OpenBilldrug price receipt

NADAC week of 2026-10-14

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

The NDC

Other strengths, forms and brands

11 other products in the NADAC file share the FDA nonproprietary name nitroglycerin with RECTIV 0.4% OINTMENT.

ProductPharmacies pay per unitMedicare per unit
NITRO-BID 2% OINTMENT
brand · ointment
$1.22466 to $2.42188 per GM filed
eff. 2026-09-23
$0.55745 per GM filed
Part D 2024 average
NITRO-DUR 0.3 MG/HR PATCH
brand · patch
$50.49727 per EA filed
eff. 2026-08-19
$50.82836 per EA filed
Part D 2024 average
NITROGLYCERIN 0.1 MG/HR PATCH
generic · patch
$0.49331 per EA filed
eff. 2026-09-23
We don’t know yet
NITROGLYCERIN 0.2 MG/HR PATCH
generic · patch
$0.59034 per EA filed
eff. 2026-09-23
We don’t know yet
NITROGLYCERIN 0.3 MG TABLET SL
generic · tablet
$0.06315 per EA filed
eff. 2026-09-23
We don’t know yet
NITROGLYCERIN 0.4 MG TABLET SL
generic · tablet
$0.07873 to $0.12724 per EA filed
eff. 2026-09-23
We don’t know yet
NITROGLYCERIN 0.4 MG/HR PATCH
generic · patch
$0.72064 per EA filed
eff. 2026-09-23
We don’t know yet
NITROGLYCERIN 0.4% OINTMENT
generic · ointment
$8.3149 per GM filed
eff. 2026-09-23
We don’t know yet
NITROGLYCERIN 0.6 MG TABLET SL
generic · tablet
$0.08428 per EA filed
eff. 2026-09-23
We don’t know yet
NITROGLYCERIN 0.6 MG/HR PATCH
generic · patch
$0.96273 per EA filed
eff. 2026-09-23
We don’t know yet
NITROGLYCERIN 400 MCG SPRAY
generic · spray
$14.91392 to $23.52335 per GM filed
eff. 2026-09-23
We don’t know yet
RECTIV 0.4% OINTMENT this page
brand · ointment
$20.58573 per GM filed
eff. 2026-09-23
$20.82844 per GM 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. 2026-08-19, 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 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 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.