OpenBilldrug price receipt

NADAC week of 2026-10-14

LEFLUNOMIDE 10 MG TABLET

For 30 tablets

Pharmacies pay

$9.71 filed

30 × $0.32368 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

$29.82 filed

30 × $0.99403 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

3.1× estimated

Medicare paid 3.1× what pharmacies pay.

Part D averages every strength and form sold under “Leflunomide” 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

$16.17 estimated

$9.71 + $1.46 (15%) + $5.00 fee per fill = $16.17

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

LEFLUNOMIDE 10 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as leflunomide.

FDA gives its dosage form as “tablet” and “tablet, film coated” and its route as oral.

FDA lists 9 labelers (the companies named on the label) for its NDCs, among them Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc., Burel Pharmaceuticals, LLC and AvPAK.

FDA’s Established Pharmacologic Class for it is Antirheumatic Agent.

The NADAC file of 2026-10-14 prices it under 10 NDCs (National Drug Codes); the FDA directory lists 9 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 $9.71 for 30 tablets (30 × $0.32368 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 code for it: 1, calculated from the most recently completed pharmacy survey.

The 9 labelers

LabelerNDCsPharmacies pay per unit
Alembic Pharmaceuticals Inc.1$0.32368 per EA filed
Apotex Corp.1$0.32368 per EA filed
Aurobindo Pharma Limited1$0.32368 per EA filed
AvPAK1$0.32368 per EA filed
Burel Pharmaceuticals, LLC1$0.32368 per EA filed
Chartwell RX, LLC1$0.32368 per EA filed
Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.1$0.32368 per EA filed
Lupin Pharmaceuticals, Inc.1$0.32368 per EA filed
Zydus Pharmaceuticals (USA) Inc.1$0.32368 per EA filed
Not listed as a package in the FDA directory1$0.32368 per EA filed
All 10 NDCs, with labeler and price
  • 23155-0043-03 · Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. · $0.32368 per EA · eff. 2026-09-23 filed
  • 35573-0447-30 · Burel Pharmaceuticals, LLC · $0.32368 per EA · eff. 2026-09-23 filed
  • 50268-0477-11 · not listed as a package in the FDA directory · $0.32368 per EA · eff. 2026-09-23 filed
  • 50268-0477-15 · AvPAK · $0.32368 per EA · eff. 2026-09-23 filed
  • 59651-0348-30 · Aurobindo Pharma Limited · $0.32368 per EA · eff. 2026-09-23 filed
  • 60505-2502-01 · Apotex Corp. · $0.32368 per EA · eff. 2026-09-23 filed
  • 62135-0793-30 · Chartwell RX, LLC · $0.32368 per EA · eff. 2026-09-23 filed
  • 62332-0061-30 · Alembic Pharmaceuticals Inc. · $0.32368 per EA · eff. 2026-09-23 filed
  • 70710-1157-03 · Zydus Pharmaceuticals (USA) Inc. · $0.32368 per EA · eff. 2026-09-23 filed
  • 70748-0129-06 · Lupin Pharmaceuticals, Inc. · $0.32368 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name leflunomide with LEFLUNOMIDE 10 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
LEFLUNOMIDE 10 MG TABLET this page
generic · tablet / tablet, film coated
$0.32368 per EA filed
eff. 2026-09-23
$0.99403 per EA filed
Part D 2024 average
LEFLUNOMIDE 20 MG TABLET
generic · tablet / tablet, film coated
$0.29435 per EA filed
eff. 2026-09-23
$0.99403 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 10 NDCs’ NADAC prices is $0.32368 per EA filed.

Of the 5 other products in FDA’s Antirheumatic Agent class priced per EA, 2 have a higher middle NADAC price and 3 a lower one. The one in the middle is LEFLUNOMIDE 20 MG TABLET, at $0.29435 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 $29.82 for 30 tablets, at an average of $0.99403 per EA in 2024 (2024-01-01 to 2024-12-31) for “Leflunomide”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 578,121 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 LEFLUNOMIDE 10 MG TABLET 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 Leflunomide / Leflunomide: 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.