LIDOCAINE 1%-EPI 1:100,000
For 20 mL
Pharmacies pay
$2.78 filed
20 × $0.13908 per ML
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-07-22 · 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
$8.20 estimated
$2.78 + $0.42 (15%) + $5.00 fee per fill = $8.20
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. 2026-07-22 (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
LIDOCAINE 1%-EPI 1:100,000 is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lidocaine hydrochloride and epinephrine.
FDA gives its dosage form as injection, solution and its route as infiltration; perineural.
The labeler, the company named on the label, is Hospira, Inc.
FDA lists it under 5 Established Pharmacologic Classes: alpha-Adrenergic Agonist, Amide Local Anesthetic, Antiarrhythmic, beta-Adrenergic Agonist and Catecholamine.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00409-0007-10.
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 $2.78 for 20 mL (20 × $0.13908 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-07-22. That is what pharmacies pay their suppliers, not what they charge you.
NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size.
This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-07-22. The file is new; the price is not.
What NADAC measures · NADAC explanation codes · Carried-forward prices
The NDC
- 00409-0007-10 · Hospira, Inc. · $0.13908 per ML · eff. 2026-07-22 filed carried forward
Compared with its class
Its NADAC price is $0.13908 per ML filed.
Of the 14 other products in FDA’s alpha-Adrenergic Agonist class priced per ML, 12 have a higher middle NADAC price and 2 a lower one. The one in the middle is ADRENALIN 1 MG/ML VIAL, at $7.79554 per ML filed (eff. 2025-10-28).
Of the 21 other products in FDA’s Amide Local Anesthetic class priced per ML, 10 have a higher middle NADAC price and 11 a lower one. The one in the middle is LIDOCAINE HCL 1% 100 MG/10 ML, at $0.13782 per ML filed (eff. 2026-09-23).
Of the 21 other products in FDA’s Antiarrhythmic class priced per ML, 12 have a higher middle NADAC price and 9 a lower one. The one in the middle is LIDOCAINE HCL 1% 20 MG/2 ML VL, at $0.33305 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. 2025-10-28, 2026-07-22, 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.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
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 20 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 20 mL; your package may hold a different amount.
- 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 20 mL?
- NADAC prices this product per ML. In the FDA NDC Directory, NDC 00409-0007-10 (“10 VIAL, MULTI-DOSE in 1 CARTON (0409-0007-10) / 20 mL in 1 VIAL, MULTI-DOSE (0409-0007-01)”) is a carton of 10 vials, 200 mL in all: a wholesale pack of identical units, so OpenBill counts one vial of it. So the card starts at one vial: 20 ML. Change it to match your prescription.
Related pages
Its pharmacologic classes
- alpha-Adrenergic Agonist
- Amide Local Anesthetic
- Antiarrhythmic
- beta-Adrenergic Agonist
- Catecholamine
Related in the same class
- AUVI-Q 0.1 MG AUTO-INJECTOR
- LIDOCAINE 5% PATCH
- LIDOCAINE-PRILOCAINE 2.5%-2.5% CREAM
- DERMACINRX LIDOCAN 5% PATCH
- COLD AND HOT 4%-1% PATCH