OpenBilldrug price receipt

NADAC week of 2026-10-14

MIDODRINE HCL 2.5 MG TABLET

For 30 tablets

Pharmacies pay

$2.21 filed

30 × $0.07366 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23, 2026-09-30, 2026-10-07 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$18.62 filed

30 × $0.62053 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

8.4× estimated

Medicare paid 8.4× what pharmacies pay.

Part D averages every strength and form sold under “Midodrine 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, 2026-09-30, 2026-10-07 (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

$7.54 estimated

$2.21 + $0.33 (15%) + $5.00 fee per fill = $7.54

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, 2026-10-07 (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

MIDODRINE HCL 2.5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as midodrine hydrochloride.

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

FDA lists 19 labelers (the companies named on the label) for its NDCs, among them Upsher-Smith laboratories, LLC, Mylan Pharmaceuticals Inc. and Major Pharmaceuticals.

FDA’s Established Pharmacologic Class for it is alpha-Adrenergic Agonist.

The NADAC file of 2026-10-14 prices it under 24 NDCs (National Drug Codes); the FDA directory lists 21 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 $2.21 for 30 tablets (30 × $0.07366 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; those prices took effect between 2026-09-23 and 2026-10-07. 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 19 labelers

LabelerNDCsPharmacies pay per unit
Major Pharmaceuticals2$0.07366 per EA filed
NorthStar RxLLC2$0.07366 per EA filed
Advagen Pharma Limited1$0.07366 per EA filed
Alembic Pharmaceuticals Inc.1$0.07366 per EA filed
American Health Packaging1$0.07366 per EA filed
Apotex Corp1$0.07366 per EA filed
Aurobindo Pharma Limited1$0.07366 per EA filed
AvPAK1$0.07366 per EA filed
Avet Pharmaceuticals Inc.1$0.07366 per EA filed
Lifestar Pharma LLC1$0.07366 per EA filed
Mylan Pharmaceuticals Inc.1$0.07366 per EA filed
NorthStar Rx LLC1$0.07366 per EA filed
Novugen Pharma (USA) LLC1$0.07366 per EA filed
Par Health USA, LLC1$0.07366 per EA filed
Rising Pharma Holdings, Inc.1$0.07366 per EA filed
TruPharma, LLC1$0.07366 per EA filed
Upsher-Smith laboratories, LLC1$0.07366 per EA filed
Xiromed, LLC1$0.07366 per EA filed
Zydus Pharmaceuticals (USA) Inc.1$0.07366 per EA filed
Not listed as a package in the FDA directory3$0.07366 per EA filed

When these prices took effect

All 24 NDCs, with labeler and price
  • 00245-0211-11 · Upsher-Smith laboratories, LLC · $0.07366 per EA · eff. 2026-09-23 filed
  • 00378-1901-01 · Mylan Pharmaceuticals Inc. · $0.07366 per EA · eff. 2026-09-23 filed
  • 00904-6817-06 · Major Pharmaceuticals · $0.07366 per EA · eff. 2026-09-23 filed
  • 00904-6817-61 · Major Pharmaceuticals · $0.07366 per EA · eff. 2026-09-23 filed
  • 23155-0969-01 · Avet Pharmaceuticals Inc. · $0.07366 per EA · eff. 2026-10-07 filed
  • 49884-0814-01 · Par Health USA, LLC · $0.07366 per EA · eff. 2026-09-23 filed
  • 50268-0561-11 · not listed as a package in the FDA directory · $0.07366 per EA · eff. 2026-09-23 filed
  • 50268-0561-15 · AvPAK · $0.07366 per EA · eff. 2026-09-23 filed
  • 52817-0323-10 · TruPharma, LLC · $0.07366 per EA · eff. 2026-09-23 filed
  • 59651-0246-01 · Aurobindo Pharma Limited · $0.07366 per EA · eff. 2026-09-23 filed
  • 60505-1320-01 · Apotex Corp · $0.07366 per EA · eff. 2026-09-23 filed
  • 60687-0387-01 · American Health Packaging · $0.07366 per EA · eff. 2026-09-23 filed
  • 60687-0387-11 · not listed as a package in the FDA directory · $0.07366 per EA · eff. 2026-09-23 filed
  • 62332-0338-31 · Alembic Pharmaceuticals Inc. · $0.07366 per EA · eff. 2026-09-23 filed
  • 64980-0433-01 · Rising Pharma Holdings, Inc. · $0.07366 per EA · eff. 2026-09-23 filed
  • 68382-0737-01 · Zydus Pharmaceuticals (USA) Inc. · $0.07366 per EA · eff. 2026-09-23 filed
  • 70700-0157-01 · Xiromed, LLC · $0.07366 per EA · eff. 2026-09-23 filed
  • 70756-0010-11 · Lifestar Pharma LLC · $0.07366 per EA · eff. 2026-09-23 filed
  • 72603-0605-01 · NorthStar Rx LLC · $0.07366 per EA · eff. 2026-09-23 filed
  • 72603-0906-01 · not listed as a package in the FDA directory · $0.07366 per EA · eff. 2026-09-30 filed
  • 72603-0906-05 · NorthStar RxLLC · $0.07366 per EA · eff. 2026-09-30 filed
  • 72603-0906-10 · NorthStar RxLLC · $0.07366 per EA · eff. 2026-09-30 filed
  • 72888-0112-01 · Advagen Pharma Limited · $0.07366 per EA · eff. 2026-09-23 filed
  • 82293-0003-10 · Novugen Pharma (USA) LLC · $0.07366 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name midodrine hydrochloride with MIDODRINE HCL 2.5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
MIDODRINE HCL 2.5 MG TABLET this page
generic · tablet
$0.07366 per EA filed
eff. 2026-09-23 to 2026-10-07
$0.62053 per EA filed
Part D 2024 average
MIDODRINE HCL 5 MG TABLET
generic · tablet
$0.11131 per EA filed
eff. 2026-09-23 to 2026-10-07
$0.62053 per EA filed
Part D 2024 average
MIDODRINE HCL 10 MG TABLET
generic · tablet
$0.15125 per EA filed
eff. 2026-09-23 to 2026-10-07
$0.62053 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, 2026-09-30, 2026-10-07 · 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 24 NDCs’ NADAC prices is $0.07366 per EA filed.

Of the 59 other products in FDA’s alpha-Adrenergic Agonist class priced per EA, 59 have a higher middle NADAC price and 0 a lower one. The one in the middle is GNP FEXOFENADINE-PSE ER 60-120, at $0.48321 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 $18.62 for 30 tablets, at an average of $0.62053 per EA in 2024 (2024-01-01 to 2024-12-31) for “Midodrine HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,625,675 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 MIDODRINE HCL 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 Midodrine HCl / Midodrine 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.