OpenBilldrug price receipt

NADAC week of 2026-10-14

SELENIUM SULFIDE 2.25% SHAMPOO

For 180 mL

Pharmacies pay

$30.56 filed

180 × $0.16978 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

$18.59 filed

180 × $0.1033 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

0.61× estimated

Medicare paid 39% less than pharmacies pay.

Part D averages every strength and form sold under “Selenium Sulfide” 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

$40.14 estimated

$30.56 + $4.58 (15%) + $5.00 fee per fill = $40.14

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

SELENIUM SULFIDE 2.25% SHAMPOO is how the CMS NADAC file names this product. The FDA NDC Directory lists it as selenium sulfide.

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

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

FDA lists no Established Pharmacologic Class for it.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 69367-0229-18.

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 $30.56 for 180 mL (180 × $0.16978 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.

The NDC

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name selenium sulfide with SELENIUM SULFIDE 2.25% SHAMPOO.

ProductPharmacies pay per unitMedicare per unit
ANTI-DANDRUFF 1% SHAMPOO
generic · shampoo
$0.01409 per ML filed
eff. 2026-09-23
We don’t know yet
MEDICATED DANDRUFF 1% SHAMPOO
generic · shampoo
$0.01409 per ML filed
eff. 2026-09-23
We don’t know yet
SELENIUM SULFIDE 2.25% SHAMPOO this page
generic · shampoo
$0.16978 per ML filed
eff. 2026-09-23
$0.1033 per ML filed
Part D 2024 average
SELENIUM SULFIDE 2.5% LOTION
generic · lotion
$0.07813 per ML filed
eff. 2026-09-23
$0.1033 per ML 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

What Medicare paid

Medicare Part D paid $18.59 for 180 mL, at an average of $0.1033 per ML in 2024 (2024-01-01 to 2024-12-31) for “Selenium Sulfide”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 52,560 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 SELENIUM SULFIDE 2.25% SHAMPOO 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 Selenium Sulfide / Selenium Sulfide: 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 180 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 180 mL in one package for this product’s NDC (“180 mL in 1 BOTTLE (69367-229-18)”), so the card starts at one package: 180 ML. Change it to match your prescription.