OpenBilldrug price receipt

NADAC week of 2026-10-14

ISOTRETINOIN 20 MG CAPSULE

For 30 capsules

Pharmacies pay

$57.97 – $127.62 filed

30 × $1.93248 to $4.25389 per EA (the 18 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 Part D paid

$132.15 filed

30 × $4.4049 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

1.0× – 2.3× estimated

Medicare paid between 1.0× and 2.3× what pharmacies pay, depending on the NDC.

Part D averages every strength and form sold under “Isotretinoin” 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

$71.67 – $151.76 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

ISOTRETINOIN 20 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as isotretinoin.

FDA gives its dosage form as “capsule, liquid filled” and “capsule” and its route as oral.

FDA lists 7 labelers (the companies named on the label) for its NDCs, among them Upsher-Smith Laboratories, LLC, Actavis Pharma, Inc. and Sun Pharmaceutical Industries, Inc.

FDA’s Established Pharmacologic Class for it is Retinoid.

The NADAC file of 2026-10-14 prices it under 18 NDCs (National Drug Codes); the FDA directory lists 10 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 $57.97 – $127.62 for 30 capsules, depending on the NDC ($1.93248 to $4.25389 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

The 7 labelers

LabelerNDCsPharmacies pay per unit
Mayne Pharma2$1.93248 to $4.25389 per EA filed
Upsher-Smith Laboratories, LLC2$1.93248 to $4.25389 per EA filed
Zydus Pharmaceuticals USA Inc.2$1.93248 to $4.25389 per EA filed
Actavis Pharma, Inc.1$4.25389 per EA filed
Amneal Pharmaceuticals LLC1$1.93248 per EA filed
Aurobindo Pharma Limited1$4.25389 per EA filed
Sun Pharmaceutical Industries, Inc.1$4.25389 per EA filed
Not listed as a package in the FDA directory8$1.93248 to $4.25389 per EA filed
All 18 NDCs, with labeler and price
  • 00245-0571-01 · Upsher-Smith Laboratories, LLC · $4.25389 per EA · eff. 2026-09-23 filed
  • 00245-0571-89 · not listed as a package in the FDA directory · $4.25389 per EA · eff. 2026-09-23 filed
  • 00591-2434-15 · Actavis Pharma, Inc. · $4.25389 per EA · eff. 2026-09-23 filed
  • 00591-2434-45 · not listed as a package in the FDA directory · $4.25389 per EA · eff. 2026-09-23 filed
  • 00832-8302-30 · Upsher-Smith Laboratories, LLC · $1.93248 per EA · eff. 2026-09-23 filed
  • 00832-8302-89 · not listed as a package in the FDA directory · $1.93248 per EA · eff. 2026-09-23 filed
  • 57664-0021-97 · Sun Pharmaceutical Industries, Inc. · $4.25389 per EA · eff. 2026-09-23 filed
  • 59651-0632-03 · Aurobindo Pharma Limited · $4.25389 per EA · eff. 2026-09-23 filed
  • 59651-0632-10 · not listed as a package in the FDA directory · $4.25389 per EA · eff. 2026-09-23 filed
  • 68308-0571-01 · not listed as a package in the FDA directory · $4.25389 per EA · eff. 2026-09-23 filed
  • 68308-0571-30 · Mayne Pharma · $4.25389 per EA · eff. 2026-09-23 filed
  • 68308-0782-01 · not listed as a package in the FDA directory · $1.93248 per EA · eff. 2026-09-23 filed
  • 68308-0782-30 · Mayne Pharma · $1.93248 per EA · eff. 2026-09-23 filed
  • 69238-1175-01 · not listed as a package in the FDA directory · $1.93248 per EA · eff. 2026-09-23 filed
  • 69238-1175-03 · Amneal Pharmaceuticals LLC · $1.93248 per EA · eff. 2026-09-23 filed
  • 70710-1023-08 · Zydus Pharmaceuticals USA Inc. · $1.93248 per EA · eff. 2026-09-23 filed
  • 70710-1575-02 · not listed as a package in the FDA directory · $4.25389 per EA · eff. 2026-09-23 filed
  • 70710-1575-08 · Zydus Pharmaceuticals USA Inc. · $4.25389 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

