KENALOG-40 400 MG/10 ML VIAL
FDA nonproprietary name: triamcinolone acetonide
For 10 mL
Pharmacies pay
$67.87 filed
10 × $6.78651 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 Part D paid
$18.71 filed
10 × $1.87106 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
0.28× estimated
Medicare paid 72% less than pharmacies pay.
Part D averages every strength and form sold under “Kenalog-40” / “Triamcinolone Acetonide” 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
$83.05 estimated
$67.87 + $10.18 (15%) + $5.00 fee per fill = $83.05
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
KENALOG-40 400 MG/10 ML VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as triamcinolone acetonide, under the trade name “KENALOG-40”.
FDA gives its dosage form as injection, suspension and its route as intra-articular; intramuscular.
The labeler, the company named on the label, is E.R. Squibb & Sons, L.L.C.
FDA’s Established Pharmacologic Class for it is Corticosteroid.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00003-0293-28.
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 $67.87 for 10 mL (10 × $6.78651 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.
NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $4.782 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
What NADAC measures · NADAC explanation codes
The NDC
- 00003-0293-28 · E.R. Squibb & Sons, L.L.C. · $6.78651 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
23 other products in the NADAC file share the FDA nonproprietary name triamcinolone acetonide with KENALOG-40 400 MG/10 ML VIAL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| 24H NASAL ALLERGY 55 MCG SPRAY | $0.73884 per ML filed | We don’t know yet |
| FT 24H NASAL ALLERGY 55 MCG SPR | $0.73884 per ML filed | We don’t know yet |
| GS NASAL ALLERGY 24HR SPRAY | $0.73884 per ML filed | We don’t know yet |
| KENALOG-10 50 MG/5 ML VIAL | $2.3256 per ML filed | $2.7135 per ML filed |
| KENALOG-40 40 MG/ML VIAL | $9.00182 per ML filed | $1.87106 per ML filed |
| KENALOG-40 200 MG/5 ML VIAL | $9.1454 per ML filed | $1.87106 per ML filed |
| KENALOG-40 400 MG/10 ML VIAL this page | $6.78651 per ML filed | $1.87106 per ML filed |
| KENALOG-80 80 MG/ML VIAL | $17.86667 per ML filed | $20.62501 per ML filed |
| NASAL ALLERGY 55 MCG SPRAY | $0.73884 per ML filed | We don’t know yet |
| TRIAMCINOLONE 0.025% CREAM | $0.03528 to $0.1198 per GM filed | We don’t know yet |
| TRIAMCINOLONE 0.025% LOTION | $0.35034 per ML filed | We don’t know yet |
| TRIAMCINOLONE 0.025% OINT | $0.04715 to $0.23917 per GM filed | We don’t know yet |
| TRIAMCINOLONE 0.05% OINTMENT | $0.18678 per GM filed | We don’t know yet |
| TRIAMCINOLONE 0.1% CREAM | $0.02496 to $0.10199 per GM filed | We don’t know yet |
| TRIAMCINOLONE 0.1% LOTION | $0.27095 per ML filed | We don’t know yet |
| TRIAMCINOLONE 0.1% OINTMENT | $0.03407 to $0.11948 per GM filed | We don’t know yet |
| TRIAMCINOLONE 0.1% PASTE | $2.58343 per GM filed | We don’t know yet |
| TRIAMCINOLONE 0.147 MG/G SPRAY | $1.93075 to $2.83003 per GM filed | We don’t know yet |
| TRIAMCINOLONE 0.5% CREAM | $0.19028 per GM filed | We don’t know yet |
| TRIAMCINOLONE 0.5% OINTMENT | $0.27541 per GM filed | We don’t know yet |
| TRIAMCINOLONE 55 MCG NASAL SPR | $0.73884 per ML filed | We don’t know yet |
| TRIAMCINOLONE ACET 40 MG/ML VL | $4.83043 to $7.39146 per ML filed | $3.148 per ML derived |
| TRIAMCINOLONE ACET 200 MG/5 ML | $6.38317 per ML filed | $3.148 per ML derived |
| TRIAMCINOLONE ACET 400 MG/10 ML | $4.782 per ML filed | $3.148 per ML derived |
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. 2026-07-22, 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
OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)
Compared with its class
Its NADAC price is $6.78651 per ML filed.
Of the 106 other products in FDA’s Corticosteroid class priced per ML, 32 have a higher middle NADAC price and 74 a lower one. The one in the middle is FLUNISOLIDE 0.025% SPRAY, at $1.98777 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
Medicare Part D paid $18.71 for 10 mL, at an average of $1.87106 per ML in 2024 (2024-01-01 to 2024-12-31) for “Kenalog-40” and “Triamcinolone Acetonide”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 867 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 Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out
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.
- What is your cash price for 10 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 10 mL; your package may hold a different amount.
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for KENALOG-40 400 MG/10 ML VIAL 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 Kenalog-40 / Triamcinolone Acetonide: 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 10 mL?
- NADAC prices this product per ML. The FDA NDC Directory’s package description gives 10 mL in one package for this product’s NDC (“1 VIAL, MULTI-DOSE in 1 CARTON (0003-0293-28) / 10 mL in 1 VIAL, MULTI-DOSE”), so the card starts at one package: 10 ML. Change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- PREDNISONE 1 MG TABLET
- TRELEGY ELLIPTA 100-62.5-25
- METHYLPREDNISOLONE 16 MG TAB
- PREDNISOLONE AC 1% EYE DROP
- BREO ELLIPTA 100-25 MCG INHALR