OpenBilldrug price receipt

NADAC week of 2026-10-14

PROCTOFOAM 1% FOAM

FDA nonproprietary name: pramoxine hydrochloride

For 15 g

Pharmacies pay

$98.42 filed

15 × $6.56145 per GM

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

$118.18 estimated

$98.42 + $14.76 (15%) + $5.00 fee per fill = $118.18

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

PROCTOFOAM 1% FOAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as pramoxine hydrochloride, under the trade name “PROCTOFOAM NS”.

FDA gives its dosage form as aerosol, foam and its route as rectal.

The labeler, the company named on the label, is Viatris Specialty LLC.

FDA lists no Established Pharmacologic Class for it.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00037-6823-15.

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

What pharmacies pay

Pharmacies pay $98.42 for 15 g (15 × $6.56145 per GM, 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

The NDC

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 g?
NADAC prices this product per GM. The FDA NDC Directory’s package description gives 15 g in one package for this product’s NDC (“1 CANISTER in 1 CARTON (0037-6823-15) / 15 g in 1 CANISTER”), so the card starts at one package: 15 GM. Change it to match your prescription.