OpenBilldrug price receipt

NADAC week of 2026-10-14

METOLAZONE 2.5 MG TABLET

For 30 tablets

Pharmacies pay

$6.98 filed

30 × $0.23282 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

$20.65 filed

30 × $0.68817 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

3.0× estimated

Medicare paid 3.0× what pharmacies pay.

Part D averages every strength and form sold under “Metolazone” 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

$13.03 estimated

$6.98 + $1.05 (15%) + $5.00 fee per fill = $13.03

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

METOLAZONE 2.5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as metolazone.

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

FDA lists 11 labelers (the companies named on the label) for its NDCs, among them Sandoz Inc, Mylan Pharmaceuticals Inc. and Major Pharmaceuticals.

FDA’s Established Pharmacologic Class for it is Thiazide-like Diuretic.

The NADAC file of 2026-10-14 prices it under 15 NDCs (National Drug Codes); the FDA directory lists 12 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 $6.98 for 30 tablets (30 × $0.23282 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 11 labelers

LabelerNDCsPharmacies pay per unit
Method Pharmaceuticals, LLC2$0.23282 per EA filed
Advagen Pharma Limited1$0.23282 per EA filed
Alembic Pharmaceuticals Inc.1$0.23282 per EA filed
American Health Packaging1$0.23282 per EA filed
Amici Pharma, Inc1$0.23282 per EA filed
Ingenus Pharmaceuticals LLC1$0.23282 per EA filed
Major Pharmaceuticals1$0.23282 per EA filed
Mylan Institutional Inc.1$0.23282 per EA filed
Mylan Pharmaceuticals Inc.1$0.23282 per EA filed
Sandoz Inc1$0.23282 per EA filed
Unichem Pharmaceuticals (USA), Inc.1$0.23282 per EA filed
Not listed as a package in the FDA directory3$0.23282 per EA filed
All 15 NDCs, with labeler and price
  • 00185-5050-01 · Sandoz Inc · $0.23282 per EA · eff. 2026-09-23 filed
  • 00378-6172-01 · Mylan Pharmaceuticals Inc. · $0.23282 per EA · eff. 2026-09-23 filed
  • 00904-7520-61 · Major Pharmaceuticals · $0.23282 per EA · eff. 2026-09-23 filed
  • 50742-0349-01 · Ingenus Pharmaceuticals LLC · $0.23282 per EA · eff. 2026-09-23 filed
  • 51079-0023-01 · not listed as a package in the FDA directory · $0.23282 per EA · eff. 2026-09-23 filed
  • 51079-0023-20 · Mylan Institutional Inc. · $0.23282 per EA · eff. 2026-09-23 filed
  • 58657-0740-01 · Method Pharmaceuticals, LLC · $0.23282 per EA · eff. 2026-09-23 filed
  • 58657-0940-01 · Method Pharmaceuticals, LLC · $0.23282 per EA · eff. 2026-09-23 filed
  • 58657-0940-10 · not listed as a package in the FDA directory · $0.23282 per EA · eff. 2026-09-23 filed
  • 60687-0624-01 · American Health Packaging · $0.23282 per EA · eff. 2026-09-23 filed
  • 60687-0624-11 · not listed as a package in the FDA directory · $0.23282 per EA · eff. 2026-09-23 filed
  • 62332-0532-31 · Alembic Pharmaceuticals Inc. · $0.23282 per EA · eff. 2026-09-23 filed
  • 69292-0562-01 · Amici Pharma, Inc · $0.23282 per EA · eff. 2026-09-23 filed
  • 72888-0052-01 · Advagen Pharma Limited · $0.23282 per EA · eff. 2026-09-23 filed
  • 76385-0136-01 · Unichem Pharmaceuticals (USA), Inc. · $0.23282 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name metolazone with METOLAZONE 2.5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
METOLAZONE 2.5 MG TABLET this page
generic · tablet
$0.23282 per EA filed
eff. 2026-09-23
$0.68817 per EA filed
Part D 2024 average
METOLAZONE 5 MG TABLET
generic · tablet
$0.23919 per EA filed
eff. 2026-09-23
$0.68817 per EA filed
Part D 2024 average
METOLAZONE 10 MG TABLET
generic · tablet
$0.38134 per EA filed
eff. 2026-09-23
$0.68817 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

The middle of its 15 NDCs’ NADAC prices is $0.23282 per EA filed.

Of the 12 other products in FDA’s Thiazide-like Diuretic class priced per EA, 7 have a higher middle NADAC price and 5 a lower one. The one in the middle is METOLAZONE 5 MG TABLET, at $0.23919 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 $20.65 for 30 tablets, at an average of $0.68817 per EA in 2024 (2024-01-01 to 2024-12-31) for “Metolazone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 646,377 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 METOLAZONE 2.5 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 Metolazone / Metolazone: 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.