OpenBilldrug price receipt

NADAC week of 2026-10-14

ISTALOL 0.5% EYE DROPS

FDA nonproprietary name: timolol maleate

For 1 mL

Pharmacies pay

$79.76 – $80.01 filed

1 × $79.76333 to $80.01457 per ML (the 2 NDCs differ)

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-06-17, 2026-07-22 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$78.54 filed

1 × $78.53935 per ML, 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

0.98× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Istalol” / “Timolol Maleate” 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. 2026-06-17, 2026-07-22 (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

$96.72 – $97.01 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. 2026-06-17, 2026-07-22 (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

ISTALOL 0.5% EYE DROPS is how the CMS NADAC file names this product. The FDA NDC Directory lists it as timolol maleate, under the trade name “Istalol”.

FDA gives its dosage form as solution/ drops and its route as ophthalmic.

The labeler, the company named on the label, is Bausch & Lomb Incorporated.

FDA’s Established Pharmacologic Class for it is beta-Adrenergic Blocker.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $79.76 – $80.01 for 1 mL, depending on the NDC ($79.76333 to $80.01457 per ML), by the CMS NADAC file of 2026-10-14; those prices took effect between 2026-06-17 and 2026-07-22. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size.

The NADAC of all 2 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2026-06-17, 2026-07-22. The file is new; the price is not.

NADAC also lists, on the row of its brand NDCs, what pharmacies pay for the generic equivalent, a different product: $21.80573 to $22.28973 per ML filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

All 2 NDCs

Other strengths, forms and brands

8 other products in the NADAC file share the FDA nonproprietary name timolol maleate with ISTALOL 0.5% EYE DROPS.

ProductPharmacies pay per unitMedicare per unit
ISTALOL 0.5% EYE DROPS this page
brand · solution/ drops
$79.76333 to $80.01457 per ML filed
eff. 2026-06-17 to 2026-07-22
$78.53935 per ML filed
Part D 2024 average
TIMOLOL 0.25% GEL-SOLUTION
generic · solution, gel forming / drops / solution/ drops / solution
$6.37609 per ML filed
eff. 2026-09-23
$2.00991 per ML filed
Part D 2024 average
TIMOLOL 0.5% EYE DROP
generic · solution/ drops
$21.80573 to $22.28973 per ML filed
eff. 2026-09-23
We don’t know yet
TIMOLOL 0.5% GEL-SOLUTION
generic · solution, gel forming / drops / solution/ drops / solution
$8.30197 per ML filed
eff. 2026-09-23
$2.00991 per ML filed
Part D 2024 average
TIMOLOL 0.5% GFS GEL-SOLUTION
generic · solution, gel forming / drops
$8.30197 per ML filed
eff. 2026-09-23
$2.00991 per ML filed
Part D 2024 average
TIMOLOL MALEATE 0.25% EYE DROP
generic · solution/ drops / solution
$0.60023 to $0.64657 per ML; $6.10159 per EA filed
eff. 2026-09-23
We don’t know yet
TIMOLOL MALEATE 0.5% EYE DROP
generic · solution/ drops / solution
$1.25546 per EA filed
eff. 2026-09-23
We don’t know yet
TIMOLOL MALEATE 0.5% EYE DROPS
generic · solution/ drops / solution
$0.71967 to $1.046 per ML filed
eff. 2026-09-23
We don’t know yet
TIMOPTIC 0.5% OCUDOSE DROP
brand · solution
$10.32362 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. 2026-06-17, 2026-07-22, 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 2 NDCs’ NADAC prices is $79.76333 per ML filed.

Of the 19 other products in FDA’s beta-Adrenergic Blocker class priced per ML, 0 have a higher middle NADAC price and 19 a lower one. The one in the middle is TIMOLOL 0.25% GEL-SOLUTION, at $6.37609 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. 2026-06-17, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $78.54 for 1 mL, at an average of $78.53935 per ML in 2024 (2024-01-01 to 2024-12-31) for “Istalol” and “Timolol Maleate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,279 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 ISTALOL 0.5% EYE DROPS 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 Istalol / Timolol Maleate: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on brand name.
Why does this page start at 1 mL?
The FDA package descriptions of this product’s NDCs give different amounts (2.5 mL, 5 mL). So the card starts at 1 ML; change it to match your prescription.