OpenBilldrug price receipt

NADAC week of 2026-10-14

LACTULOSE 10 GM/15 ML SOLUTION

For 1 mL

Pharmacies pay

$0.01 – $0.02 filed

1 × $0.0125 to $0.02237 per ML (the 19 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

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

$5.01 – $5.02 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. 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

LACTULOSE 10 GM/15 ML SOLUTION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “lactulose” and “lactulose solution usp, 10 g/15 ml”, as its NDCs’ listings variously write the nonproprietary name, under the trade name “Lactulose Solution”.

FDA gives its dosage form as solution and its route as “oral” and “oral; rectal”.

FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Xttrium Laboratories, Inc., PAI Holdings, LLC dba PAI Pharma and Lannett Company, Inc.

FDA’s Established Pharmacologic Class for it is Osmotic Laxative.

The NADAC file of 2026-10-14 prices it under 19 NDCs (National Drug Codes); the FDA directory lists 18 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 $0.01 – $0.02 for 1 mL, depending on the NDC ($0.0125 to $0.02237 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.

The 8 labelers

LabelerNDCsPharmacies pay per unit
APOZEAL PHARMACEUTICALS INC4$0.0125 to $0.02237 per ML filed
Chartwell RX, LLC3$0.01939 to $0.02237 per ML filed
Xttrium Laboratories, Inc.3$0.01939 to $0.02237 per ML filed
Lannett Company, Inc.2$0.01939 to $0.02237 per ML filed
PAI Holdings, LLC dba PAI Pharma2$0.01939 to $0.02237 per ML filed
Rising Pharma Holdings, Inc.2$0.0125 to $0.01304 per ML filed
Kesin Pharma Corporation1$0.0125 per ML filed
Sun Pharmaceutical Industries, Inc.1$0.02237 per ML filed
Not listed as a package in the FDA directory1$0.01947 per ML filed
All 19 NDCs, with labeler and price
  • 00116-4005-08 · Xttrium Laboratories, Inc. · $0.01947 per ML · eff. 2026-09-23 filed
  • 00116-4005-16 · Xttrium Laboratories, Inc. · $0.02237 per ML · eff. 2026-09-23 filed
  • 00116-4005-32 · Xttrium Laboratories, Inc. · $0.01939 per ML · eff. 2026-09-23 filed
  • 00121-0873-16 · PAI Holdings, LLC dba PAI Pharma · $0.02237 per ML · eff. 2026-09-23 filed
  • 00121-0873-32 · PAI Holdings, LLC dba PAI Pharma · $0.01939 per ML · eff. 2026-09-23 filed
  • 00527-5125-70 · Lannett Company, Inc. · $0.02237 per ML · eff. 2026-09-23 filed
  • 00527-5125-78 · Lannett Company, Inc. · $0.01939 per ML · eff. 2026-09-23 filed
  • 51672-4243-09 · Sun Pharmaceutical Industries, Inc. · $0.02237 per ML · eff. 2026-09-23 filed
  • 62135-0002-37 · Chartwell RX, LLC · $0.01947 per ML · eff. 2026-09-23 filed
  • 62135-0002-47 · Chartwell RX, LLC · $0.02237 per ML · eff. 2026-09-23 filed
  • 62135-0002-94 · Chartwell RX, LLC · $0.01939 per ML · eff. 2026-09-23 filed
  • 64980-0592-48 · Rising Pharma Holdings, Inc. · $0.01304 per ML · eff. 2026-09-23 filed
  • 64980-0592-95 · Rising Pharma Holdings, Inc. · $0.0125 per ML · eff. 2026-09-23 filed
  • 81033-0241-32 · Kesin Pharma Corporation · $0.0125 per ML · eff. 2026-09-23 filed
  • 83745-0249-16 · APOZEAL PHARMACEUTICALS INC · $0.01304 per ML · eff. 2026-09-23 filed
  • 83745-0249-32 · APOZEAL PHARMACEUTICALS INC · $0.0125 per ML · eff. 2026-09-23 filed
  • 83745-0405-08 · not listed as a package in the FDA directory · $0.01947 per ML · eff. 2026-09-23 filed
  • 83745-0405-16 · APOZEAL PHARMACEUTICALS INC · $0.02237 per ML · eff. 2026-09-23 filed
  • 83745-0405-32 · APOZEAL PHARMACEUTICALS INC · $0.01939 per ML · eff. 2026-09-23 filed

Other strengths, forms and brands

8 other products in the NADAC file share an FDA nonproprietary name with LACTULOSE 10 GM/15 ML SOLUTION.

ProductPharmacies pay per unitMedicare per unit
CONSTULOSE 10 GM/15 ML SOLN
generic · solution
$0.01939 to $0.01947 per ML filed
eff. 2026-09-23
$0.01987 per ML filed
Part D 2024 average
ENULOSE 10 GM/15 ML SOLUTION
generic · solution
$0.01304 per ML filed
eff. 2026-09-23
$0.02674 per ML filed
Part D 2024 average
GENERLAC 10 GM/15 ML SOLUTION
generic · solution
$0.01304 per ML filed
eff. 2026-09-23
$0.02239 per ML filed
Part D 2024 average
KRISTALOSE 10 GM PACKET
brand · powder, for solution
$9.59114 per EA filed
eff. 2026-09-23
$9.71754 per EA filed
Part D 2024 average
KRISTALOSE 20 GM PACKET
brand · powder, for solution
$9.96221 per EA filed
eff. 2026-09-23
$9.71754 per EA filed
Part D 2024 average
LACTULOSE 10 GM PACKET
generic · powder, for solution
$8.22014 per EA filed
eff. 2026-09-23
We don’t know yet
LACTULOSE 10 GM/15 ML SOLUTION this page
generic · solution
$0.0125 to $0.02237 per ML filed
eff. 2026-09-23
We don’t know yet
LACTULOSE 20 GM PACKET
generic · powder, for solution
$8.51402 per EA filed
eff. 2026-09-23
We don’t know yet
LACTULOSE 20 GM/30 ML SOLUTION CUP
generic · solution
$0.0512 per ML filed
eff. 2026-02-18
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. 2026-02-18, 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 19 NDCs’ NADAC prices is $0.01939 per ML filed.

Of the 38 other products in FDA’s Osmotic Laxative class priced per ML, 12 have a higher middle NADAC price and 25 a lower one; 1 has the same. The one in the middle is ANTACID ANTI-GAS LIQUID, at $0.01206 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

We don’t know yet; the card above says why.

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 does this page start at 1 mL?
The FDA package descriptions of this product’s NDCs give different amounts (237 mL, 473 mL, 946 mL). So the card starts at 1 ML; change it to match your prescription.