SELENIUM SULFIDE 2.5% LOTION
For 118 mL
Pharmacies pay
$9.22 filed
118 × $0.07813 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
$12.19 filed
118 × $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
1.3× estimated
Medicare paid 1.3× what 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
$15.60 estimated
$9.22 + $1.38 (15%) + $5.00 fee per fill = $15.60
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 2.5% LOTION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as selenium sulfide.
FDA gives its dosage form as lotion and its route as topical.
The labeler, the company named on the label, is Padagis Israel Pharmaceuticals Ltd.
FDA lists no Established Pharmacologic Class for it.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 45802-0040-64.
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 $9.22 for 118 mL (118 × $0.07813 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.
What NADAC measures · NADAC explanation codes
The NDC
- 45802-0040-64 · Padagis Israel Pharmaceuticals Ltd · $0.07813 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
3 other products in the NADAC file share the FDA nonproprietary name selenium sulfide with SELENIUM SULFIDE 2.5% LOTION.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| ANTI-DANDRUFF 1% SHAMPOO | $0.01409 per ML filed | We don’t know yet |
| MEDICATED DANDRUFF 1% SHAMPOO | $0.01409 per ML filed | We don’t know yet |
| SELENIUM SULFIDE 2.25% SHAMPOO | $0.16978 per ML filed | $0.1033 per ML filed |
| SELENIUM SULFIDE 2.5% LOTION this page | $0.07813 per ML filed | $0.1033 per ML 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. 2026-09-23 · 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 $12.19 for 118 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 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 118 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 118 mL; 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 SELENIUM SULFIDE 2.5% LOTION 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 118 mL?
- NADAC prices this product per ML. The FDA NDC Directory’s package description gives 118 mL in one package for this product’s NDC (“118 mL in 1 BOTTLE (45802-040-64)”), so the card starts at one package: 118 ML. Change it to match your prescription.