NEXIUM DR 40 MG CAPSULE
FDA nonproprietary name: esomeprazole magnesium
For 30 capsules
Pharmacies pay
$263.41 filed
30 × $8.78027 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
We don’t know yet
No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.
The spread
We don’t know yet
There is no Medicare figure to compare with, so there is no spread.
Cost-plus estimate
$307.92 estimated
$263.41 + $39.51 (15%) + $5.00 fee per fill = $307.92
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
NEXIUM DR 40 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as esomeprazole magnesium, under the trade name “NEXIUM”.
FDA gives its dosage form as capsule, delayed release and its route as oral.
The labeler, the company named on the label, is AstraZeneca Pharmaceuticals LP.
FDA’s Established Pharmacologic Class for it is Proton Pump Inhibitor.
The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).
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 $263.41 for 30 capsules (30 × $8.78027 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.
NADAC also lists, on the row of its brand NDCs, what pharmacies pay for the generic equivalent, a different product: $0.12181 per EA 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 · Why 30 capsules · NADAC explanation codes
All 2 NDCs
- 00186-5040-31 · AstraZeneca Pharmaceuticals LP · $8.78027 per EA · eff. 2026-09-23 filed
- 00186-5040-54 · AstraZeneca Pharmaceuticals LP · $8.78027 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
14 other products in the NADAC file share the FDA nonproprietary name esomeprazole magnesium with NEXIUM DR 40 MG CAPSULE.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| ESOMEPRAZOLE DR 2.5 MG PACKET | $5.49156 per EA filed | We don’t know yet |
| ESOMEPRAZOLE DR 5 MG PACKET | $5.00536 per EA filed | We don’t know yet |
| ESOMEPRAZOLE DR 10 MG PACKET | $4.96363 per EA filed | We don’t know yet |
| ESOMEPRAZOLE DR 20 MG PACKET | $4.00136 per EA filed | We don’t know yet |
| ESOMEPRAZOLE DR 40 MG PACKET | $4.17167 per EA filed | We don’t know yet |
| ESOMEPRAZOLE MAG DR 20 MG CAP | $0.14458 to $0.34596 per EA filed | We don’t know yet |
| ESOMEPRAZOLE MAG DR 40 MG CAP | $0.12181 per EA filed | We don’t know yet |
| GNP ESOMEPRAZOLE MAG DR 20 MG | $0.34596 per EA filed | We don’t know yet |
| NEXIUM DR 2.5 MG PACKET | $9.16605 per EA filed | We don’t know yet |
| NEXIUM DR 5 MG PACKET | $9.15935 per EA filed | We don’t know yet |
| NEXIUM DR 10 MG PACKET | $9.14112 per EA filed | We don’t know yet |
| NEXIUM DR 20 MG CAPSULE | $8.77673 per EA filed | We don’t know yet |
| NEXIUM DR 20 MG PACKET | $9.1365 per EA filed | We don’t know yet |
| NEXIUM DR 40 MG CAPSULE this page | $8.78027 per EA filed | We don’t know yet |
| NEXIUM DR 40 MG PACKET | $9.12893 per EA filed | We don’t know yet |
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23, 2026-09-30 · as of 2026-10-14 · retrieved 2026-10-17
Compared with its class
The middle of its 2 NDCs’ NADAC prices is $8.78027 per EA filed.
Of the 61 other products in FDA’s Proton Pump Inhibitor class priced per EA, 15 have a higher middle NADAC price and 46 a lower one. The one in the middle is NAPROXEN-ESOMEPRAZ DR 500-20 MG, at $1.95826 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
We don’t know yet; the card above says why.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
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 capsules? Is it lower than what I would pay through my insurance?
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Related pages
Its pharmacologic class
Related in the same class
- PANTOPRAZOLE SOD DR 20 MG TAB
- DEXLANSOPRAZOLE DR 30 MG CAP
- RABEPRAZOLE SOD DR 20 MG TAB
- NAPROXEN-ESOMEPRAZ DR 375-20 MG
- ACID REDUCER DR 20 MG CAP