OpenBilldrug price receipt

NADAC week of 2026-10-14

ISOSORBIDE-HYDRALAZINE 20-37.5 MG TABLET

For 30 tablets

Pharmacies pay

$21.41 filed

30 × $0.7138 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

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

$29.62 estimated

$21.41 + $3.21 (15%) + $5.00 fee per fill = $29.62

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-HYDRALAZINE 20-37.5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “isosorbide dinitrate and hydralazine hydrochloride” and “hydralazine hydrochloride and isosorbide dinitrate”, as its NDCs’ listings variously write the nonproprietary name.

FDA gives its dosage form as “tablet” and “tablet, film coated” and its route as oral.

Its labelers, the companies named on the label, are Ingenus Pharmaceuticals, LLC, Wilshire Pharmaceuticals and i3 Pharmaceuticals, LLC.

FDA lists it under 2 Established Pharmacologic Classes: Arteriolar Vasodilator and Nitrate Vasodilator.

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 $21.41 for 30 tablets (30 × $0.7138 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

All 3 NDCs

Other strengths, forms and brands

1 other product in the NADAC file shares an FDA nonproprietary name with ISOSORBIDE-HYDRALAZINE 20-37.5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
BIDIL 20 MG-37.5 MG TABLET
brand · tablet, film coated
$4.34518 per EA filed
eff. 2026-02-18
$4.17124 per EA filed
Part D 2024 average
ISOSORBIDE-HYDRALAZINE 20-37.5 MG TABLET this page
generic · tablet / tablet, film coated
$0.7138 per EA 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. 2026-02-18, 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 3 NDCs’ NADAC prices is $0.7138 per EA filed.

Of the 7 other products in FDA’s Arteriolar Vasodilator class priced per EA, 1 has a higher middle NADAC price and 6 a lower one. The one in the middle is HYDRALAZINE 100 MG TABLET, at $0.0717 per EA filed (eff. 2026-09-23).

Of the 19 other products in FDA’s Nitrate Vasodilator class priced per EA, 7 have a higher middle NADAC price and 12 a lower one. The one in the middle is ISOSORBIDE DINITRATE 30 MG TAB, at $0.2808 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

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.