NAPROXEN-ESOMEPRAZ DR 500-20 MG
For 30 tablets
Pharmacies pay
$58.75 filed
30 × $1.95826 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
$436.45 filed
30 × $14.54837 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
7.4× estimated
Medicare paid 7.4× what pharmacies pay.
Part D averages every strength and form sold under “Naproxen-Esomeprazole Mag” / “Naproxen/Esomeprazole Mag” 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
$72.56 estimated
$58.75 + $8.81 (15%) + $5.00 fee per fill = $72.56
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
NAPROXEN-ESOMEPRAZ DR 500-20 MG is how the CMS NADAC file names this product. The FDA NDC Directory lists it as naproxen and esomeprazole magnesium.
FDA gives its dosage form as tablet, delayed release and its route as oral.
Its labelers, the companies named on the label, are Ajanta Pharma USA Inc., ScieGen Pharmaceuticals, Inc and Dr. Reddy's Laboratories Limited.
FDA lists it under 2 Established Pharmacologic Classes: Nonsteroidal Anti-inflammatory Drug and Proton Pump Inhibitor.
The NADAC file of 2026-10-14 prices it under 3 NDCs (National Drug Codes).
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 $58.75 for 30 tablets (30 × $1.95826 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 · Why 30 tablets · NADAC explanation codes
All 3 NDCs
- 27241-0203-60 · Ajanta Pharma USA Inc. · $1.95826 per EA · eff. 2026-09-23 filed
- 50228-0438-60 · ScieGen Pharmaceuticals, Inc · $1.95826 per EA · eff. 2026-09-23 filed
- 55111-0701-60 · Dr. Reddy's Laboratories Limited · $1.95826 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
1 other product in the NADAC file shares the FDA nonproprietary name naproxen and esomeprazole magnesium with NAPROXEN-ESOMEPRAZ DR 500-20 MG.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| NAPROXEN-ESOMEPRAZ DR 375-20 MG | $2.89903 per EA filed | $14.54837 per EA filed |
| NAPROXEN-ESOMEPRAZ DR 500-20 MG this page | $1.95826 per EA filed | $14.54837 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. 2026-07-22, 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 3 NDCs’ NADAC prices is $1.95826 per EA filed.
Of the 154 other products in FDA’s Nonsteroidal Anti-inflammatory Drug class priced per EA, 24 have a higher middle NADAC price and 130 a lower one. The one in the middle is INDOMETHACIN 25 MG CAPSULE, at $0.09341 per EA filed (eff. 2026-09-23).
Of the 61 other products in FDA’s Proton Pump Inhibitor class priced per EA, 31 have a higher middle NADAC price and 30 a lower one. The one in the middle is LANSOPRAZOLE DR 30 MG ODT, at $2.25583 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 $436.45 for 30 tablets, at an average of $14.54837 per EA in 2024 (2024-01-01 to 2024-12-31) for “Naproxen-Esomeprazole Mag” and “Naproxen/Esomeprazole Mag”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 15,135 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 tablets? 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 NAPROXEN-ESOMEPRAZ DR 500-20 MG 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 Naproxen-Esomeprazole Mag / Naproxen/Esomeprazole Mag: 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.
Related pages
Its pharmacologic classes
Related in the same class
- PANTOPRAZOLE SOD DR 20 MG TAB
- IBUPROFEN 400 MG TABLET
- CELECOXIB 100 MG CAPSULE
- DEXLANSOPRAZOLE DR 30 MG CAP
- NABUMETONE 500 MG TABLET