KETAMINE 500 MG/5 ML VIAL
For 5 mL
Pharmacies pay
$8.90 filed
5 × $1.78037 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
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
$15.24 estimated
$8.90 + $1.34 (15%) + $5.00 fee per fill = $15.24
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
KETAMINE 500 MG/5 ML VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ketamine hydrochloride.
FDA gives its dosage form as “injection”, “injection, solution, concentrate” and “injection, solution” and its route as intramuscular; intravenous.
FDA lists 5 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Hospira, Inc. and Sagent Pharmaceuticals.
FDA’s Established Pharmacologic Class for it is General Anesthetic.
The NADAC file of 2026-10-14 prices it under 6 NDCs (National Drug Codes); the FDA directory lists 5 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 $8.90 for 5 mL (5 × $1.78037 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.
What NADAC measures · NADAC explanation codes
All 6 NDCs
- 00143-9509-10 · Hikma Pharmaceuticals USA Inc. · $1.78037 per ML · eff. 2026-09-23 filed
- 00409-0040-10 · not listed as a package in the FDA directory · $1.78037 per ML · eff. 2026-09-23 filed
- 00409-2051-05 · Hospira, Inc. · $1.78037 per ML · eff. 2026-09-23 filed
- 25021-0684-05 · Sagent Pharmaceuticals · $1.78037 per ML · eff. 2026-09-23 filed
- 65219-0186-05 · Fresenius Kabi USA, LLC · $1.78037 per ML · eff. 2026-09-23 filed
- 72572-0321-10 · Civica, Inc. · $1.78037 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
2 other products in the NADAC file share the FDA nonproprietary name ketamine hydrochloride with KETAMINE 500 MG/5 ML VIAL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| KETALAR 500 MG/10 ML VIAL | $0.67242 per ML filed | We don’t know yet |
| KETAMINE 500 MG/5 ML VIAL this page | $1.78037 per ML filed | We don’t know yet |
| KETAMINE 500 MG/10 ML VIAL | $0.5563 per ML filed | We don’t know yet |
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
Compared with its class
The middle of its 6 NDCs’ NADAC prices is $1.78037 per ML filed.
Of the 4 other products in FDA’s General Anesthetic class priced per ML, 0 have a higher middle NADAC price and 4 a lower one. The one in the middle is PROPOFOL 500 MG/50 ML VIAL, at $0.17094 per ML filed (eff. 2026-08-19).
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. 2026-08-19, 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.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
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 5 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 5 mL; your package may hold a different amount.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why does this page start at 5 mL?
- NADAC prices this product per ML. In the FDA NDC Directory, 5 of this product’s NDCs are wholesale packs of identical units, so OpenBill counts one unit of each; for example, NDC 00143-9509-10 (“10 VIAL in 1 BOX (0143-9509-10) / 5 mL in 1 VIAL (0143-9509-01)”) is a box of 10 vials, 50 mL in all. It does not list one of this product’s NDCs. So the card starts at one unit: 5 ML. Change it to match your prescription.