OpenBilldrug price receipt

NADAC week of 2026-10-14

M-NATAL PLUS TABLET

FDA nonproprietary name: vitamin a, vitamin c, vitamin d, vitamin e, thiamine, riboflavin, niacin, vitamin b6, folic acid, vitamin b12, calcium, iron, zinc, copper

For 30 tablets

Pharmacies pay

$3.38 filed

30 × $0.11256 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

$5.35 filed

30 × $0.17825 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

1.6× estimated

Medicare paid 1.6× what pharmacies pay.

Part D averages every strength and form sold under “M-Natal Plus” / “PNV,Calcium 72/Iron/Folic Acid” 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

$8.89 estimated

$3.38 + $0.51 (15%) + $5.00 fee per fill = $8.89

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

M-NATAL PLUS TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as vitamin a, vitamin c, vitamin d, vitamin e, thiamine, riboflavin, niacin, vitamin b6, folic acid, vitamin b12, calcium, iron, zinc, copper, under the trade name “M-Natal Plus”.

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

The labeler, the company named on the label, is METHOD PHARMACEUTICALS, LLC.

FDA lists it under 8 Established Pharmacologic Classes: Calcium, Copper-containing Intrauterine Device, Nicotinic Acid, Vitamin A, Vitamin B12, Vitamin B6 Analog, Vitamin C and Vitamin D.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 58657-0170-01.

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 $3.38 for 30 tablets (30 × $0.11256 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

Compared with its class

Its NADAC price is $0.11256 per EA filed.

Of the 10 other products in FDA’s Nicotinic Acid class priced per EA, 7 have a higher middle NADAC price and 3 a lower one. The one in the middle is NIACIN ER 750 MG TABLET, at $0.28483 per EA filed (eff. 2026-09-23).

Of the 8 other products in FDA’s Vitamin A class priced per EA, 3 have a higher middle NADAC price and 4 a lower one; 1 has the same. The one in the middle is MULTIVIT-FLUOR 0.5 MG TAB CHEW, at $0.10654 per EA filed (eff. 2026-09-23).

Of the 20 other products in FDA’s Vitamin B12 class priced per EA, 15 have a higher middle NADAC price and 4 a lower one; 1 has the same. The one in the middle is PNV-SELECT TABLET, at $1.90621 per EA filed (eff. 2026-09-23).

Of the 25 other products in FDA’s Vitamin B6 Analog class priced per EA, 20 have a higher middle NADAC price and 4 a lower one; 1 has the same. The one in the middle is CONCEPT DHA CAPSULE, at $1.161 per EA filed (eff. 2026-10-01).

Of the 25 other products in FDA’s Vitamin C class priced per EA, 20 have a higher middle NADAC price and 4 a lower one; 1 has the same. The one in the middle is CONCEPT DHA CAPSULE, at $1.161 per EA filed (eff. 2026-10-01).

Of the 16 other products in FDA’s Vitamin D class priced per EA, 14 have a higher middle NADAC price and 1 a lower one; 1 has the same. The one in the middle is PRENATE ENHANCE SOFTGEL, at $3.87642 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, 2026-10-01 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $5.35 for 30 tablets, at an average of $0.17825 per EA in 2024 (2024-01-01 to 2024-12-31) for “M-Natal Plus” and “PNV,Calcium 72/Iron/Folic Acid”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 21,359 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 M-NATAL PLUS 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 M-Natal Plus / PNV,Calcium 72/Iron/Folic Acid: 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.