OpenBilldrug price receipt

NADAC week of 2026-10-14

NICOTINE 21 MG/24HR PATCH

For 1 unit (EA)

Pharmacies pay

$1.87 filed

1 × $1.87251 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

$7.15 estimated

$1.87 + $0.28 (15%) + $5.00 fee per fill = $7.15

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

NICOTINE 21 MG/24HR PATCH is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “nicotine”, “nicotine transdermal system” and “nicotine transdermal system patch”, as its NDCs’ listings variously write the nonproprietary name, under the trade names “Nicotine Transdermal System Patch Step 1” and “Nicotine Transdermal System step 1”.

FDA gives its dosage form as “patch, extended release”, “patch” and “film, extended release” and its route as transdermal.

FDA lists 9 labelers (the companies named on the label) for its NDCs, among them Rugby Laboratories, Dr. Reddy's Laboratories Inc. and AmerisourceBergen Drug Corporation.

FDA’s Established Pharmacologic Class for it is Cholinergic Nicotinic Agonist.

The NADAC file of 2026-10-14 prices it under 25 NDCs (National Drug Codes); the FDA directory lists 24 of them.

NADAC classes it as a generic drug (rate-setting class G), and marks it as sold over the counter.

What pharmacies pay

Pharmacies pay $1.87 for 1 unit (EA) (1 × $1.87251 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

The 9 labelers

LabelerNDCsPharmacies pay per unit
BluePoint Laboratories6$1.87251 per EA filed
Rugby Laboratories4$1.87251 per EA filed
Dr. Reddy's Laboratories Inc.3$1.87251 per EA filed
Ingenus Pharmaceuticals, LLC3$1.87251 per EA filed
CARDINAL HEALTH 110, LLC. DBA LEADER2$1.87251 per EA filed
Cardinal Health2$1.87251 per EA filed
Strategic Sourcing Services LLC2$1.87251 per EA filed
AmerisourceBergen Drug Corporation1$1.87251 per EA filed
EXELAN PHARMACEUTICALS, INC.1$1.87251 per EA filed
Not listed as a package in the FDA directory1$1.87251 per EA filed
All 25 NDCs, with labeler and price
  • 00536-1108-88 · Rugby Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 00536-5896-53 · Rugby Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 00536-5896-71 · Rugby Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 00536-5896-88 · Rugby Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 43598-0448-28 · Dr. Reddy's Laboratories Inc. · $1.87251 per EA · eff. 2026-09-23 filed
  • 43598-0448-70 · Dr. Reddy's Laboratories Inc. · $1.87251 per EA · eff. 2026-09-23 filed
  • 43598-0448-71 · not listed as a package in the FDA directory · $1.87251 per EA · eff. 2026-09-23 filed
  • 43598-0448-74 · Dr. Reddy's Laboratories Inc. · $1.87251 per EA · eff. 2026-09-23 filed
  • 46122-0353-74 · AmerisourceBergen Drug Corporation · $1.87251 per EA · eff. 2026-09-23 filed
  • 50742-0670-07 · Ingenus Pharmaceuticals, LLC · $1.87251 per EA · eff. 2026-09-23 filed
  • 50742-0670-14 · Ingenus Pharmaceuticals, LLC · $1.87251 per EA · eff. 2026-09-23 filed
  • 50742-0670-28 · Ingenus Pharmaceuticals, LLC · $1.87251 per EA · eff. 2026-09-23 filed
  • 68001-0434-88 · BluePoint Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 68001-0434-90 · BluePoint Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 68001-0434-91 · BluePoint Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 68001-0699-88 · BluePoint Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 68001-0699-90 · BluePoint Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 68001-0699-91 · BluePoint Laboratories · $1.87251 per EA · eff. 2026-09-23 filed
  • 70000-0512-01 · Cardinal Health · $1.87251 per EA · eff. 2026-09-23 filed
  • 70000-0512-02 · Cardinal Health · $1.87251 per EA · eff. 2026-09-23 filed
  • 70000-0762-01 · CARDINAL HEALTH 110, LLC. DBA LEADER · $1.87251 per EA · eff. 2026-09-23 filed
  • 70000-0762-02 · CARDINAL HEALTH 110, LLC. DBA LEADER · $1.87251 per EA · eff. 2026-09-23 filed
  • 70677-1266-01 · Strategic Sourcing Services LLC · $1.87251 per EA · eff. 2026-09-23 filed
  • 70677-1266-02 · Strategic Sourcing Services LLC · $1.87251 per EA · eff. 2026-09-23 filed
  • 76282-0783-40 · EXELAN PHARMACEUTICALS, INC. · $1.87251 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

8 other products in the NADAC file share an FDA nonproprietary name with NICOTINE 21 MG/24HR PATCH.

ProductPharmacies pay per unitMedicare per unit
FT NICOTINE 7 MG/24HR PATCH
generic · patch
$1.81971 per EA filed
eff. 2026-09-23
We don’t know yet
FT NICOTINE 14 MG/24HR PATCH
generic · patch
$1.85466 per EA filed
eff. 2026-09-23
We don’t know yet
FT NICOTINE 21 MG/24HR PATCH
generic · patch
$1.87251 per EA filed
eff. 2026-09-23
We don’t know yet
GNP NICOTINE 21 MG/24HR PATCH
generic · patch, extended release
$1.87251 per EA filed
eff. 2026-09-23
We don’t know yet
NICOTINE 7 MG/24HR PATCH
generic · patch, extended release / patch / film, extended release
$1.81971 per EA filed
eff. 2026-09-23
We don’t know yet
NICOTINE 14 MG/24HR PATCH
generic · patch, extended release / patch / film, extended release
$1.85466 per EA filed
eff. 2026-09-23
We don’t know yet
NICOTINE 21 MG/24HR PATCH this page
generic · patch, extended release / patch / film, extended release
$1.87251 per EA filed
eff. 2026-09-23
We don’t know yet
NICOTINE TRANSDERMAL SYSTEM
generic · kit
$1.37689 per EA filed
eff. 2026-09-23
We don’t know yet
NICOTROL NS 10 MG/ML SPRAY
brand · spray, metered
$12.956 per ML filed
eff. 2026-09-23
We don’t know yet

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

Compared with its class

The middle of its 25 NDCs’ NADAC prices is $1.87251 per EA filed.

Of the 30 other products in FDA’s Cholinergic Nicotinic Agonist class priced per EA, 0 have a higher middle NADAC price and 28 a lower one; 2 have the same. The one in the middle is GS NICOTINE 2 MG LOZENGE, at $0.34675 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.

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 does this page start at 1 unit (EA)?
NADAC prices this product per EA, and the FDA NDC Directory lists 24 of its 25 NDCs (it does not list the other one) as dosage forms “FILM, EXTENDED RELEASE”, “PATCH”, “PATCH, EXTENDED RELEASE” with route “TRANSDERMAL”. 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.