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

NADAC prices this product per EA, and the FDA NDC Directory lists its 4 NDCs as dosage form “CREAM” with route “TOPICAL”. 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.

IMIQUIMOD 5% CREAM PACKET

For 1 unit (EA)

Pharmacies pay

$0.61 – $12.17 filed

1 × $0.60994 to $12.16546 per EA (the 4 NDCs differ)

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

$5.70 – $19.00 estimated

NADAC for the pack + 15% + $5.00 fee per fill

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

IMIQUIMOD 5% CREAM PACKET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as imiquimod.

FDA gives its dosage form as cream and its route as topical.

Its labelers, the companies named on the label, are Padagis Israel Pharmaceuticals Ltd, Sun Pharmaceutical Industries, Inc. and Glenmark Pharmaceuticals Inc., USA.

FDA lists no Established Pharmacologic Class for it.

The NADAC file of 2026-10-14 prices it under 4 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 $0.61 – $12.17 for 1 unit (EA), depending on the NDC ($0.60994 to $12.16546 per EA), 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 4 NDCs

45802-0368-53 · Padagis Israel Pharmaceuticals Ltd · $12.16546 per EA · eff. 2026-09-23 filed
45802-0368-62 · Padagis Israel Pharmaceuticals Ltd · $0.60994 per EA · eff. 2026-09-23 filed
51672-4145-06 · Sun Pharmaceutical Industries, Inc. · $0.60994 per EA · eff. 2026-09-23 filed
68462-0536-70 · Glenmark Pharmaceuticals Inc., USA · $0.60994 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name imiquimod with IMIQUIMOD 5% CREAM PACKET.

Product	Pharmacies pay per unit	Medicare per unit
IMIQUIMOD 3.75% CREAM generic · cream	$36.22845 per EA filed eff. 2026-09-23	We don’t know yet
IMIQUIMOD 3.75% CREAM PUMP generic · cream	$113.12147 per GM filed eff. 2026-09-23	We don’t know yet
IMIQUIMOD 5% CREAM PACKET this page generic · cream	$0.60994 to $12.16546 per EA filed eff. 2026-09-23	We don’t know yet

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.

Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched

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?
Which NDC (the 11-digit number on the package) is this? Pharmacies pay $0.60994 to $12.16546 per EA for this product, depending on the NDC.
These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.

Questions

Why does this page start at 1 unit (EA)?: NADAC prices this product per EA, and the FDA NDC Directory lists its 4 NDCs as dosage form “CREAM” with route “TOPICAL”. 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.