OpenBilldrug price receipt

NADAC week of 2026-10-14

PRIMIDONE 250 MG TABLET

For 30 tablets

Pharmacies pay

$6.83 filed

30 × $0.22758 per EA

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

$5.44 filed

30 × $0.18126 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

0.80× estimated

Medicare paid 20% less than pharmacies pay.

Part D averages every strength and form sold under “Primidone” 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

$12.85 estimated

$6.83 + $1.02 (15%) + $5.00 fee per fill = $12.85

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

PRIMIDONE 250 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as primidone.

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

FDA lists 9 labelers (the companies named on the label) for its NDCs, among them Lannett Company, Inc., Actavis Pharma, Inc. and AvPAK.

FDA’s Established Pharmacologic Class for it is Anti-epileptic Agent.

The NADAC file of 2026-10-14 prices it under 13 NDCs (National Drug Codes); the FDA directory lists 11 of them.

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 $6.83 for 30 tablets (30 × $0.22758 per EA, 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 code for it: 1, calculated from the most recently completed pharmacy survey.

The 9 labelers

LabelerNDCsPharmacies pay per unit
Advagen Pharma Limited2$0.22758 per EA filed
Oxford Pharmaceuticals, LLC2$0.22758 per EA filed
Actavis Pharma, Inc.1$0.22758 per EA filed
American Health Packaging1$0.22758 per EA filed
Amneal Pharmaceuticals of New York LLC1$0.22758 per EA filed
AvPAK1$0.22758 per EA filed
Carnegie Pharmaceuticals LLC1$0.22758 per EA filed
Lannett Company, Inc.1$0.22758 per EA filed
NorthStar Rx LLC1$0.22758 per EA filed
Not listed as a package in the FDA directory2$0.22758 per EA filed
All 13 NDCs, with labeler and price
  • 00527-1231-01 · Lannett Company, Inc. · $0.22758 per EA · eff. 2026-09-23 filed
  • 00591-5321-01 · Actavis Pharma, Inc. · $0.22758 per EA · eff. 2026-09-23 filed
  • 50268-0687-11 · not listed as a package in the FDA directory · $0.22758 per EA · eff. 2026-09-23 filed
  • 50268-0687-15 · AvPAK · $0.22758 per EA · eff. 2026-09-23 filed
  • 53746-0545-01 · Amneal Pharmaceuticals of New York LLC · $0.22758 per EA · eff. 2026-09-23 filed
  • 68084-0203-01 · American Health Packaging · $0.22758 per EA · eff. 2026-09-23 filed
  • 68084-0203-11 · not listed as a package in the FDA directory · $0.22758 per EA · eff. 2026-09-23 filed
  • 69584-0685-10 · Oxford Pharmaceuticals, LLC · $0.22758 per EA · eff. 2026-09-23 filed
  • 69584-0685-50 · Oxford Pharmaceuticals, LLC · $0.22758 per EA · eff. 2026-09-23 filed
  • 72603-0610-01 · NorthStar Rx LLC · $0.22758 per EA · eff. 2026-09-23 filed
  • 72888-0046-01 · Advagen Pharma Limited · $0.22758 per EA · eff. 2026-09-23 filed
  • 72888-0046-05 · Advagen Pharma Limited · $0.22758 per EA · eff. 2026-09-23 filed
  • 80005-0118-11 · Carnegie Pharmaceuticals LLC · $0.22758 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name primidone with PRIMIDONE 250 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
PRIMIDONE 50 MG TABLET
generic · tablet
$0.09137 per EA filed
eff. 2026-09-23
$0.18126 per EA filed
Part D 2024 average
PRIMIDONE 125 MG TABLET
generic · tablet
$1.37851 per EA filed
eff. 2026-09-23
$0.18126 per EA filed
Part D 2024 average
PRIMIDONE 250 MG TABLET this page
generic · tablet
$0.22758 per EA filed
eff. 2026-09-23
$0.18126 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 · 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 13 NDCs’ NADAC prices is $0.22758 per EA filed.

Of the 85 other products in FDA’s Anti-epileptic Agent class priced per EA, 58 have a higher middle NADAC price and 27 a lower one. The one in the middle is PHENYTEK 200 MG CAPSULE, at $1.4026 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 $5.44 for 30 tablets, at an average of $0.18126 per EA in 2024 (2024-01-01 to 2024-12-31) for “Primidone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,425,514 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 PRIMIDONE 250 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 Primidone / Primidone: 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.