OpenBilldrug price receipt

NADAC week of 2026-10-14

LIOMNY 25 MCG TABLET

FDA nonproprietary name: liothyronine sodium

For 30 tablets

Pharmacies pay

$8.82 filed

30 × $0.29408 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

$12.59 filed

30 × $0.41962 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

1.4× estimated

Medicare paid 1.4× what pharmacies pay.

Part D averages every strength and form sold under “Liothyronine Sodium*” / “Liothyronine Sodium” 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

$15.14 estimated

$8.82 + $1.32 (15%) + $5.00 fee per fill = $15.14

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

LIOMNY 25 MCG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as liothyronine sodium, under the trade name “Liomny”.

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

The labeler, the company named on the label, is SIGMAPHARM LABORATORIES, LLC.

FDA’s Established Pharmacologic Class for it is l-Triiodothyronine.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 42794-0132-12.

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 $8.82 for 30 tablets (30 × $0.29408 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 code for it: 1, calculated from the most recently completed pharmacy survey.

The NDC

Other strengths, forms and brands

7 other products in the NADAC file share the FDA nonproprietary name liothyronine sodium with LIOMNY 25 MCG TABLET.

ProductPharmacies pay per unitMedicare per unit
CYTOMEL 5 MCG TABLET
brand · tablet
$0.3857 per EA filed
eff. 2026-09-23
$0.40006 per EA filed
Part D 2024 average
CYTOMEL 25 MCG TABLET
brand · tablet
$0.53303 per EA filed
eff. 2026-09-23
$0.40006 per EA filed
Part D 2024 average
LIOMNY 5 MCG TABLET
generic · tablet
$0.2023 per EA filed
eff. 2026-09-23
$0.41962 per EA filed
Part D 2024 average
LIOMNY 25 MCG TABLET this page
generic · tablet
$0.29408 per EA filed
eff. 2026-09-23
$0.41962 per EA filed
Part D 2024 average
LIOMNY 50 MCG TABLET
generic · tablet
$0.36222 per EA filed
eff. 2026-09-23
$0.41962 per EA filed
Part D 2024 average
LIOTHYRONINE SOD 5 MCG TAB
generic · tablet
$0.2023 per EA filed
eff. 2026-09-23
$0.41962 per EA filed
Part D 2024 average
LIOTHYRONINE SOD 25 MCG TAB
generic · tablet
$0.29408 per EA filed
eff. 2026-09-23
$0.41962 per EA filed
Part D 2024 average
LIOTHYRONINE SOD 50 MCG TAB
generic · tablet
$0.36222 per EA filed
eff. 2026-09-23
$0.41962 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

Its NADAC price is $0.29408 per EA filed.

Of the 17 other products in FDA’s l-Triiodothyronine class priced per EA, 14 have a higher middle NADAC price and 2 a lower one; 1 has the same. The one in the middle is CYTOMEL 25 MCG TABLET, at $0.53303 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 $12.59 for 30 tablets, at an average of $0.41962 per EA in 2024 (2024-01-01 to 2024-12-31) for “Liothyronine Sodium*” and “Liothyronine Sodium”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 748,503 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 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 LIOMNY 25 MCG TABLET 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 Liothyronine Sodium* / Liothyronine Sodium: 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. *: CMS says this average reflects multiple routes of administration, which may have different unit prices. All 32 NADAC NDCs the name join matched to it have an FDA route including ORAL.