OpenBilldrug price receipt

NADAC week of 2026-10-14

KETODAN 2% FOAM

FDA nonproprietary name: ketoconazole

For 100 g

Pharmacies pay

$344.06 filed

100 × $3.44062 per GM

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

$426.48 filed

100 × $4.26476 per GM, 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

1.2× estimated

Medicare paid 1.2× what pharmacies pay.

Part D averages every strength and form sold under “Ketodan” / “Ketoconazole” 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

$400.67 estimated

$344.06 + $51.61 (15%) + $5.00 fee per fill = $400.67

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

KETODAN 2% FOAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ketoconazole, under the trade name “Ketodan”.

FDA gives its dosage form as aerosol, foam and its route as topical.

The labeler, the company named on the label, is Medimetriks Pharmaceuticals, Inc.

FDA’s Established Pharmacologic Class for it is Azole Antifungal.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 43538-0530-10.

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 $344.06 for 100 g (100 × $3.44062 per GM, 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.

The NDC

Other strengths, forms and brands

4 other products in the NADAC file share the FDA nonproprietary name ketoconazole with KETODAN 2% FOAM.

ProductPharmacies pay per unitMedicare per unit
KETOCONAZOLE 2% CREAM
generic · cream
$0.16221 to $0.28477 per GM filed
eff. 2026-09-23
We don’t know yet
KETOCONAZOLE 2% FOAM
generic · aerosol, foam
$3.44062 to $5.59715 per GM filed
eff. 2026-09-23
We don’t know yet
KETOCONAZOLE 2% SHAMPOO
generic · shampoo, suspension / shampoo
$0.07537 per ML filed
eff. 2026-09-23
We don’t know yet
KETOCONAZOLE 200 MG TABLET
generic · tablet
$0.64566 per EA filed
eff. 2026-09-23
We don’t know yet
KETODAN 2% FOAM this page
generic · aerosol, foam
$3.44062 per GM filed
eff. 2026-09-23
$4.26476 per GM 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. 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

Its NADAC price is $3.44062 per GM filed.

Of the 36 other products in FDA’s Azole Antifungal class priced per GM, 3 have a higher middle NADAC price and 32 a lower one; 1 has the same. The one in the middle is FT ANTIFUNGAL 2% TOPICAL CREAM, at $0.12071 per GM 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 $426.48 for 100 g, at an average of $4.26476 per GM in 2024 (2024-01-01 to 2024-12-31) for “Ketodan” and “Ketoconazole”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 66 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 KETODAN 2% FOAM 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 Ketodan / Ketoconazole: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on brand name.
Why does this page start at 100 g?
NADAC prices this product per GM. The FDA NDC Directory’s package description gives 100 g in one package for this product’s NDC (“1 CAN in 1 CARTON (43538-530-10) / 100 g in 1 CAN”), so the card starts at one package: 100 GM. Change it to match your prescription.