OpenBilldrug price receipt

NADAC week of 2026-10-14

LANTHANUM CARB 1,000 MG TB CHW

For 30 tablets

Pharmacies pay

$94.54 filed

30 × $3.15131 per EA

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

$167.78 filed

30 × $5.59266 per EA, 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

1.8× estimated

Medicare paid 1.8× what pharmacies pay.

Part D averages every strength and form sold under “Lanthanum Carbonate” 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

$113.72 estimated

$94.54 + $14.18 (15%) + $5.00 fee per fill = $113.72

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

LANTHANUM CARB 1,000 MG TB CHW is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lanthanum carbonate.

FDA gives its dosage form as tablet, chewable and its route as oral.

FDA lists 6 labelers (the companies named on the label) for its NDCs, among them Teva Pharmaceuticals USA, Inc., Prasco Laboratories and Ascend Laboratories, LLC.

FDA’s Established Pharmacologic Class for it is Phosphate Binder.

The NADAC file of 2026-10-14 prices it under 11 NDCs (National Drug Codes); the FDA directory lists 6 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 $94.54 for 30 tablets (30 × $3.15131 per EA, 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

The 6 labelers

LabelerNDCsPharmacies pay per unit
Ascend Laboratories, LLC1$3.15131 per EA filed
Cipla USA Inc.1$3.15131 per EA filed
Exelan Pharmaceuticals, Inc.1$3.15131 per EA filed
Lupin Pharmaceuticals, Inc.1$3.15131 per EA filed
Prasco Laboratories1$3.15131 per EA filed
Teva Pharmaceuticals USA, Inc.1$3.15131 per EA filed
Not listed as a package in the FDA directory5$3.15131 per EA filed
All 11 NDCs, with labeler and price
  • 00093-5940-40 · not listed as a package in the FDA directory · $3.15131 per EA · eff. 2026-09-23 filed
  • 00093-5940-98 · Teva Pharmaceuticals USA, Inc. · $3.15131 per EA · eff. 2026-09-23 filed
  • 66993-0424-75 · not listed as a package in the FDA directory · $3.15131 per EA · eff. 2026-09-23 filed
  • 66993-0424-85 · Prasco Laboratories · $3.15131 per EA · eff. 2026-09-23 filed
  • 67877-0258-90 · Ascend Laboratories, LLC · $3.15131 per EA · eff. 2026-09-23 filed
  • 68180-0821-10 · not listed as a package in the FDA directory · $3.15131 per EA · eff. 2026-09-23 filed
  • 68180-0821-47 · Lupin Pharmaceuticals, Inc. · $3.15131 per EA · eff. 2026-09-23 filed
  • 69097-0936-65 · not listed as a package in the FDA directory · $3.15131 per EA · eff. 2026-09-23 filed
  • 69097-0936-98 · Cipla USA Inc. · $3.15131 per EA · eff. 2026-09-23 filed
  • 76282-0478-13 · not listed as a package in the FDA directory · $3.15131 per EA · eff. 2026-09-23 filed
  • 76282-0478-90 · Exelan Pharmaceuticals, Inc. · $3.15131 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name lanthanum carbonate with LANTHANUM CARB 1,000 MG TB CHW.

ProductPharmacies pay per unitMedicare per unit
LANTHANUM CARB 1,000 MG TB CHW this page
generic · tablet, chewable
$3.15131 per EA filed
eff. 2026-09-23
$5.59266 per EA filed
Part D 2024 average
LANTHANUM CARB 500 MG TAB CHEW
generic · tablet, chewable
$3.18293 per EA filed
eff. 2026-09-23
$5.59266 per EA 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

The middle of its 11 NDCs’ NADAC prices is $3.15131 per EA filed.

Of the 34 other products in FDA’s Phosphate Binder class priced per EA, 9 have a higher middle NADAC price and 25 a lower one. The one in the middle is SEVELAMER CARBONATE 800 MG TAB, at $0.214 per EA 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 $167.78 for 30 tablets, at an average of $5.59266 per EA in 2024 (2024-01-01 to 2024-12-31) for “Lanthanum Carbonate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 48,746 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 LANTHANUM CARB 1,000 MG TB CHW 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 Lanthanum Carbonate / Lanthanum Carbonate: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name.