MIRVASO 0.33% GEL PUMP
FDA nonproprietary name: brimonidine tartrate
For 30 g
Pharmacies pay
$643.98 filed
30 × $21.46607 per GM
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-08-19 · as of 2026-10-14 · retrieved 2026-10-17
Medicare Part D paid
$617.44 filed
30 × $20.58117 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
0.96× estimated
Medicare paid about what pharmacies pay.
Part D averages every strength and form sold under “Mirvaso” / “Brimonidine Tartrate” 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. 2026-08-19 (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
$745.58 estimated
$643.98 + $96.60 (15%) + $5.00 fee per fill = $745.58
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. 2026-08-19 (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
MIRVASO 0.33% GEL PUMP is how the CMS NADAC file names this product. The FDA NDC Directory lists it as brimonidine tartrate, under the trade name “Mirvaso”.
FDA gives its dosage form as gel and its route as topical.
The labeler, the company named on the label, is Galderma Laboratories, L.P.
FDA’s Established Pharmacologic Class for it is alpha-Adrenergic Agonist.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00299-5980-35.
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 $643.98 for 30 g (30 × $21.46607 per GM, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-08-19. 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.
This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-08-19. The file is new; the price is not.
NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $13.92613 per GM filed.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
What NADAC measures · NADAC explanation codes · Carried-forward prices
The NDC
- 00299-5980-35 · Galderma Laboratories, L.P. · $21.46607 per GM · eff. 2026-08-19 filed carried forward
Other strengths, forms and brands
6 other products in the NADAC file share the FDA nonproprietary name brimonidine tartrate with MIRVASO 0.33% GEL PUMP.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| ALPHAGAN P 0.1% DROPS | $37.25406 to $37.35499 per ML filed | $37.44191 per ML filed |
| ALPHAGAN P 0.15% EYE DROPS | $39.74875 to $39.84933 per ML filed | $37.44191 per ML filed |
| BRIMONIDINE 0.2% EYE DROP | $0.50116 to $0.85299 per ML filed | $3.90369 per ML filed |
| BRIMONIDINE TARTRATE 0.1% DROP | $6.5539 to $10.51982 per ML filed | $3.90369 per ML filed |
| BRIMONIDINE TARTRATE 0.15% DRP | $9.74729 to $11.65198 per ML filed | $3.90369 per ML filed |
| LUMIFY 0.025% EYE DROP | $1.99701 to $3.42973 per ML filed | We don’t know yet |
| MIRVASO 0.33% GEL PUMP this page | $21.46607 per GM filed | $20.58117 per GM filed |
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. 2026-08-19, 2026-09-23, 2026-09-30 · 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
What Medicare paid
Medicare Part D paid $617.44 for 30 g, at an average of $20.58117 per GM in 2024 (2024-01-01 to 2024-12-31) for “Mirvaso” and “Brimonidine Tartrate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 586 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 Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out
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.
- What is your cash price for 30 g? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 30 g; your package may hold a different amount.
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for MIRVASO 0.33% GEL PUMP 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 Mirvaso / Brimonidine Tartrate: 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 30 g?
- NADAC prices this product per GM. The FDA NDC Directory’s package description gives 30 g in one package for this product’s NDC (“1 BOTTLE, PUMP in 1 CARTON (0299-5980-35) / 30 g in 1 BOTTLE, PUMP”), so the card starts at one package: 30 GM. Change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- MIDODRINE HCL 10 MG TABLET
- EPINEPHRINE 0.15 MG AUTO-INJCT
- BRIMONIDINE-TIMOLOL 0.2%-0.5%
- COMBIGAN 0.2%-0.5% EYE DROPS
- SIMBRINZA 1%-0.2% EYE DROP