OpenBilldrug price receipt

NADAC week of 2026-10-14

LIDOCAINE 5% PATCH

For 1 patch

Pharmacies pay

$2.00 filed

1 × $1.99779 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

$2.25 filed

1 × $2.24885 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

1.1× estimated

Medicare paid 1.1× what pharmacies pay.

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

$7.30 estimated

$2.00 + $0.30 (15%) + $5.00 fee per fill = $7.30

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

LIDOCAINE 5% PATCH is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lidocaine.

FDA gives its dosage form as patch and its route as “topical” and “cutaneous”.

Its labelers, the companies named on the label, are Actavis Pharma, Inc., Par Health USA, LLC and Amneal Pharmaceuticals LLC.

FDA lists it under 2 Established Pharmacologic Classes: Amide Local Anesthetic and Antiarrhythmic.

The NADAC file of 2026-10-14 prices it under 10 NDCs (National Drug Codes); the FDA directory lists 4 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 $2.00 for 1 patch (1 × $1.99779 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 3 labelers

LabelerNDCsPharmacies pay per unit
Actavis Pharma, Inc.2$1.99779 per EA filed
Amneal Pharmaceuticals LLC1$1.99779 per EA filed
Par Health USA, LLC1$1.99779 per EA filed
Not listed as a package in the FDA directory6$1.99779 per EA filed
All 10 NDCs, with labeler and price
  • 00591-2679-11 · not listed as a package in the FDA directory · $1.99779 per EA · eff. 2026-09-23 filed
  • 00591-2679-30 · Actavis Pharma, Inc. · $1.99779 per EA · eff. 2026-09-23 filed
  • 00591-3525-11 · not listed as a package in the FDA directory · $1.99779 per EA · eff. 2026-09-23 filed
  • 00591-3525-30 · Actavis Pharma, Inc. · $1.99779 per EA · eff. 2026-09-23 filed
  • 00603-1880-10 · not listed as a package in the FDA directory · $1.99779 per EA · eff. 2026-09-23 filed
  • 00603-1880-16 · Par Health USA, LLC · $1.99779 per EA · eff. 2026-09-23 filed
  • 59088-0396-54 · not listed as a package in the FDA directory · $1.99779 per EA · eff. 2026-09-23 filed
  • 59088-0396-82 · not listed as a package in the FDA directory · $1.99779 per EA · eff. 2026-09-23 filed
  • 65162-0791-04 · not listed as a package in the FDA directory · $1.99779 per EA · eff. 2026-09-23 filed
  • 65162-0791-08 · Amneal Pharmaceuticals LLC · $1.99779 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

11 other products in the NADAC file share the FDA nonproprietary name lidocaine with LIDOCAINE 5% PATCH.

ProductPharmacies pay per unitMedicare per unit
BURN RELIEF 0.5% SPRAY
generic · aerosol, spray / spray
$0.02758 to $0.02802 per GM filed
eff. 2026-09-23
We don’t know yet
FT PAIN RELIEF(LIDO) 4% PATCH
generic · patch
$1.10004 per EA filed
eff. 2026-09-23
We don’t know yet
GNP LIDOCAINE PAIN RLF 4% PTCH
generic · patch
$1.10004 per EA filed
eff. 2026-09-23
We don’t know yet
HEMORRHOIDAL RELIEF 5% CREAM
generic · cream
$0.39868 per GM filed
eff. 2026-09-23
We don’t know yet
LIDOCAINE 4% CREAM
generic · cream
$0.42761 to $0.63452 per GM filed
eff. 2026-09-23
We don’t know yet
LIDOCAINE 5% OINTMENT
generic · ointment
$0.14563 to $0.16213 per GM filed
eff. 2026-09-23
We don’t know yet
LIDOCAINE 5% PATCH this page
generic · patch
$1.99779 per EA filed
eff. 2026-09-23
$2.24885 per EA filed
Part D 2024 average
LIDOCAINE ANORECTAL 5% CREAM
generic · cream
$0.39868 to $1.24873 per GM filed
eff. 2026-09-23
We don’t know yet
LIDOCAINE PAIN RELIEF 4% PATCH
generic · patch
$1.10004 per EA filed
eff. 2026-09-23
We don’t know yet
QC LIDOCAINE PAIN RLF 4% PATCH
generic · patch
$1.10004 per EA filed
eff. 2026-09-23
We don’t know yet
TRIDACAINE XL 5% PATCH
generic · patch
$1.99779 per EA filed
eff. 2026-09-23
We don’t know yet
ZTLIDO 1.8% TOPICAL SYSTEM
brand · patch
$12.30598 per EA filed
eff. 2026-09-23
$11.64255 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 $1.99779 per EA filed.

Of the 11 other products in FDA’s Amide Local Anesthetic class priced per EA, 1 has a higher middle NADAC price and 7 a lower one; 3 have the same. The one in the middle is LIDOCAINE PAIN RELIEF 4% PATCH, at $1.10004 per EA filed (eff. 2026-09-23).

Of the 43 other products in FDA’s Antiarrhythmic class priced per EA, 4 have a higher middle NADAC price and 36 a lower one; 3 have the same. The one in the middle is MEXILETINE 250 MG CAPSULE, at $0.38721 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 $2.25 for 1 patch, at an average of $2.24885 per EA in 2024 (2024-01-01 to 2024-12-31) for “Lidocaine”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,671,489 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

2 of the product’s 10 NDCs have this Medicare figure; the other 8 do not, and the interactive card says why for each.

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 LIDOCAINE 5% PATCH 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 Lidocaine / Lidocaine: 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.
Why does this page start at 1 patch?
NADAC prices this product per EA, and the FDA NDC Directory lists 4 of its 10 NDCs (it does not list the other 6) as dosage form “PATCH” with routes “CUTANEOUS”, “TOPICAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and none of these is one. So the card starts at 1 patch, priced per patch, rather than guess how many make up a fill; change it to match your prescription.