OpenBilldrug price receipt

NADAC week of 2026-10-14

POLYVINYL ALCOHOL 1.4% EYEDROP

For 15 mL

Pharmacies pay

$5.12 filed

15 × $0.34162 per ML

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

$10.89 estimated

$5.12 + $0.77 (15%) + $5.00 fee per fill = $10.89

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 (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

POLYVINYL ALCOHOL 1.4% EYEDROP is how the CMS NADAC file names this product. The FDA NDC Directory lists it as polyvinyl alcohol, under the trade name “Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops”.

FDA gives its dosage form as solution/ drops and its route as ophthalmic.

Its labelers, the companies named on the label, are Rugby Laboratories and AvPAK.

FDA lists no Established Pharmacologic Class for it.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

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

What pharmacies pay

Pharmacies pay $5.12 for 15 mL (15 × $0.34162 per ML, 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; 5, calculated based on package size.

All 2 NDCs

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 15 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 15 mL in one package for all 2 NDCs of this product (“1 BOTTLE, DROPPER in 1 BOX (0536-1408-94) / 15 mL in 1 BOTTLE, DROPPER”), so the card starts at one package: 15 ML. Change it to match your prescription.