LEVSIN-SL 0.125 MG TABLET SL
FDA nonproprietary name: hyoscyamine sulfate
For 30 tablets
Pharmacies pay
$81.13 filed
30 × $2.7044 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
$69.48 filed
30 × $2.31603 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
0.86× estimated
Medicare paid 14% less than pharmacies pay.
Part D averages every strength and form sold under “Levsin-Sl” / “Hyoscyamine Sulfate” 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
$98.30 estimated
$81.13 + $12.17 (15%) + $5.00 fee per fill = $98.30
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
LEVSIN-SL 0.125 MG TABLET SL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as hyoscyamine sulfate, under the trade name “Levsin SL”.
FDA gives its dosage form as tablet, orally disintegrating and its route as oral.
The labeler, the company named on the label, is Viatris Specialty LLC.
FDA lists no Established Pharmacologic Class for it.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 68220-0113-10.
NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.
What pharmacies pay
Pharmacies pay $81.13 for 30 tablets (30 × $2.7044 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.
What NADAC measures · Why 30 tablets · NADAC explanation codes
The NDC
- 68220-0113-10 · Viatris Specialty LLC · $2.7044 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
8 other products in the NADAC file share the FDA nonproprietary name hyoscyamine sulfate with LEVSIN-SL 0.125 MG TABLET SL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| HYOSCYAMINE 0.125 MG ODT | $0.14421 per EA filed | We don’t know yet |
| HYOSCYAMINE 0.125 MG TAB SL | $0.17066 per EA filed | $0.3811 per EA filed |
| HYOSCYAMINE ER 0.375 MG TAB | $0.53556 per EA filed | $0.54794 per EA filed |
| HYOSCYAMINE SULF 0.125 MG TAB | $0.14589 per EA filed | $0.3811 per EA filed |
| LEVSIN 0.125 MG TABLET | $2.65588 per EA filed | $2.67098 per EA filed |
| LEVSIN-SL 0.125 MG TABLET SL this page | $2.7044 per EA filed | $2.31603 per EA filed |
| NULEV 0.125 MG CHEWABLE MELT | $0.14421 per EA filed | We don’t know yet |
| OSCIMIN 0.125 MG TABLET | $0.14589 per EA filed | $0.25257 per EA filed |
| OSCIMIN SL 0.125 MG TABLET | $0.17066 per EA filed | 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. 2026-09-23 · 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
What Medicare paid
Medicare Part D paid $69.48 for 30 tablets, at an average of $2.31603 per EA in 2024 (2024-01-01 to 2024-12-31) for “Levsin-Sl” and “Hyoscyamine Sulfate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 141 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 Part D spending measures · Which Medicare figure OpenBill compares · 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 30 tablets? Is it lower than what I would pay through my insurance?
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for LEVSIN-SL 0.125 MG TABLET SL 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 Levsin-Sl / Hyoscyamine Sulfate: 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 brand name.