OpenBilldrug price receipt

NADAC week of 2026-10-14

ISOSORBIDE DINITRATE 5 MG TAB

For 30 tablets

Pharmacies pay

$5.30 filed

30 × $0.17675 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

$14.34 filed

30 × $0.47798 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

2.7× estimated

Medicare paid 2.7× what pharmacies pay.

Part D averages every strength and form sold under “Isosorbide Dinitrate” 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

$11.10 estimated

$5.30 + $0.80 (15%) + $5.00 fee per fill = $11.10

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

ISOSORBIDE DINITRATE 5 MG TAB is how the CMS NADAC file names this product. The FDA NDC Directory lists it as isosorbide dinitrate, under the trade name “Isosorbide”.

FDA gives its dosage form as tablet and its route as oral.

FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Sandoz Inc. and Northstar Rx LLC.

FDA’s Established Pharmacologic Class for it is Nitrate Vasodilator.

The NADAC file of 2026-10-14 prices it under 13 NDCs (National Drug Codes); the FDA directory lists 12 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 $5.30 for 30 tablets (30 × $0.17675 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 8 labelers

LabelerNDCsPharmacies pay per unit
Advagen Pharma Ltd2$0.17675 per EA filed
Hikma Pharmaceuticals USA Inc.2$0.17675 per EA filed
Par Health USA, LLC2$0.17675 per EA filed
Sandoz Inc.2$0.17675 per EA filed
AvPAK1$0.17675 per EA filed
BluePoint Laboratories1$0.17675 per EA filed
Northstar Rx LLC1$0.17675 per EA filed
Zydus Pharmaceuticals (USA) Inc.1$0.17675 per EA filed
Not listed as a package in the FDA directory1$0.17675 per EA filed
All 13 NDCs, with labeler and price
  • 00143-1769-01 · Hikma Pharmaceuticals USA Inc. · $0.17675 per EA · eff. 2026-09-23 filed
  • 00143-1769-10 · Hikma Pharmaceuticals USA Inc. · $0.17675 per EA · eff. 2026-09-23 filed
  • 00781-1635-01 · Sandoz Inc. · $0.17675 per EA · eff. 2026-09-23 filed
  • 00781-1635-10 · Sandoz Inc. · $0.17675 per EA · eff. 2026-09-23 filed
  • 16714-0007-01 · Northstar Rx LLC · $0.17675 per EA · eff. 2026-09-23 filed
  • 49884-0020-01 · Par Health USA, LLC · $0.17675 per EA · eff. 2026-09-23 filed
  • 49884-0020-10 · Par Health USA, LLC · $0.17675 per EA · eff. 2026-09-23 filed
  • 50268-0447-11 · not listed as a package in the FDA directory · $0.17675 per EA · eff. 2026-09-23 filed
  • 50268-0447-15 · AvPAK · $0.17675 per EA · eff. 2026-09-23 filed
  • 68001-0373-00 · BluePoint Laboratories · $0.17675 per EA · eff. 2026-09-23 filed
  • 70710-1148-01 · Zydus Pharmaceuticals (USA) Inc. · $0.17675 per EA · eff. 2026-09-23 filed
  • 72888-0081-00 · Advagen Pharma Ltd · $0.17675 per EA · eff. 2026-09-23 filed
  • 72888-0081-01 · Advagen Pharma Ltd · $0.17675 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

4 other products in the NADAC file share the FDA nonproprietary name isosorbide dinitrate with ISOSORBIDE DINITRATE 5 MG TAB.

ProductPharmacies pay per unitMedicare per unit
ISOSORBIDE DINITRATE 5 MG TAB this page
generic · tablet
$0.17675 per EA filed
eff. 2026-09-23
$0.47798 per EA filed
Part D 2024 average
ISOSORBIDE DINITRATE 10 MG TAB
generic · tablet
$0.15421 per EA filed
eff. 2026-09-23
$0.47798 per EA filed
Part D 2024 average
ISOSORBIDE DINITRATE 20 MG TAB
generic · tablet
$0.19894 per EA filed
eff. 2026-09-23
$0.47798 per EA filed
Part D 2024 average
ISOSORBIDE DINITRATE 30 MG TAB
generic · tablet
$0.2808 per EA filed
eff. 2026-09-23
$0.47798 per EA filed
Part D 2024 average
ISOSORBIDE DINITRATE 40 MG TAB
generic · tablet
$3.3103 per EA filed
eff. 2026-09-23
$0.47798 per EA 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 13 NDCs’ NADAC prices is $0.17675 per EA filed.

Of the 19 other products in FDA’s Nitrate Vasodilator class priced per EA, 12 have a higher middle NADAC price and 7 a lower one. The one in the middle is NITROGLYCERIN 0.1 MG/HR PATCH, at $0.49331 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 D paid $14.34 for 30 tablets, at an average of $0.47798 per EA in 2024 (2024-01-01 to 2024-12-31) for “Isosorbide Dinitrate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 539,423 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 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 is the comparison with Medicare for ISOSORBIDE DINITRATE 5 MG TAB 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 Isosorbide Dinitrate / Isosorbide Dinitrate: 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.