OpenBilldrug price receipt

NADAC week of 2026-10-14

MICARDIS HCT 40-12.5 MG TABLET

FDA nonproprietary name: telmisartan and hydrochlorothiazide

For 30 tablets

Pharmacies pay

$134.51 filed

30 × $4.48356 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

$132.68 filed

30 × $4.42264 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

0.99× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Micardis HCT” / “Telmisartan/Hydrochlorothiazid” 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

$159.69 estimated

$134.51 + $20.18 (15%) + $5.00 fee per fill = $159.69

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

MICARDIS HCT 40-12.5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as telmisartan and hydrochlorothiazide, under the trade name “Micardis HCT”.

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

The labeler, the company named on the label, is Boehringer Ingelheim Pharmaceuticals, Inc.

FDA lists it under 2 Established Pharmacologic Classes: Angiotensin 2 Receptor Blocker and Thiazide Diuretic.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00597-0043-37.

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 $134.51 for 30 tablets (30 × $4.48356 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: $0.3567 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

5 other products in the NADAC file share the FDA nonproprietary name telmisartan and hydrochlorothiazide with MICARDIS HCT 40-12.5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
MICARDIS HCT 40-12.5 MG TABLET this page
brand · tablet
$4.48356 per EA filed
eff. 2026-09-23
$4.42264 per EA filed
Part D 2024 average
MICARDIS HCT 80-12.5 MG TABLET
brand · tablet
$4.472 per EA filed
eff. 2026-09-23
$4.42264 per EA filed
Part D 2024 average
MICARDIS HCT 80-25 MG TABLET
brand · tablet
$4.4768 per EA filed
eff. 2026-01-21
$4.42264 per EA filed
Part D 2024 average
TELMISARTAN-HYDROCHLOROTHIAZIDE 40-12.5 MG TB
generic · tablet
$0.3567 per EA filed
eff. 2026-09-23
We don’t know yet
TELMISARTAN-HYDROCHLOROTHIAZIDE 80-12.5 MG TB
generic · tablet
$0.31445 per EA filed
eff. 2026-09-23
We don’t know yet
TELMISARTAN-HYDROCHLOROTHIAZIDE 80-25 MG TAB
generic · tablet
$0.33828 per EA filed
eff. 2026-09-23
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. 2026-01-21, 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 $4.48356 per EA filed.

Of the 107 other products in FDA’s Angiotensin 2 Receptor Blocker class priced per EA, 44 have a higher middle NADAC price and 63 a lower one. The one in the middle is CANDESARTAN-HYDROCHLOROTHIAZIDE 32-25 MG TAB, at $1.07781 per EA filed (eff. 2026-09-23).

Of the 68 other products in FDA’s Thiazide Diuretic class priced per EA, 15 have a higher middle NADAC price and 53 a lower one. The one in the middle is TELMISARTAN-HYDROCHLOROTHIAZIDE 40-12.5 MG TB, at $0.3567 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 $132.68 for 30 tablets, at an average of $4.42264 per EA in 2024 (2024-01-01 to 2024-12-31) for “Micardis HCT” and “Telmisartan/Hydrochlorothiazid”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 2,874 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 MICARDIS HCT 40-12.5 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 Micardis HCT / Telmisartan/Hydrochlorothiazid: 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.