MONTELUKAST SOD 4 MG GRANULES
For 1 unit (EA)
Pharmacies pay
$0.81 filed
1 × $0.81256 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
$0.17 filed
1 × $0.16779 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
0.21× estimated
Medicare paid 79% less than pharmacies pay.
Part D averages every strength and form sold under “Montelukast Sodium” 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
$5.93 estimated
$0.81 + $0.12 (15%) + $5.00 fee per fill = $5.93
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 (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
MONTELUKAST SOD 4 MG GRANULES is how the CMS NADAC file names this product. The FDA NDC Directory lists it as montelukast sodium.
FDA gives its dosage form as granule and its route as oral.
Its labelers, the companies named on the label, are Torrent Pharmaceuticals Limited, Ajanta Pharma USA Inc. and Aurobindo Pharma Limited.
FDA’s Established Pharmacologic Class for it is Leukotriene Receptor Antagonist.
The NADAC file of 2026-10-14 prices it under 6 NDCs (National Drug Codes); the FDA directory lists 3 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 $0.81 for 1 unit (EA) (1 × $0.81256 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.
What NADAC measures · NADAC explanation codes
All 6 NDCs
- 13668-0531-11 · not listed as a package in the FDA directory · $0.81256 per EA · eff. 2026-09-23 filed
- 13668-0531-94 · Torrent Pharmaceuticals Limited · $0.81256 per EA · eff. 2026-09-23 filed
- 27241-0015-31 · Ajanta Pharma USA Inc. · $0.81256 per EA · eff. 2026-09-23 filed
- 55111-0763-03 · not listed as a package in the FDA directory · $0.81256 per EA · eff. 2026-09-23 filed
- 55111-0763-07 · not listed as a package in the FDA directory · $0.81256 per EA · eff. 2026-09-23 filed
- 59651-0329-30 · Aurobindo Pharma Limited · $0.81256 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
5 other products in the NADAC file share the FDA nonproprietary name montelukast sodium with MONTELUKAST SOD 4 MG GRANULES.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| MONTELUKAST SOD 4 MG GRANULES this page | $0.81256 per EA filed | $0.16779 per EA filed |
| MONTELUKAST SOD 4 MG TAB CHEW | $0.07528 per EA filed | $0.16779 per EA filed |
| MONTELUKAST SOD 5 MG TAB CHEW | $0.07045 per EA filed | $0.16779 per EA filed |
| MONTELUKAST SOD 10 MG TABLET | $0.04191 per EA filed | $0.16779 per EA filed |
| SINGULAIR 5 MG TABLET CHEW | $9.2741 per EA filed | $8.34367 per EA filed |
| SINGULAIR 10 MG TABLET | $9.21312 per EA filed | $8.34367 per EA 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. 2026-01-01, 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 6 NDCs’ NADAC prices is $0.81256 per EA filed.
Of the 7 other products in FDA’s Leukotriene Receptor Antagonist class priced per EA, 2 have a higher middle NADAC price and 5 a lower one. The one in the middle is ZAFIRLUKAST 10 MG TABLET, at $0.51691 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 $0.17 for 1 unit (EA), at an average of $0.16779 per EA in 2024 (2024-01-01 to 2024-12-31) for “Montelukast Sodium”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 12,462,037 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 1 unit (EA)? Is it lower than what I would pay through my insurance?
- 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 MONTELUKAST SOD 4 MG GRANULES 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 Montelukast Sodium / Montelukast Sodium: 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.
- Why does this page start at 1 unit (EA)?
- NADAC prices this product per EA, and the FDA NDC Directory lists 3 of its 6 NDCs (it does not list the other 3) as dosage form “GRANULE” with route “ORAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and none of these is one. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.