OpenBilldrug price receipt

NADAC week of 2026-10-14

SILDENAFIL 20 MG TABLET

For 30 tablets

Pharmacies pay

$1.53 filed

30 × $0.05105 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 Part D paid

$43.71 filed

30 × $1.45692 per EA, 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

28.5× estimated

These two figures may not measure the same thing

At 28.5×, the Medicare figure is 20 or more times what pharmacies pay. A gap that large means the two figures may not describe the same unit or product, or the price may have changed between their dates; check what each one covers before relying on the multiple.

Part D averages every strength and form sold under “Sildenafil Citrate” 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

$6.76 estimated

$1.53 + $0.23 (15%) + $5.00 fee per fill = $6.76

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

SILDENAFIL 20 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as sildenafil, under the trade name “Sildenafil Citrate”.

FDA gives its dosage form as “tablet, film coated” and “tablet” and its route as oral.

FDA lists 14 labelers (the companies named on the label) for its NDCs, among them Major Pharmaceuticals, Torrent Pharmaceuticals Limited and Ajanta Pharma USA Inc.

FDA’s Established Pharmacologic Class for it is Phosphodiesterase 5 Inhibitor.

The NADAC file of 2026-10-14 prices it under 23 NDCs (National Drug Codes); the FDA directory lists 21 of them.

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 $1.53 for 30 tablets (30 × $0.05105 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 14 labelers

LabelerNDCsPharmacies pay per unit
Advagen Pharma Ltd2$0.05105 per EA filed
Ajanta Pharma USA Inc.2$0.05105 per EA filed
Amneal Pharmaceuticals LLC2$0.05105 per EA filed
Aurobindo Pharma Limited2$0.05105 per EA filed
Camber Pharmaceuticals, Inc.2$0.05105 per EA filed
Macleods Pharmaceuticals Limited2$0.05105 per EA filed
Major Pharmaceuticals2$0.05105 per EA filed
American Health Packaging1$0.05105 per EA filed
AvPAK1$0.05105 per EA filed
BluePoint Laboratories1$0.05105 per EA filed
Chartwell RX, LLC1$0.05105 per EA filed
Quallent Pharmaceuticals Health LLC1$0.05105 per EA filed
Torrent Pharmaceuticals Limited1$0.05105 per EA filed
TruPharma LLC1$0.05105 per EA filed
Not listed as a package in the FDA directory2$0.05105 per EA filed
All 23 NDCs, with labeler and price
  • 00904-6671-04 · Major Pharmaceuticals · $0.05105 per EA · eff. 2026-09-23 filed
  • 00904-6671-06 · Major Pharmaceuticals · $0.05105 per EA · eff. 2026-09-23 filed
  • 13668-0185-90 · Torrent Pharmaceuticals Limited · $0.05105 per EA · eff. 2026-09-23 filed
  • 27241-0124-03 · Ajanta Pharma USA Inc. · $0.05105 per EA · eff. 2026-09-23 filed
  • 27241-0124-05 · Ajanta Pharma USA Inc. · $0.05105 per EA · eff. 2026-09-23 filed
  • 31722-0776-05 · Camber Pharmaceuticals, Inc. · $0.05105 per EA · eff. 2026-09-23 filed
  • 31722-0776-90 · Camber Pharmaceuticals, Inc. · $0.05105 per EA · eff. 2026-09-23 filed
  • 33342-0121-10 · Macleods Pharmaceuticals Limited · $0.05105 per EA · eff. 2026-09-23 filed
  • 33342-0536-10 · Macleods Pharmaceuticals Limited · $0.05105 per EA · eff. 2026-09-23 filed
  • 50268-0717-11 · not listed as a package in the FDA directory · $0.05105 per EA · eff. 2026-09-23 filed
  • 50268-0717-15 · AvPAK · $0.05105 per EA · eff. 2026-09-23 filed
  • 52817-0295-90 · TruPharma LLC · $0.05105 per EA · eff. 2026-09-23 filed
  • 60687-0788-11 · not listed as a package in the FDA directory · $0.05105 per EA · eff. 2026-09-23 filed
  • 60687-0788-21 · American Health Packaging · $0.05105 per EA · eff. 2026-09-23 filed
  • 62135-0372-90 · Chartwell RX, LLC · $0.05105 per EA · eff. 2026-09-23 filed
  • 65162-0351-09 · Amneal Pharmaceuticals LLC · $0.05105 per EA · eff. 2026-09-23 filed
  • 65162-0351-11 · Amneal Pharmaceuticals LLC · $0.05105 per EA · eff. 2026-09-23 filed
  • 65862-0688-90 · Aurobindo Pharma Limited · $0.05105 per EA · eff. 2026-09-23 filed
  • 65862-0688-99 · Aurobindo Pharma Limited · $0.05105 per EA · eff. 2026-09-23 filed
  • 68001-0597-05 · BluePoint Laboratories · $0.05105 per EA · eff. 2026-09-23 filed
  • 72888-0018-00 · Advagen Pharma Ltd · $0.05105 per EA · eff. 2026-09-23 filed
  • 72888-0018-90 · Advagen Pharma Ltd · $0.05105 per EA · eff. 2026-09-23 filed
  • 82009-0094-90 · Quallent Pharmaceuticals Health LLC · $0.05105 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

4 other products in the NADAC file share the FDA nonproprietary name sildenafil with SILDENAFIL 20 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
SILDENAFIL 10 MG/ML ORAL SUSP
generic · powder, for suspension / for suspension
$0.26026 per ML filed
eff. 2026-09-23
We don’t know yet
SILDENAFIL 20 MG TABLET this page
generic · tablet, film coated / tablet
$0.05105 per EA filed
eff. 2026-09-23
$1.45692 per EA filed
Part D 2024 average
SILDENAFIL 25 MG TABLET
generic · tablet, film coated / tablet
$0.12199 per EA filed
eff. 2026-09-23 to 2026-10-07
$1.45692 per EA filed
Part D 2024 average
SILDENAFIL 50 MG TABLET
generic · tablet, film coated / tablet
$0.10675 per EA filed
eff. 2026-09-23 to 2026-09-30
$1.45692 per EA filed
Part D 2024 average
SILDENAFIL 100 MG TABLET
generic · tablet, film coated / tablet
$0.13192 per EA filed
eff. 2026-09-23 to 2026-09-30
$1.45692 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, 2026-09-30, 2026-10-07 · 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

The middle of its 23 NDCs’ NADAC prices is $0.05105 per EA filed.

Of the 17 other products in FDA’s Phosphodiesterase 5 Inhibitor class priced per EA, 17 have a higher middle NADAC price and 0 a lower one. The one in the middle is VARDENAFIL HCL 20 MG TABLET, at $2.7928 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

Medicare Part D paid $43.71 for 30 tablets, at an average of $1.45692 per EA in 2024 (2024-01-01 to 2024-12-31) for “Sildenafil Citrate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 837,854 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 SILDENAFIL 20 MG TABLET 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 Sildenafil Citrate / Sildenafil Citrate: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name. 104 of 113 NADAC NDCs joined to this name are priced per EA (9 per ML): CMS's average mixes those units.