OpenBilldrug price receipt

NADAC week of 2026-10-14

PROMETHAZINE 25 MG/ML AMPUL

For 1 mL

Pharmacies pay

$1.33 filed

1 × $1.33454 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 Part B pays

$1.69 derived

1 × $1.68532 per ML, Part B limit

Medicare's price is not your price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)


The spread

1.3× estimated

Medicare pays 1.3× what pharmacies pay.

5 labelers share HCPCS J2550 on the CMS crosswalk, so its payment limit is an average across all their products billed under that code, not this NDC’s own price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Cost-plus estimate

$6.53 estimated

$1.33 + $0.20 (15%) + $5.00 fee per fill = $6.53

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 (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

PROMETHAZINE 25 MG/ML AMPUL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as promethazine hydrochloride.

FDA gives its dosage form as “injection” and “injection, solution” and its route as intramuscular; intravenous.

Its labelers, the companies named on the label, are Hikma Pharmaceuticals USA Inc. and XGen Pharmaceuticals DJB, Inc.

FDA’s Established Pharmacologic Class for it is Phenothiazine.

The NADAC file of 2026-10-14 prices it under 3 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 $1.33 for 1 mL (1 × $1.33454 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 3 NDCs

Other strengths, forms and brands

12 other products in the NADAC file share the FDA nonproprietary name promethazine hydrochloride with PROMETHAZINE 25 MG/ML AMPUL.

ProductPharmacies pay per unitMedicare per unit
PROMETHAZINE 6.25 MG/5 ML SOLN
generic · solution
$0.04198 per ML filed
eff. 2026-09-23
We don’t know yet
PROMETHAZINE 6.25 MG/5 ML SYRP
generic · syrup
$0.04198 per ML filed
eff. 2026-09-23
We don’t know yet
PROMETHAZINE 12.5 MG SUPPOS
generic · suppository
$1.85416 per EA filed
eff. 2026-09-23
We don’t know yet
PROMETHAZINE 12.5 MG TABLET
generic · tablet
$0.05434 per EA filed
eff. 2026-09-23
We don’t know yet
PROMETHAZINE 25 MG SUPPOSITORY
generic · suppository
$2.03477 per EA filed
eff. 2026-09-23
We don’t know yet
PROMETHAZINE 25 MG TABLET
generic · tablet
$0.04548 per EA filed
eff. 2026-09-23
We don’t know yet
PROMETHAZINE 25 MG/ML AMPUL this page
generic · injection / injection, solution
$1.33454 per ML filed
eff. 2026-09-23
$1.68532 per ML derived
Part B limit 2026 Q4
PROMETHAZINE 25 MG/ML VIAL
generic · injection
$1.74825 per ML filed
eff. 2026-09-23
$1.68532 per ML derived
Part B limit 2026 Q4
PROMETHAZINE 50 MG TABLET
generic · tablet
$0.08196 per EA filed
eff. 2026-09-23
We don’t know yet
PROMETHAZINE 50 MG/ML AMPUL
generic · injection / injection, solution
$2.33887 per ML filed
eff. 2026-05-20
$3.241 per ML derived
Part B limit 2026 Q4
PROMETHEGAN 12.5 MG SUPPOS
generic · suppository
$1.85416 per EA filed
eff. 2026-09-23
$5.04452 per EA filed
Part D 2024 average
PROMETHEGAN 25 MG SUPPOSITORY
generic · suppository
$2.03477 per EA filed
eff. 2026-09-23
$5.04452 per EA filed
Part D 2024 average
PROMETHEGAN 50 MG SUPPOSITORY
generic · suppository
$26.69133 per EA filed
eff. 2026-09-23
$5.04452 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. 2026-05-20, 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

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

The middle of its 3 NDCs’ NADAC prices is $1.33454 per ML filed.

Of the 8 other products in FDA’s Phenothiazine class priced per ML, 3 have a higher middle NADAC price and 5 a lower one. The one in the middle is PROMETHAZINE 6.25 MG/5 ML SYRP, at $0.04198 per ML 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 B’s payment limit for HCPCS J2550, for 2026-10-01 to 2026-12-31, comes to $1.69 for 1 mL, or $1.68532 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.6482 per 50 MG.

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 does this page start at 1 mL?
NADAC prices this product per ML. In the FDA NDC Directory, 3 of this product’s NDCs are wholesale packs of identical units, so OpenBill counts one unit of each; for example, NDC 00641-0948-35 (“25 AMPULE in 1 CARTON (0641-0948-35) / 1 mL in 1 AMPULE (0641-0948-31)”) is a carton of 25 ampules, 25 mL in all. So the card starts at one unit: 1 ML. Change it to match your prescription.