OpenBilldrug price receipt

NADAC week of 2026-10-14

MEXILETINE 250 MG CAPSULE

For 30 capsules

Pharmacies pay

$11.62 filed

30 × $0.38721 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

$21.46 filed

30 × $0.7153 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

1.8× estimated

Medicare paid 1.8× what pharmacies pay.

Part D averages every strength and form sold under “Mexiletine HCl” 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

$18.36 estimated

$11.62 + $1.74 (15%) + $5.00 fee per fill = $18.36

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

MEXILETINE 250 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as mexiletine hydrochloride.

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

FDA lists 7 labelers (the companies named on the label) for its NDCs, among them Teva Pharmaceuticals USA, Inc., Camber Pharmaceuticals, Inc. and Ingenus Pharmaceuticals, LLC.

FDA’s Established Pharmacologic Class for it is Antiarrhythmic.

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 $11.62 for 30 capsules (30 × $0.38721 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 7 labelers

LabelerNDCsPharmacies pay per unit
ANI Pharmaceuticals, Inc.1$0.38721 per EA filed
Camber Pharmaceuticals, Inc.1$0.38721 per EA filed
Chartwell RX, LLC1$0.38721 per EA filed
Ingenus Pharmaceuticals, LLC1$0.38721 per EA filed
Rising Pharma Holdings, Inc.1$0.38721 per EA filed
Sun Pharmaceutical Industries, Inc.1$0.38721 per EA filed
Teva Pharmaceuticals USA, Inc.1$0.38721 per EA filed
Not listed as a package in the FDA directory1$0.38721 per EA filed
All 8 NDCs, with labeler and price
  • 00093-8741-01 · Teva Pharmaceuticals USA, Inc. · $0.38721 per EA · eff. 2026-09-23 filed
  • 00527-4109-37 · not listed as a package in the FDA directory · $0.38721 per EA · eff. 2026-09-23 filed
  • 31722-0038-01 · Camber Pharmaceuticals, Inc. · $0.38721 per EA · eff. 2026-09-23 filed
  • 50742-0241-01 · Ingenus Pharmaceuticals, LLC · $0.38721 per EA · eff. 2026-09-23 filed
  • 62135-0785-90 · Chartwell RX, LLC · $0.38721 per EA · eff. 2026-09-23 filed
  • 62559-0822-01 · ANI Pharmaceuticals, Inc. · $0.38721 per EA · eff. 2026-09-23 filed
  • 62756-0957-01 · Sun Pharmaceutical Industries, Inc. · $0.38721 per EA · eff. 2026-09-23 filed
  • 64980-0668-01 · Rising Pharma Holdings, Inc. · $0.38721 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name mexiletine hydrochloride with MEXILETINE 250 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
MEXILETINE 150 MG CAPSULE
generic · capsule
$0.22248 per EA filed
eff. 2026-09-23
$0.7153 per EA filed
Part D 2024 average
MEXILETINE 200 MG CAPSULE
generic · capsule
$0.25737 per EA filed
eff. 2026-09-23
$0.7153 per EA filed
Part D 2024 average
MEXILETINE 250 MG CAPSULE this page
generic · capsule
$0.38721 per EA filed
eff. 2026-09-23
$0.7153 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 8 NDCs’ NADAC prices is $0.38721 per EA filed.

Of the 43 other products in FDA’s Antiarrhythmic class priced per EA, 22 have a higher middle NADAC price and 21 a lower one. The one in the middle is PROPAFENONE HCL 300 MG TAB, at $0.38802 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 $21.46 for 30 capsules, at an average of $0.7153 per EA in 2024 (2024-01-01 to 2024-12-31) for “Mexiletine HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 93,443 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 MEXILETINE 250 MG CAPSULE 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 Mexiletine HCl / Mexiletine HCl: 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.