Cipla USA Inc. and Zydus Pharmaceuticals USA Inc.

FDA’s Established Pharmacologic Class for it is Corticosteroid.

The NADAC file of 2026-10-14 prices it under 3 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 $14.62 for 1 unit (EA) (1 × $14.61713 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

What NADAC measures · NADAC explanation codes

All 3 NDCs

60505-6411-00 · Apotex Corp. · $14.61713 per EA · eff. 2026-09-23 filed
69097-0004-67 · Cipla USA Inc. · $14.61713 per EA · eff. 2026-09-23 filed
70710-1907-01 · Zydus Pharmaceuticals USA Inc. · $14.61713 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name hydrocortisone sodium succinate with HYDROCORTISONE SS 100 MG VIAL.

Product	Pharmacies pay per unit	Medicare per unit
HYDROCORTISONE SS 100 MG VIAL this page generic · injection, powder, for solution / injection	$14.61713 per EA filed eff. 2026-09-23	$13.61789 per EA filed Part D 2024 average
SOLU-CORTEF 100 MG ACT-O-VIAL brand · injection, powder, for solution	$24.68317 to $25.52679 per EA filed eff. 2026-07-01	$23.149 per EA derived Part B limit 2026 Q4
SOLU-CORTEF 100 MG VIAL brand · injection, powder, for solution	$25.72673 per EA filed eff. 2026-10-01	$23.149 per EA derived Part B limit 2026 Q4
SOLU-CORTEF 250 MG ACT-O-VIAL brand · injection, powder, for solution	$51.43208 per EA filed eff. 2026-07-01	$69.447 per EA derived Part B limit 2026 Q4

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. 2026-07-01, 2026-09-23, 2026-10-01 · 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

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)

Compared with its class

The middle of its 3 NDCs’ NADAC prices is $14.61713 per EA filed.

Of the 73 other products in FDA’s Corticosteroid class priced per EA, 14 have a higher middle NADAC price and 59 a lower one. The one in the middle is FLUTICASONE PROP 100 MCG DISKUS, at $2.05252 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

How the class comparison works

What Medicare paid

Medicare Part D paid $13.62 for 1 unit (EA), at an average of $13.61789 per EA in 2024 (2024-01-01 to 2024-12-31) for “Hydrocortisone Sod Succinate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 110 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 Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out

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.

What is your cash price for 1 unit (EA)? Is it lower than what I would pay through my insurance?
If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.

Questions

Why is the comparison with Medicare for HYDROCORTISONE SS 100 MG VIAL 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 Hydrocortisone Sod Succinate / Hydrocortisone Sod Succinate: 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.
Why does this page start at 1 unit (EA)?: NADAC prices this product per EA, and the FDA NDC Directory lists its 3 NDCs as dosage forms “INJECTION”, “INJECTION, POWDER, FOR SOLUTION” with route “INTRAMUSCULAR; INTRAVENOUS”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and none of these is one. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.

Its pharmacologic class

Corticosteroid 305 products