OpenBilldrug price receipt

NADAC week of 2026-10-14

LIDOCAINE ANORECTAL 5% CREAM

For 1 g

Pharmacies pay

$0.40 – $1.25 filed

1 × $0.39868 to $1.24873 per GM (the 4 NDCs differ)

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · 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

$5.46 – $6.44 estimated

NADAC for the pack + 15% + $5.00 fee per fill

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 ANORECTAL 5% CREAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lidocaine, under the trade name “Lidocaine Anorectal”.

FDA gives its dosage form as cream and its route as “rectal” and “topical”.

Its labelers, the companies named on the label, are Patrin Pharma, Inc and Nivagen Pharmaceuticals, Inc.

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

The NADAC file of 2026-10-14 prices it under 4 NDCs (National Drug Codes); the FDA directory lists 3 of them.

NADAC classes it as a generic drug (rate-setting class G), and marks it as sold over the counter.

What pharmacies pay

Pharmacies pay $0.40 – $1.25 for 1 g, depending on the NDC ($0.39868 to $1.24873 per GM), 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; 5, calculated based on package size.

All 4 NDCs

Other strengths, forms and brands

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

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
generic · patch
$1.99779 per EA filed
eff. 2026-09-23
$2.24885 per EA filed
Part D 2024 average
LIDOCAINE ANORECTAL 5% CREAM this page
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 4 NDCs’ NADAC prices is $0.39868 per GM filed.

Of the 9 other products in FDA’s Amide Local Anesthetic class priced per GM, 2 have a higher middle NADAC price and 6 a lower one; 1 has the same. The one in the middle is LIDOCAINE-PRILOCAINE 2.5%-2.5% CREAM, at $0.2317 per GM filed (eff. 2026-09-23).

Of the 9 other products in FDA’s Antiarrhythmic class priced per GM, 2 have a higher middle NADAC price and 6 a lower one; 1 has the same. The one in the middle is LIDOCAINE-PRILOCAINE 2.5%-2.5% CREAM, at $0.2317 per GM 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

We don’t know yet; the card above says why.

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 does this page start at 1 g?
The FDA package descriptions of this product’s NDCs give different amounts (15 g, 30 g). So the card starts at 1 GM; change it to match your prescription.