RECTIV 0.4% OINTMENT
FDA nonproprietary name: nitroglycerin
For 30 g
Pharmacies pay
$617.57 filed
30 × $20.58573 per GM
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
$624.85 filed
30 × $20.82844 per GM, 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
1.0× estimated
Medicare paid about what pharmacies pay.
Part D averages every strength and form sold under “Rectiv” / “Nitroglycerin” 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
$715.21 estimated
$617.57 + $92.64 (15%) + $5.00 fee per fill = $715.21
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
RECTIV 0.4% OINTMENT is how the CMS NADAC file names this product. The FDA NDC Directory lists it as nitroglycerin, under the trade name “Rectiv”.
FDA gives its dosage form as ointment and its route as rectal.
The labeler, the company named on the label, is Allergan, Inc.
FDA’s Established Pharmacologic Class for it is Nitrate Vasodilator.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 58914-0301-80.
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 $617.57 for 30 g (30 × $20.58573 per GM, 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.
NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $8.3149 per GM filed.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
What NADAC measures · NADAC explanation codes
The NDC
- 58914-0301-80 · Allergan, Inc. · $20.58573 per GM · eff. 2026-09-23 filed
Other strengths, forms and brands
11 other products in the NADAC file share the FDA nonproprietary name nitroglycerin with RECTIV 0.4% OINTMENT.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| NITRO-BID 2% OINTMENT | $1.22466 to $2.42188 per GM filed | $0.55745 per GM filed |
| NITRO-DUR 0.3 MG/HR PATCH | $50.49727 per EA filed | $50.82836 per EA filed |
| NITROGLYCERIN 0.1 MG/HR PATCH | $0.49331 per EA filed | We don’t know yet |
| NITROGLYCERIN 0.2 MG/HR PATCH | $0.59034 per EA filed | We don’t know yet |
| NITROGLYCERIN 0.3 MG TABLET SL | $0.06315 per EA filed | We don’t know yet |
| NITROGLYCERIN 0.4 MG TABLET SL | $0.07873 to $0.12724 per EA filed | We don’t know yet |
| NITROGLYCERIN 0.4 MG/HR PATCH | $0.72064 per EA filed | We don’t know yet |
| NITROGLYCERIN 0.4% OINTMENT | $8.3149 per GM filed | We don’t know yet |
| NITROGLYCERIN 0.6 MG TABLET SL | $0.08428 per EA filed | We don’t know yet |
| NITROGLYCERIN 0.6 MG/HR PATCH | $0.96273 per EA filed | We don’t know yet |
| NITROGLYCERIN 400 MCG SPRAY | $14.91392 to $23.52335 per GM filed | We don’t know yet |
| RECTIV 0.4% OINTMENT this page | $20.58573 per GM filed | $20.82844 per GM 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. 2026-08-19, 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 $20.58573 per GM filed.
Of the 3 other products in FDA’s Nitrate Vasodilator class priced per GM, 0 have a higher middle NADAC price and 3 a lower one. The one in the middle is NITROGLYCERIN 0.4% OINTMENT, at $8.3149 per GM 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 $624.85 for 30 g, at an average of $20.82844 per GM in 2024 (2024-01-01 to 2024-12-31) for “Rectiv” and “Nitroglycerin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 3,218 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 Part D spending measures · Which Medicare figure OpenBill compares · 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 30 g? Is it lower than what I would pay through my insurance?
- Is a generic version available, and would it suit me? NADAC lists a generic with the same ingredient, strength and dosage form by FDA: NITROGLYCERIN 0.4% OINTMENT. Ask your pharmacist or prescriber; do not switch on your own.
- How much is in the package I am getting? This page uses 30 g; your package may hold a different amount.
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for RECTIV 0.4% OINTMENT 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 Rectiv / Nitroglycerin: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on brand name.
- Why does this page start at 30 g?
- NADAC prices this product per GM. The FDA NDC Directory’s package description gives 30 g in one package for this product’s NDC (“1 TUBE in 1 CARTON (58914-301-80) / 30 g in 1 TUBE”), so the card starts at one package: 30 GM. Change it to match your prescription.