OpenBilldrug price receipt

NADAC week of 2026-10-14

IPRATROPIUM 0.03% SPRAY

For 1 mL

Pharmacies pay

$0.37 filed

1 × $0.36783 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

$5.43 estimated

$0.37 + $0.06 (15%) + $5.00 fee per fill = $5.43

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

IPRATROPIUM 0.03% SPRAY is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ipratropium bromide.

FDA gives its dosage form as “spray” and “spray, metered” and its route as nasal.

FDA lists 6 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., NORTHSTAR RX LLC and Apotex Corp.

FDA’s Established Pharmacologic Class for it is Anticholinergic.

The NADAC file of 2026-10-14 prices it under 6 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 $0.37 for 1 mL (1 × $0.36783 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.

All 6 NDCs

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name ipratropium bromide with IPRATROPIUM 0.03% SPRAY.

ProductPharmacies pay per unitMedicare per unit
ATROVENT 17 MCG HFA INHALER
brand · aerosol, metered
$22.76435 per GM filed
eff. 2026-09-23
$36.19351 per GM filed
Part D 2024 average
IPRATROPIUM 0.03% SPRAY this page
generic · spray / spray, metered
$0.36783 per ML filed
eff. 2026-09-23
We don’t know yet
IPRATROPIUM 0.06% SPRAY
generic · spray / spray, metered
$0.77751 per ML filed
eff. 2026-09-23
We don’t know yet
IPRATROPIUM BR 0.02% SOLN
generic · solution
$0.10402 to $0.1122 per ML filed
eff. 2026-09-23
$1.06579 per ML 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 6 NDCs’ NADAC prices is $0.36783 per ML filed.

Of the 12 other products in FDA’s Anticholinergic class priced per ML, 8 have a higher middle NADAC price and 4 a lower one. The one in the middle is TROPICAMIDE 1% EYE DROPS, at $0.55153 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 1 mL?
The FDA package description of NDC 00054-0045-44 (“1 BOTTLE, SPRAY in 1 CARTON (0054-0045-44) / 345 SPRAY in 1 BOTTLE, SPRAY”) does not give one amount in mL, NADAC’s unit for this product. So the card starts at 1 ML; change it to match your prescription.