OpenBilldrug price receipt

NADAC week of 2026-10-14

NYAMYC 100,000 UNIT/GM POWDER

FDA nonproprietary name: nystatin

For 1 g

Pharmacies pay

$0.26 – $0.42 filed

1 × $0.25738 to $0.42143 per GM (the 3 NDCs differ)

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

$0.54 filed

1 × $0.53874 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

1.3× – 2.1× estimated

Medicare paid between 1.3× and 2.1× what pharmacies pay, depending on the NDC.

Part D averages every strength and form sold under “Nyamyc” / “Nystatin” 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

$5.30 – $5.48 estimated

NADAC for the pack + 15% + $5.00 fee per fill

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

NYAMYC 100,000 UNIT/GM POWDER is how the CMS NADAC file names this product. The FDA NDC Directory lists it as nystatin, under the trade name “Nyamyc”.

FDA gives its dosage form as powder and its route as topical.

The labeler, the company named on the label, is Upsher-Smith Laboratories, LLC.

FDA’s Established Pharmacologic Class for it is Polyene Antifungal.

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 $0.26 – $0.42 for 1 g, depending on the NDC ($0.25738 to $0.42143 per GM), 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; 5, calculated based on package size.

All 3 NDCs

Other strengths, forms and brands

6 other products in the NADAC file share the FDA nonproprietary name nystatin with NYAMYC 100,000 UNIT/GM POWDER.

ProductPharmacies pay per unitMedicare per unit
NYAMYC 100,000 UNIT/GM POWDER this page
generic · powder
$0.25738 to $0.42143 per GM filed
eff. 2026-09-23
$0.53874 per GM filed
Part D 2024 average
NYSTATIN 100,000 UNIT/GM CREAM
generic · cream
$0.15101 to $0.19826 per GM filed
eff. 2026-09-23
We don’t know yet
NYSTATIN 100,000 UNIT/GM OINT
generic · ointment
$0.23306 to $0.23754 per GM filed
eff. 2026-09-23
We don’t know yet
NYSTATIN 100,000 UNIT/GM POWD
generic · powder
$0.25738 to $0.42143 per GM filed
eff. 2026-09-23
We don’t know yet
NYSTATIN 100,000 UNIT/ML SUSP
generic · suspension
$0.05693 to $0.13995 per ML filed
eff. 2026-09-23 to 2026-09-30
We don’t know yet
NYSTATIN 500,000 UNIT ORAL TAB
generic · tablet, film coated / tablet, coated
$0.39704 per EA filed
eff. 2026-09-23
We don’t know yet
NYSTOP 100,000 UNIT/GM POWDER
generic · powder
$0.25738 to $0.42143 per GM filed
eff. 2026-09-23
$0.54842 per GM filed
Part D 2024 average

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. 2026-09-23, 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

Compared with its class

The middle of its 3 NDCs’ NADAC prices is $0.31335 per GM filed.

Of the 8 other products in FDA’s Polyene Antifungal class priced per GM, 0 have a higher middle NADAC price and 5 a lower one; 3 have the same. The one in the middle is NYSTATIN-TRIAMCINOLONE OINTM, at $0.26518 per GM 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 $0.54 for 1 g, at an average of $0.53874 per GM in 2024 (2024-01-01 to 2024-12-31) for “Nyamyc” and “Nystatin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 349,852 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 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 is the comparison with Medicare for NYAMYC 100,000 UNIT/GM POWDER 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 Nyamyc / Nystatin: 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 1 g?
The FDA package descriptions of this product’s NDCs give different amounts (15 g, 30 g, 60 g). So the card starts at 1 GM; change it to match your prescription.