OpenBilldrug price receipt

NADAC week of 2026-10-14

LIKMEZ 500 MG/5 ML SUSPENSION

FDA nonproprietary name: metronidazole oral

For 1 mL

Pharmacies pay

$2.60 – $2.61 filed

1 × $2.60124 to $2.60822 per ML (the 2 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

$7.99 – $8.00 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

LIKMEZ 500 MG/5 ML SUSPENSION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as metronidazole oral, under the trade name “LIKMEZ”.

FDA gives its dosage form as suspension and its route as oral.

The labeler, the company named on the label, is Saptalis Pharmaceuticals, LLC.

FDA’s Established Pharmacologic Class for it is Nitroimidazole Antimicrobial.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

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 $2.60 – $2.61 for 1 mL, depending on the NDC ($2.60124 to $2.60822 per ML), 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 2 NDCs

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 mL?
The FDA package descriptions of this product’s NDCs give different amounts (75 mL, 200 mL). So the card starts at 1 ML; change it to match your prescription.