PROMETHAZINE 50 MG/ML AMPUL
For 1 mL
Pharmacies pay
$2.34 filed
1 × $2.33887 per ML
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-05-20 · as of 2026-10-14 · retrieved 2026-10-17
Medicare Part B pays
$3.24 derived
1 × $3.241 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
1.4× estimated
Medicare pays 1.4× 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. 2026-05-20 (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
$7.69 estimated
$2.34 + $0.35 (15%) + $5.00 fee per fill = $7.69
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. 2026-05-20 (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 50 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” and “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 $2.34 for 1 mL (1 × $2.33887 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-05-20. That is what pharmacies pay their suppliers, not what they charge you.
NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size.
The NADAC of all 3 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2026-05-20. The file is new; the price is not.
What NADAC measures · NADAC explanation codes · Carried-forward prices
All 3 NDCs
- 00641-0949-35 · Hikma Pharmaceuticals USA Inc. · $2.33887 per ML · eff. 2026-05-20 filed carried forward
- 00641-1496-35 · Hikma Pharmaceuticals USA Inc. · $2.33887 per ML · eff. 2026-05-20 filed carried forward
- 39822-5550-06 · XGen Pharmaceuticals DJB, Inc. · $2.33887 per ML · eff. 2026-05-20 filed carried forward
Other strengths, forms and brands
12 other products in the NADAC file share the FDA nonproprietary name promethazine hydrochloride with PROMETHAZINE 50 MG/ML AMPUL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| PROMETHAZINE 6.25 MG/5 ML SOLN | $0.04198 per ML filed | We don’t know yet |
| PROMETHAZINE 6.25 MG/5 ML SYRP | $0.04198 per ML filed | We don’t know yet |
| PROMETHAZINE 12.5 MG SUPPOS | $1.85416 per EA filed | We don’t know yet |
| PROMETHAZINE 12.5 MG TABLET | $0.05434 per EA filed | We don’t know yet |
| PROMETHAZINE 25 MG SUPPOSITORY | $2.03477 per EA filed | We don’t know yet |
| PROMETHAZINE 25 MG TABLET | $0.04548 per EA filed | We don’t know yet |
| PROMETHAZINE 25 MG/ML AMPUL | $1.33454 per ML filed | $1.68532 per ML derived |
| PROMETHAZINE 25 MG/ML VIAL | $1.74825 per ML filed | $1.68532 per ML derived |
| PROMETHAZINE 50 MG TABLET | $0.08196 per EA filed | We don’t know yet |
| PROMETHAZINE 50 MG/ML AMPUL this page | $2.33887 per ML filed | $3.241 per ML derived |
| PROMETHEGAN 12.5 MG SUPPOS | $1.85416 per EA filed | $5.04452 per EA filed |
| PROMETHEGAN 25 MG SUPPOSITORY | $2.03477 per EA filed | $5.04452 per EA filed |
| PROMETHEGAN 50 MG SUPPOSITORY | $26.69133 per EA filed | $5.04452 per EA filed |
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 $2.33887 per ML filed.
Of the 8 other products in FDA’s Phenothiazine class priced per ML, 1 has a higher middle NADAC price and 7 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. 2026-05-20, 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 $3.24 for 1 mL, or $3.241 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 the Part B payment limit is · Converting it to the NADAC unit · How the spread is worked out
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.
- What is your cash price for 1 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 1 mL; your package may hold a different amount.
- If you have Medicare Part B: is this drug covered for me in this setting, and what is my share?
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
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 00641-0949-35 (“25 AMPULE in 1 CARTON (0641-0949-35) / 1 mL in 1 AMPULE (0641-0949-31)”) 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.
Related pages
Its pharmacologic class
Related in the same class
- CHLORPROMAZINE 10 MG TABLET
- FLUPHENAZINE 1 MG TABLET
- PERPHENAZINE 16 MG TABLET
- FLUPHENAZINE DEC 125 MG/5 ML
- TRIFLUOPERAZINE 1 MG TABLET