LITHIUM CARBONATE ER 300 MG TB
For 30 tablets
Pharmacies pay
$5.89 filed
30 × $0.1963 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
$6.56 filed
30 × $0.2185 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 “Lithium Carbonate ER” / “Lithium Carbonate” 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
$11.77 estimated
$5.89 + $0.88 (15%) + $5.00 fee per fill = $11.77
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
LITHIUM CARBONATE ER 300 MG TB is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lithium carbonate.
FDA gives its dosage form as “tablet, extended release” and “tablet, film coated, extended release” and its route as oral.
FDA lists 5 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. and Rising Pharma Holdings, Inc.
FDA’s Established Pharmacologic Class for it is Mood Stabilizer.
The NADAC file of 2026-10-14 prices it under 8 NDCs (National Drug Codes); the FDA directory lists 7 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 $5.89 for 30 tablets (30 × $0.1963 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.
What NADAC measures · Why 30 tablets · NADAC explanation codes
The 5 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| Hikma Pharmaceuticals USA Inc. | 2 | $0.1963 per EA filed |
| Rising Pharma Holdings, Inc. | 2 | $0.1963 per EA filed |
| American Health Packaging | 1 | $0.1963 per EA filed |
| Glenmark Pharmaceuticals Inc., USA | 1 | $0.1963 per EA filed |
| Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. | 1 | $0.1963 per EA filed |
| Not listed as a package in the FDA directory | 1 | $0.1963 per EA filed |
All 8 NDCs, with labeler and price
- 00054-0021-25 · Hikma Pharmaceuticals USA Inc. · $0.1963 per EA · eff. 2026-09-23 filed
- 00054-0021-29 · Hikma Pharmaceuticals USA Inc. · $0.1963 per EA · eff. 2026-09-23 filed
- 23155-0763-01 · Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. · $0.1963 per EA · eff. 2026-09-23 filed
- 64980-0205-01 · Rising Pharma Holdings, Inc. · $0.1963 per EA · eff. 2026-09-23 filed
- 64980-0205-05 · Rising Pharma Holdings, Inc. · $0.1963 per EA · eff. 2026-09-23 filed
- 68084-0640-01 · American Health Packaging · $0.1963 per EA · eff. 2026-09-23 filed
- 68084-0640-11 · not listed as a package in the FDA directory · $0.1963 per EA · eff. 2026-09-23 filed
- 68462-0223-01 · Glenmark Pharmaceuticals Inc., USA · $0.1963 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
6 other products in the NADAC file share the FDA nonproprietary name lithium carbonate with LITHIUM CARBONATE ER 300 MG TB.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| LITHIUM CARBONATE 150 MG CAP | $0.09634 per EA filed | $0.13711 per EA filed |
| LITHIUM CARBONATE 300 MG CAP | $0.10387 per EA filed | $0.13711 per EA filed |
| LITHIUM CARBONATE 300 MG TAB | $0.19092 per EA filed | $0.13711 per EA filed |
| LITHIUM CARBONATE 600 MG CAP | $0.24258 per EA filed | $0.13711 per EA filed |
| LITHIUM CARBONATE ER 300 MG TB this page | $0.1963 per EA filed | $0.2185 per EA filed |
| LITHIUM CARBONATE ER 450 MG TB | $0.25902 per EA filed | $0.2185 per EA filed |
| LITHOBID ER 300 MG TABLET | $12.01942 per EA filed | We don’t know yet |
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 8 NDCs’ NADAC prices is $0.1963 per EA filed.
Of the 72 other products in FDA’s Mood Stabilizer class priced per EA, 53 have a higher middle NADAC price and 19 a lower one. The one in the middle is LAMOTRIGINE ODT 50 MG TABLET, at $1.27096 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 $6.56 for 30 tablets, at an average of $0.2185 per EA in 2024 (2024-01-01 to 2024-12-31) for “Lithium Carbonate ER” and “Lithium Carbonate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 414,576 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 Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out
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 30 tablets? Is it lower than what I would pay through my insurance?
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for LITHIUM CARBONATE ER 300 MG TB 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 Lithium Carbonate ER / Lithium Carbonate: 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.
Related pages
Its pharmacologic class
Related in the same class
- DIVALPROEX SOD ER 250 MG TAB
- CARBAMAZEPINE ER 100 MG TABLET
- LAMOTRIGINE ER 100 MG TABLET
- LITHIUM 8 MEQ/5 ML SOLUTION
- VALPROIC ACID 250 MG CAPSULE