OpenBilldrug price receipt

NADAC week of 2026-10-14

PROMETRIUM 200 MG CAPSULE

FDA nonproprietary name: progesterone

For 30 capsules

Pharmacies pay

$911.84 filed

30 × $30.39475 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

$530.81 filed

30 × $17.69378 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

0.58× estimated

Medicare paid 42% less than pharmacies pay.

Part D averages every strength and form sold under “Prometrium” / “Progesterone, Micronized” 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

$1,053.62 estimated

$911.84 + $136.78 (15%) + $5.00 fee per fill = $1,053.62

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

PROMETRIUM 200 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as progesterone, under the trade name “Prometrium”.

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

The labeler, the company named on the label, is Acertis Pharmaceuticals, LLC.

FDA’s Established Pharmacologic Class for it is Progesterone.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 72989-0373-30.

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $911.84 for 30 capsules (30 × $30.39475 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.40405 per EA filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

The NDC

Other strengths, forms and brands

8 other products in the NADAC file share the FDA nonproprietary name progesterone with PROMETRIUM 200 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
CRINONE 4% GEL
brand · gel
$16.84389 per GM filed
eff. 2026-01-02
$20.30736 per GM filed
Part D 2024 average
CRINONE 8% GEL
brand · gel
$27.97261 per GM filed
eff. 2026-09-23
$20.30736 per GM filed
Part D 2024 average
ENDOMETRIN 100 MG VAG INSERT
brand · insert
$15.15184 per EA filed
eff. 2026-09-23
We don’t know yet
PROGESTERONE 100 MG CAPSULE
generic · capsule
$0.22903 per EA filed
eff. 2026-09-23
We don’t know yet
PROGESTERONE 100 MG VAG INSERT
generic · insert
$10.87559 per EA filed
eff. 2026-09-23
We don’t know yet
PROGESTERONE 200 MG CAPSULE
generic · capsule
$0.40405 per EA filed
eff. 2026-09-23
We don’t know yet
PROGESTERONE 500 MG/10 ML VIAL
generic · injection / injection, solution
$1.36055 per ML filed
eff. 2026-09-23
$0.623 per ML derived
Part B limit 2026 Q4
PROMETRIUM 100 MG CAPSULE
brand · capsule
$15.90949 per EA filed
eff. 2026-09-23
$17.69378 per EA filed
Part D 2024 average
PROMETRIUM 200 MG CAPSULE this page
brand · capsule
$30.39475 per EA filed
eff. 2026-09-23
$17.69378 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. 2026-01-02, 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

Its NADAC price is $30.39475 per EA filed.

Of the 5 other products in FDA’s Progesterone class priced per EA, 0 have a higher middle NADAC price and 5 a lower one. The one in the middle is PROGESTERONE 100 MG VAG INSERT, at $10.87559 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 $530.81 for 30 capsules, at an average of $17.69378 per EA in 2024 (2024-01-01 to 2024-12-31) for “Prometrium” and “Progesterone, Micronized”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,031 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 PROMETRIUM 200 MG CAPSULE 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 Prometrium / Progesterone, Micronized: 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 brand name.