LACTATED RINGERS INJECTION
FDA nonproprietary name: sodium chloride, sodium lactate, potassium chloride, and calcium chloride
For 1 mL
Pharmacies pay
<$0.01 filed
1 × $0.00201 to $0.00384 per ML (the 7 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 B pays
<$0.01 derived
1 × $0.00237 to $0.00474 per ML, Part B limit
Medicare's price is not your price.
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)
The spread
0.62× – 1.2× estimated
Medicare pays between 0.62× and 1.2× what pharmacies pay, depending on the NDC.
5 labelers share HCPCS J7120 on the CMS crosswalk, so its payment limit is an average across all their products billed under that code, not this NDC’s own price.
OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · 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)
Cost-plus estimate
$5.00 estimated
$0.00 + $0.00 (15%) + $5.00 fee per fill = $5.00
This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. 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
LACTATED RINGERS INJECTION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “sodium chloride, sodium lactate, potassium chloride, and calcium chloride” and “sodium chloride, potassium chloride, sodium lactate and calcium chloride”, as its NDCs’ listings variously write the nonproprietary name, under the trade name “Lactated Ringers”.
FDA gives its dosage form as injection, solution and its route as intravenous.
Its labelers, the companies named on the label, are B. Braun Medical Inc., Baxter Healthcare Company and ICU Medical Inc.
FDA lists it under 4 Established Pharmacologic Classes: Blood Coagulation Factor, Osmotic Laxative, Phosphate Binder and Potassium Salt.
The NADAC file of 2026-10-14 prices it under 7 NDCs (National Drug Codes).
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 <$0.01 for 1 mL, depending on the NDC ($0.00201 to $0.00384 per ML), 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
The 3 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| B. Braun Medical Inc. | 3 | $0.00384 per ML filed |
| Baxter Healthcare Company | 2 | $0.00201 to $0.00384 per ML filed |
| ICU Medical Inc. | 2 | $0.00384 per ML filed |
All 7 NDCs, with labeler and price
- 00264-7750-00 · B. Braun Medical Inc. · $0.00384 per ML · eff. 2026-09-23 filed
- 00264-7750-07 · B. Braun Medical Inc. · $0.00384 per ML · eff. 2026-09-23 filed
- 00264-7750-10 · B. Braun Medical Inc. · $0.00384 per ML · eff. 2026-09-23 filed
- 00338-0117-03 · Baxter Healthcare Company · $0.00384 per ML · eff. 2026-09-23 filed
- 00338-0117-04 · Baxter Healthcare Company · $0.00201 per ML · eff. 2026-09-23 filed
- 00990-7953-03 · ICU Medical Inc. · $0.00384 per ML · eff. 2026-09-23 filed
- 00990-7953-09 · ICU Medical Inc. · $0.00384 per ML · eff. 2026-09-23 filed
Compared with its class
The middle of its 7 NDCs’ NADAC prices is $0.00384 per ML filed.
Of the 38 other products in FDA’s Osmotic Laxative class priced per ML, 37 have a higher middle NADAC price and 1 a lower one. The one in the middle is ANTACID ANTI-GAS MAX STR LIQ, at $0.01206 per ML filed (eff. 2026-09-23).
Of the 10 other products in FDA’s Potassium Salt class priced per ML, 10 have a higher middle NADAC price and 0 a lower one. The one in the middle is PEG-3350 AND ELECTROLYTES SOLN, at $0.00465 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 B’s payment limit for HCPCS J7120, for 2026-10-01 to 2026-12-31, comes to <$0.01 for 1 mL, or $0.00237 to $0.00474 per ML once converted to NADAC’s unit for this product.
Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.
The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.4738 per 1000 CC.
Medicare's price is not your price.
What the Part B payment limit is · Converting it to the NADAC unit · 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 1 mL? Is it lower than what I would pay through my insurance?
- Which NDC (the 11-digit number on the package) is this? Pharmacies pay $0.00201 to $0.00384 per ML for this product, depending on the NDC.
- How much is in the package I am getting? This page uses 1 mL; your package may hold a different amount.
- If you have Medicare Part B: is this drug covered for me in this setting, and what is my share?
- 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 1 mL?
- The FDA package descriptions of this product’s NDCs give different amounts (500 mL, 1,000 mL, 12,000 mL). So the card starts at 1 ML; change it to match your prescription.