OpenBilldrug price receipt

NADAC week of 2026-10-14

MICONAZOLE-ZINC-PETRO 0.25-15%

For 50 g

Pharmacies pay

$456.04 filed

50 × $9.12072 per GM

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-21 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$554.76 filed

50 × $11.0951 per GM, 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

1.2× estimated

Medicare paid 1.2× what pharmacies pay.

Part D averages every strength and form sold under “Vusion” / “Miconazole Nitrate/Zinc Ox/Pet” 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. 2026-01-21 (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

$529.45 estimated

$456.04 + $68.41 (15%) + $5.00 fee per fill = $529.45

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. 2026-01-21 (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

MICONAZOLE-ZINC-PETRO 0.25-15% is how the CMS NADAC file names this product. The FDA NDC Directory lists it as miconazole nitrate, zinc oxide, white petrolatum, under the trade name “VUSION”.

FDA gives its dosage form as ointment and its route as topical.

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

FDA’s Established Pharmacologic Class for it is Azole Antifungal.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00378-8222-50.

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 $456.04 for 50 g (50 × $9.12072 per GM, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-21. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-01-21. The file is new; the price is not.

The NDC

Compared with its class

Its NADAC price is $9.12072 per GM filed.

Of the 36 other products in FDA’s Azole Antifungal class priced per GM, 1 has a higher middle NADAC price and 35 a lower one. The one in the middle is FT ANTIFUNGAL 2% TOPICAL CREAM, at $0.12071 per GM 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. 2026-01-21, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $554.76 for 50 g, at an average of $11.0951 per GM in 2024 (2024-01-01 to 2024-12-31) for “Vusion” and “Miconazole Nitrate/Zinc Ox/Pet”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 52 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 MICONAZOLE-ZINC-PETRO 0.25-15% 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 Vusion / Miconazole Nitrate/Zinc Ox/Pet: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on brand name.
Why does this page start at 50 g?
NADAC prices this product per GM. The FDA NDC Directory’s package description gives 50 g in one package for this product’s NDC (“1 TUBE in 1 CARTON (0378-8222-50) / 50 g in 1 TUBE”), so the card starts at one package: 50 GM. Change it to match your prescription.