OpenBilldrug price receipt

NADAC week of 2026-10-14

PROMETHAZINE-CODEINE SOLUTION

For 473 mL

Pharmacies pay

$32.95 filed

473 × $0.06967 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 D paid

$26.17 filed

473 × $0.05534 per ML, 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

0.79× estimated

Medicare paid 21% less than pharmacies pay.

Part D averages every strength and form sold under “Promethazine-Codeine” / “Promethazine HCl/Codeine” 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

$42.89 estimated

$32.95 + $4.94 (15%) + $5.00 fee per fill = $42.89

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

PROMETHAZINE-CODEINE SOLUTION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as promethazine hydrochloride and codeine phosphate.

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

Its labelers, the companies named on the label, are Cosette Pharmaceuticals, Inc., Cranbury Pharmaceuticals, LLC and QUAGEN PHARMACEUTICALS LLC.

FDA lists it under 2 Established Pharmacologic Classes: Opioid Agonist and 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 $32.95 for 473 mL (473 × $0.06967 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

Compared with its class

The middle of its 3 NDCs’ NADAC prices is $0.06967 per ML filed.

Of the 31 other products in FDA’s Opioid Agonist class priced per ML, 24 have a higher middle NADAC price and 7 a lower one. The one in the middle is ACETAMINOPHEN-CODEINE 120 MG-12 MG/5 ML SOLUTION, at $0.46877 per ML filed (eff. 2026-09-23).

Of the 8 other products in FDA’s Phenothiazine class priced per ML, 4 have a higher middle NADAC price and 4 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 D paid $26.17 for 473 mL, at an average of $0.05534 per ML in 2024 (2024-01-01 to 2024-12-31) for “Promethazine-Codeine” and “Promethazine HCl/Codeine”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,137 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 PROMETHAZINE-CODEINE SOLUTION 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 Promethazine-Codeine / Promethazine HCl/Codeine: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on generic name.
Why does this page start at 473 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 473 mL in one package for all 3 NDCs of this product (“473 mL in 1 BOTTLE, PLASTIC (0713-0823-75)”), so the card starts at one package: 473 ML. Change it to match your prescription.