OpenBilldrug price receipt

NADAC week of 2026-10-14

QC LIDOCAINE PAIN RLF 4% PATCH

For 1 patch

Pharmacies pay

$1.10 filed

1 × $1.10004 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

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

$6.27 estimated

$1.10 + $0.17 (15%) + $5.00 fee per fill = $6.27

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

QC LIDOCAINE PAIN RLF 4% PATCH is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lidocaine, under the trade name “Quality Choice Lidocaine Pain Relief Patch”.

FDA gives its dosage form as patch and its route as topical.

The labeler, the company named on the label, is Quality Choice (CHAIN DRUG MARKETING ASSOCIATION).

FDA lists it under 2 Established Pharmacologic Classes: Amide Local Anesthetic and Antiarrhythmic.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 83324-0257-05.

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

What pharmacies pay

Pharmacies pay $1.10 for 1 patch (1 × $1.10004 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.

The NDC

Other strengths, forms and brands

11 other products in the NADAC file share the FDA nonproprietary name lidocaine with QC LIDOCAINE PAIN RLF 4% PATCH.

ProductPharmacies pay per unitMedicare per unit
BURN RELIEF 0.5% SPRAY
generic · aerosol, spray / spray
$0.02758 to $0.02802 per GM filed
eff. 2026-09-23
We don’t know yet
FT PAIN RELIEF(LIDO) 4% PATCH
generic · patch
$1.10004 per EA filed
eff. 2026-09-23
We don’t know yet
GNP LIDOCAINE PAIN RLF 4% PTCH
generic · patch
$1.10004 per EA filed
eff. 2026-09-23
We don’t know yet
HEMORRHOIDAL RELIEF 5% CREAM
generic · cream
$0.39868 per GM filed
eff. 2026-09-23
We don’t know yet
LIDOCAINE 4% CREAM
generic · cream
$0.42761 to $0.63452 per GM filed
eff. 2026-09-23
We don’t know yet
LIDOCAINE 5% OINTMENT
generic · ointment
$0.14563 to $0.16213 per GM filed
eff. 2026-09-23
We don’t know yet
LIDOCAINE 5% PATCH
generic · patch
$1.99779 per EA filed
eff. 2026-09-23
$2.24885 per EA filed
Part D 2024 average
LIDOCAINE ANORECTAL 5% CREAM
generic · cream
$0.39868 to $1.24873 per GM filed
eff. 2026-09-23
We don’t know yet
LIDOCAINE PAIN RELIEF 4% PATCH
generic · patch
$1.10004 per EA filed
eff. 2026-09-23
We don’t know yet
QC LIDOCAINE PAIN RLF 4% PATCH this page
generic · patch
$1.10004 per EA filed
eff. 2026-09-23
We don’t know yet
TRIDACAINE XL 5% PATCH
generic · patch
$1.99779 per EA filed
eff. 2026-09-23
We don’t know yet
ZTLIDO 1.8% TOPICAL SYSTEM
brand · patch
$12.30598 per EA filed
eff. 2026-09-23
$11.64255 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. 2026-09-23 · 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

Compared with its class

Its NADAC price is $1.10004 per EA filed.

Of the 11 other products in FDA’s Amide Local Anesthetic class priced per EA, 5 have a higher middle NADAC price and 2 a lower one; 4 have the same. The one in the middle is LIDOCAINE PAIN RELIEF 4% PATCH, at $1.10004 per EA filed (eff. 2026-09-23).

Of the 43 other products in FDA’s Antiarrhythmic class priced per EA, 9 have a higher middle NADAC price and 30 a lower one; 4 have the same. The one in the middle is MEXILETINE 250 MG CAPSULE, at $0.38721 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

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 1 patch?
NADAC prices this product per EA, and the FDA NDC Directory lists its NDC as dosage form “PATCH” with route “TOPICAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. So the card starts at 1 patch, priced per patch, rather than guess how many make up a fill; change it to match your prescription.