OpenBilldrug price receipt

NADAC week of 2026-10-14

NYSTATIN-TRIAMCINOLONE CREAM

For 1 g

Pharmacies pay

$0.19 – $0.29 filed

1 × $0.19156 to $0.28932 per GM (the 14 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

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

$5.22 – $5.33 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

NYSTATIN-TRIAMCINOLONE CREAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “nystatin and triamcinolone acetonide” and “nystatin, triamcinolone acetonide”, as its NDCs’ listings variously write the nonproprietary name.

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

FDA lists 5 labelers (the companies named on the label) for its NDCs, among them Macleods Pharmaceuticals Limited, Padagis Israel Pharmaceuticals Ltd and Sun Pharmaceutical Industries, Inc.

FDA lists it under 2 Established Pharmacologic Classes: Corticosteroid and Polyene Antifungal.

The NADAC file of 2026-10-14 prices it under 14 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 $0.19 – $0.29 for 1 g, depending on the NDC ($0.19156 to $0.28932 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.

The 5 labelers

LabelerNDCsPharmacies pay per unit
Alembic Pharmaceuticals Inc.3$0.19156 to $0.28932 per GM filed
Macleods Pharmaceuticals Limited3$0.19156 to $0.28932 per GM filed
Padagis Israel Pharmaceuticals Ltd3$0.19156 to $0.28932 per GM filed
Sun Pharmaceutical Industries, Inc.3$0.19156 to $0.28932 per GM filed
Lupin Pharmaceuticals, Inc.2$0.19156 to $0.22465 per GM filed
All 14 NDCs, with labeler and price
  • 33342-0482-15 · Macleods Pharmaceuticals Limited · $0.28932 per GM · eff. 2026-09-23 filed
  • 33342-0482-30 · Macleods Pharmaceuticals Limited · $0.22465 per GM · eff. 2026-09-23 filed
  • 33342-0482-60 · Macleods Pharmaceuticals Limited · $0.19156 per GM · eff. 2026-09-23 filed
  • 45802-0880-14 · Padagis Israel Pharmaceuticals Ltd · $0.28932 per GM · eff. 2026-09-23 filed
  • 45802-0880-94 · Padagis Israel Pharmaceuticals Ltd · $0.22465 per GM · eff. 2026-09-23 filed
  • 45802-0880-96 · Padagis Israel Pharmaceuticals Ltd · $0.19156 per GM · eff. 2026-09-23 filed
  • 51672-1263-01 · Sun Pharmaceutical Industries, Inc. · $0.28932 per GM · eff. 2026-09-23 filed
  • 51672-1263-02 · Sun Pharmaceutical Industries, Inc. · $0.22465 per GM · eff. 2026-09-23 filed
  • 51672-1263-03 · Sun Pharmaceutical Industries, Inc. · $0.19156 per GM · eff. 2026-09-23 filed
  • 62332-0606-15 · Alembic Pharmaceuticals Inc. · $0.28932 per GM · eff. 2026-09-23 filed
  • 62332-0606-30 · Alembic Pharmaceuticals Inc. · $0.22465 per GM · eff. 2026-09-23 filed
  • 62332-0606-60 · Alembic Pharmaceuticals Inc. · $0.19156 per GM · eff. 2026-09-23 filed
  • 68180-0545-02 · Lupin Pharmaceuticals, Inc. · $0.22465 per GM · eff. 2026-09-23 filed
  • 68180-0545-03 · Lupin Pharmaceuticals, Inc. · $0.19156 per GM · eff. 2026-09-23 filed

Other strengths, forms and brands

2 other products in the NADAC file share an FDA nonproprietary name with NYSTATIN-TRIAMCINOLONE CREAM.

ProductPharmacies pay per unitMedicare per unit
NYSTATIN-TRIAMCINOLONE CREAM this page
generic · cream
$0.19156 to $0.28932 per GM filed
eff. 2026-09-23
We don’t know yet
NYSTATIN-TRIAMCINOLONE OINTM
generic · ointment
$0.23536 to $0.34479 per GM filed
eff. 2026-09-23
We don’t know yet
NYSTATIN-TRIAMCINOLONE OINTMENT
generic · ointment
$0.23536 to $0.34479 per GM 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 14 NDCs’ NADAC prices is $0.22465 per GM filed.

Of the 122 other products in FDA’s Corticosteroid class priced per GM, 100 have a higher middle NADAC price and 22 a lower one. The one in the middle is DESOXIMETASONE 0.05% CREAM, at $1.50996 per GM filed (eff. 2026-09-23).

Of the 8 other products in FDA’s Polyene Antifungal class priced per GM, 7 have a higher middle NADAC price and 1 a lower one. The one in the middle is NYSTATIN-TRIAMCINOLONE OINTMENT, 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

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 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.