PERMETHRIN 5% CREAM
For 60 g
Pharmacies pay
$13.75 filed
60 × $0.22919 per GM
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 paid
$39.86 filed
60 × $0.66433 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
2.9× estimated
Medicare paid 2.9× what pharmacies pay.
Part D averages every strength and form sold under “Permethrin” 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, 2026-09-30 (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
$20.81 estimated
$13.75 + $2.06 (15%) + $5.00 fee per fill = $20.81
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, 2026-09-30 (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
PERMETHRIN 5% CREAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “permethrin” and “permethrin cream 5% w/w”, 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 Northstar Rx LLC, Encube Ethicals, Inc. and Dr. Reddy's Laboratories, Inc.
FDA’s Established Pharmacologic Class for it is Pyrethroid.
The NADAC file of 2026-10-14 prices it under 5 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 $13.75 for 60 g (60 × $0.22919 per GM, rounded to the cent), by the CMS NADAC file of 2026-10-14; those prices took effect between 2026-09-23 and 2026-09-30. 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.
What NADAC measures · NADAC explanation codes
All 5 NDCs
- 16714-0897-01 · Northstar Rx LLC · $0.22919 per GM · eff. 2026-09-23 filed
- 21922-0021-07 · Encube Ethicals, Inc. · $0.22919 per GM · eff. 2026-09-23 filed
- 43598-0481-60 · Dr. Reddy's Laboratories, Inc. · $0.22919 per GM · eff. 2026-09-30 filed
- 45802-0269-37 · Padagis Israel Pharmaceuticals Ltd · $0.22919 per GM · eff. 2026-09-23 filed
- 84386-0073-60 · Aurobindo Pharma Limited · $0.22919 per GM · eff. 2026-09-23 filed
What Medicare paid
Medicare Part D paid $39.86 for 60 g, at an average of $0.66433 per GM in 2024 (2024-01-01 to 2024-12-31) for “Permethrin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 208,267 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.
4 of the product’s 5 NDCs have this Medicare figure; the other 1 do not, and the interactive card says why for each.
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 60 g? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 60 g; your package may hold a different amount.
- 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 PERMETHRIN 5% CREAM 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 Permethrin / Permethrin: 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 generic name.
- Why does this page start at 60 g?
- NADAC prices this product per GM. The FDA NDC Directory’s package description gives 60 g in one package for all 5 NDCs of this product (“1 TUBE in 1 CONTAINER (16714-897-01) / 60 g in 1 TUBE”), so the card starts at one package: 60 GM. Change it to match your prescription.