OpenBilldrug price receipt

NADAC week of 2026-10-14

PIOGLITAZONE HCL 45 MG TABLET

For 30 tablets

Pharmacies pay

$3.43 filed

30 × $0.11448 per EA

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

$5.34 filed

30 × $0.178 per EA, 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

1.6× estimated

Medicare paid 1.6× what pharmacies pay.

Part D averages every strength and form sold under “Pioglitazone HCl” 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

$8.94 estimated

$3.43 + $0.51 (15%) + $5.00 fee per fill = $8.94

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, 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

PIOGLITAZONE HCL 45 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “pioglitazone hydrochloride” and “pioglitazone”, as its NDCs’ listings variously write the nonproprietary name.

FDA gives its dosage form as tablet and its route as oral.

FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Teva Pharmaceuticals USA, Inc., NorthStar RxLLC and Macleods Pharmaceuticals Limited.

FDA lists it under 3 Established Pharmacologic Classes: Peroxisome Proliferator Receptor alpha Agonist, Peroxisome Proliferator Receptor gamma Agonist and Thiazolidinedione.

The NADAC file of 2026-10-14 prices it under 18 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 $3.43 for 30 tablets (30 × $0.11448 per EA, 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 code for it: 1, calculated from the most recently completed pharmacy survey.

The 8 labelers

LabelerNDCsPharmacies pay per unit
Macleods Pharmaceuticals Limited3$0.11448 per EA filed
NorthStar RxLLC3$0.11448 per EA filed
Rising Pharma Holdings, Inc.3$0.11448 per EA filed
Teva Pharmaceuticals USA, Inc.3$0.11448 per EA filed
Aurobindo Pharma Limited2$0.11448 per EA filed
Unichem Pharmaceuticals (USA), Inc.2$0.11448 per EA filed
Chartwell RX, LLC1$0.11448 per EA filed
QUALLENT PHARMACEUTICALS HEALTH LLC1$0.11448 per EA filed

When these prices took effect

All 18 NDCs, with labeler and price
  • 00093-7273-05 · Teva Pharmaceuticals USA, Inc. · $0.11448 per EA · eff. 2026-09-23 filed
  • 00093-7273-56 · Teva Pharmaceuticals USA, Inc. · $0.11448 per EA · eff. 2026-09-23 filed
  • 00093-7273-98 · Teva Pharmaceuticals USA, Inc. · $0.11448 per EA · eff. 2026-09-23 filed
  • 16714-0647-01 · NorthStar RxLLC · $0.11448 per EA · eff. 2026-09-23 filed
  • 16714-0647-02 · NorthStar RxLLC · $0.11448 per EA · eff. 2026-09-23 filed
  • 16714-0647-03 · NorthStar RxLLC · $0.11448 per EA · eff. 2026-09-23 filed
  • 33342-0056-07 · Macleods Pharmaceuticals Limited · $0.11448 per EA · eff. 2026-09-23 filed
  • 33342-0056-10 · Macleods Pharmaceuticals Limited · $0.11448 per EA · eff. 2026-09-23 filed
  • 33342-0056-15 · Macleods Pharmaceuticals Limited · $0.11448 per EA · eff. 2026-09-23 filed
  • 57237-0221-05 · Rising Pharma Holdings, Inc. · $0.11448 per EA · eff. 2026-09-23 filed
  • 57237-0221-30 · Rising Pharma Holdings, Inc. · $0.11448 per EA · eff. 2026-09-23 filed
  • 57237-0221-90 · Rising Pharma Holdings, Inc. · $0.11448 per EA · eff. 2026-09-23 filed
  • 62135-0806-30 · Chartwell RX, LLC · $0.11448 per EA · eff. 2026-09-23 filed
  • 65862-0514-05 · Aurobindo Pharma Limited · $0.11448 per EA · eff. 2026-09-23 filed
  • 65862-0514-30 · Aurobindo Pharma Limited · $0.11448 per EA · eff. 2026-09-23 filed
  • 76385-0180-50 · Unichem Pharmaceuticals (USA), Inc. · $0.11448 per EA · eff. 2026-09-30 filed
  • 76385-0180-90 · Unichem Pharmaceuticals (USA), Inc. · $0.11448 per EA · eff. 2026-09-30 filed
  • 82009-0105-05 · QUALLENT PHARMACEUTICALS HEALTH LLC · $0.11448 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

2 other products in the NADAC file share an FDA nonproprietary name with PIOGLITAZONE HCL 45 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
PIOGLITAZONE HCL 15 MG TABLET
generic · tablet
$0.06749 per EA filed
eff. 2026-09-23 to 2026-09-30
$0.178 per EA filed
Part D 2024 average
PIOGLITAZONE HCL 30 MG TABLET
generic · tablet
$0.09301 per EA filed
eff. 2026-09-23 to 2026-09-30
$0.178 per EA filed
Part D 2024 average
PIOGLITAZONE HCL 45 MG TABLET this page
generic · tablet
$0.11448 per EA filed
eff. 2026-09-23 to 2026-09-30
$0.178 per EA 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 18 NDCs’ NADAC prices is $0.11448 per EA filed.

Of the 23 other products in FDA’s Peroxisome Proliferator Receptor alpha Agonist class priced per EA, 16 have a higher middle NADAC price and 7 a lower one. The one in the middle is PIOGLITAZONE-METFORMIN 15-850, at $0.23908 per EA filed (eff. 2026-09-23).

Of the 7 other products in FDA’s Peroxisome Proliferator Receptor gamma Agonist class priced per EA, 5 have a higher middle NADAC price and 2 a lower one. The one in the middle is PIOGLITAZONE-METFORMIN 15-500, at $0.2835 per EA filed (eff. 2026-09-23).

Of the 7 other products in FDA’s Thiazolidinedione class priced per EA, 5 have a higher middle NADAC price and 2 a lower one. The one in the middle is PIOGLITAZONE-METFORMIN 15-500, at $0.2835 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

Medicare Part D paid $5.34 for 30 tablets, at an average of $0.178 per EA in 2024 (2024-01-01 to 2024-12-31) for “Pioglitazone HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 3,217,957 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 PIOGLITAZONE HCL 45 MG TABLET 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 Pioglitazone HCl / Pioglitazone HCl: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name.