22 other products in the NADAC file share the FDA nonproprietary name isotretinoin with ISOTRETINOIN 20 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
ABSORICA 20 MG CAPSULE
brand · capsule
$35.74413 per EA filed
eff. 2026-07-22
We don’t know yet
ABSORICA 30 MG CAPSULE
brand · capsule
$38.20855 per EA filed
eff. 2026-09-23
We don’t know yet
ABSORICA 40 MG CAPSULE
brand · capsule
$38.21939 per EA filed
eff. 2026-07-22
We don’t know yet
ABSORICA LD 16 MG CAPSULE
brand · capsule
$38.4106 per EA filed
eff. 2025-12-17
We don’t know yet
ABSORICA LD 24 MG CAPSULE
brand · capsule
$42.22828 per EA filed
eff. 2026-09-23
We don’t know yet
ABSORICA LD 32 MG CAPSULE
brand · capsule
$42.42393 per EA filed
eff. 2026-09-23
We don’t know yet
AMNESTEEM 10 MG CAPSULE
generic · capsule
$1.96311 per EA filed
eff. 2026-09-23
$3.23922 per EA filed
Part D 2024 average
AMNESTEEM 20 MG CAPSULE
generic · capsule
$1.93248 per EA filed
eff. 2026-09-23
$3.23922 per EA filed
Part D 2024 average
AMNESTEEM 30 MG CAPSULE
generic · capsule
$2.12538 per EA filed
eff. 2026-09-23
$3.23922 per EA filed
Part D 2024 average
AMNESTEEM 40 MG CAPSULE
generic · capsule
$2.20779 per EA filed
eff. 2026-09-23
$3.23922 per EA filed
Part D 2024 average
CLARAVIS 10 MG CAPSULE
generic · capsule, liquid filled
$1.96311 per EA filed
eff. 2026-09-23
$3.34748 per EA filed
Part D 2024 average
CLARAVIS 20 MG CAPSULE
generic · capsule, liquid filled
$1.93248 per EA filed
eff. 2026-09-23
$3.34748 per EA filed
Part D 2024 average
CLARAVIS 30 MG CAPSULE
generic · capsule, liquid filled
$2.12538 per EA filed
eff. 2026-09-23
$3.34748 per EA filed
Part D 2024 average
CLARAVIS 40 MG CAPSULE
generic · capsule, liquid filled
$2.20779 per EA filed
eff. 2026-09-23
$3.34748 per EA filed
Part D 2024 average
ISOTRETINOIN 10 MG CAPSULE
generic · capsule, liquid filled / capsule
$1.96311 to $11.936 per EA filed
eff. 2026-01-21 to 2026-09-23
$4.4049 per EA filed
Part D 2024 average
ISOTRETINOIN 20 MG CAPSULE this page
generic · capsule, liquid filled / capsule
$1.93248 to $4.25389 per EA filed
eff. 2026-09-23
$4.4049 per EA filed
Part D 2024 average
ISOTRETINOIN 25 MG CAPSULE
generic · capsule
$10.55124 per EA filed
eff. 2026-09-23
$4.4049 per EA filed
Part D 2024 average
ISOTRETINOIN 30 MG CAPSULE
generic · capsule, liquid filled / capsule
$2.12538 to $4.4724 per EA filed
eff. 2026-09-23
$4.4049 per EA filed
Part D 2024 average
ISOTRETINOIN 40 MG CAPSULE
generic · capsule, liquid filled / capsule
$2.20779 to $6.6653 per EA filed
eff. 2026-09-23
$4.4049 per EA filed
Part D 2024 average
ZENATANE 10 MG CAPSULE
generic · capsule, gelatin coated
$1.96311 per EA filed
eff. 2026-09-23
$3.46783 per EA filed
Part D 2024 average
ZENATANE 20 MG CAPSULE
generic · capsule, gelatin coated
$1.93248 per EA filed
eff. 2026-09-23
$3.46783 per EA filed
Part D 2024 average
ZENATANE 30 MG CAPSULE
generic · capsule, gelatin coated
$2.12538 per EA filed
eff. 2026-09-23
$3.46783 per EA filed
Part D 2024 average
ZENATANE 40 MG CAPSULE
generic · capsule, gelatin coated
$2.20779 per EA filed
eff. 2026-09-23
$3.46783 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. between 2025-12-17 and 2026-09-23 (5 dates) · 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 18 NDCs’ NADAC prices is $4.25389 per EA filed.

Of the 26 other products in FDA’s Retinoid class priced per EA, 12 have a higher middle NADAC price and 14 a lower one. The one in the middle is ACITRETIN 10 MG CAPSULE, at $2.59463 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 $132.15 for 30 capsules, at an average of $4.4049 per EA in 2024 (2024-01-01 to 2024-12-31) for “Isotretinoin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 7,711 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 ISOTRETINOIN 20 MG CAPSULE 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 Isotretinoin / Isotretinoin: 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.