OpenBilldrug price receipt

NADAC week of 2026-10-14

LOMOTIL 2.5-0.025 MG TABLET

FDA nonproprietary name: diphenoxylate hydrochloride and atropine sulfate

For 30 tablets

Pharmacies pay

$89.73 filed

30 × $2.99096 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

$84.80 filed

30 × $2.82671 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

0.95× estimated

Medicare paid 5% less than pharmacies pay.

Part D averages every strength and form sold under “Lomotil” / “Diphenoxylate HCl/Atropine” 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

$108.19 estimated

$89.73 + $13.46 (15%) + $5.00 fee per fill = $108.19

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

LOMOTIL 2.5-0.025 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as diphenoxylate hydrochloride and atropine sulfate, under the trade name “Lomotil”.

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

The labeler, the company named on the label, is Pfizer Laboratories Div Pfizer Inc.

FDA lists it under 3 Established Pharmacologic Classes: Anticholinergic, Antidiarrheal and Cholinergic Muscarinic Antagonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00025-0061-31.

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 $89.73 for 30 tablets (30 × $2.99096 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.13885 per EA filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

The NDC

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name diphenoxylate hydrochloride and atropine sulfate with LOMOTIL 2.5-0.025 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABLET
generic · tablet
$0.13885 per EA filed
eff. 2026-09-23
$0.26154 per EA filed
Part D 2024 average
LOMOTIL 2.5-0.025 MG TABLET this page
brand · tablet
$2.99096 per EA filed
eff. 2026-09-23
$2.82671 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 $2.99096 per EA filed.

Of the 23 other products in FDA’s Anticholinergic class priced per EA, 12 have a higher middle NADAC price and 11 a lower one. The one in the middle is SCOPOLAMINE 1 MG/3 DAY PATCH, at $4.33565 per EA filed (eff. 2026-09-23).

Of the 25 other products in FDA’s Cholinergic Muscarinic Antagonist class priced per EA, 5 have a higher middle NADAC price and 20 a lower one. The one in the middle is TOLTERODINE TARTRATE 2 MG TAB, at $0.26393 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 $84.80 for 30 tablets, at an average of $2.82671 per EA in 2024 (2024-01-01 to 2024-12-31) for “Lomotil” and “Diphenoxylate HCl/Atropine”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 773 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 LOMOTIL 2.5-0.025 MG 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 Lomotil / Diphenoxylate HCl/Atropine: 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 brand name.