OpenBilldrug price receipt

NADAC week of 2026-10-14

SILDENAFIL 25 MG TABLET

For 30 tablets

Pharmacies pay

$3.66 filed

30 × $0.12199 per EA

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 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

11.9× estimated

Medicare paid 11.9× what pharmacies pay.

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, 2026-09-30, 2026-10-07 (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

$9.21 estimated

$3.66 + $0.55 (15%) + $5.00 fee per fill = $9.21

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, 2026-10-07 (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 25 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “sildenafil” and “sildenafil citrate”, as its NDCs’ listings variously write the nonproprietary name.

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 Teva Pharmaceuticals USA, Inc., 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 19 NDCs (National Drug Codes).

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 $3.66 for 30 tablets (30 × $0.12199 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; those prices took effect between 2026-09-23 and 2026-10-07. 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

The 14 labelers

LabelerNDCsPharmacies pay per unit
Ajanta Pharma USA Inc.2$0.12199 per EA filed
Aurobindo Pharma Limited2$0.12199 per EA filed
Macleods Pharmaceuticals Limited2$0.12199 per EA filed
Modavar Pharmaceuticals LLC2$0.12199 per EA filed
Umedica Laboratories USA Inc.2$0.12199 per EA filed
Advagen Pharma Ltd1$0.12199 per EA filed
Amneal Pharmaceuticals NY LLC1$0.12199 per EA filed
Camber Pharmaceuticals, Inc.1$0.12199 per EA filed
Exelan Pharmaceuticals, Inc.1$0.12199 per EA filed
Mylan Pharmaceuticals Inc.1$0.12199 per EA filed
NIVAGEN PHARMACEUTICALS, INC.1$0.12199 per EA filed
Northstar Rx LLC1$0.12199 per EA filed
Teva Pharmaceuticals USA, Inc.1$0.12199 per EA filed
Torrent Pharmaceuticals Limited1$0.12199 per EA filed

When these prices took effect

All 19 NDCs, with labeler and price
  • 00093-5341-56 · Teva Pharmaceuticals USA, Inc. · $0.12199 per EA · eff. 2026-09-23 filed
  • 13668-0186-30 · Torrent Pharmaceuticals Limited · $0.12199 per EA · eff. 2026-09-23 filed
  • 27241-0067-03 · Ajanta Pharma USA Inc. · $0.12199 per EA · eff. 2026-09-23 filed
  • 27241-0067-05 · Ajanta Pharma USA Inc. · $0.12199 per EA · eff. 2026-09-23 filed
  • 31722-0709-30 · Camber Pharmaceuticals, Inc. · $0.12199 per EA · eff. 2026-09-23 filed
  • 33342-0041-07 · Macleods Pharmaceuticals Limited · $0.12199 per EA · eff. 2026-09-23 filed
  • 33342-0041-44 · Macleods Pharmaceuticals Limited · $0.12199 per EA · eff. 2026-09-23 filed
  • 59762-0034-01 · Mylan Pharmaceuticals Inc. · $0.12199 per EA · eff. 2026-09-23 filed
  • 60219-1751-03 · Amneal Pharmaceuticals NY LLC · $0.12199 per EA · eff. 2026-09-23 filed
  • 60290-0079-01 · Umedica Laboratories USA Inc. · $0.12199 per EA · eff. 2026-10-07 filed
  • 60290-0079-03 · Umedica Laboratories USA Inc. · $0.12199 per EA · eff. 2026-09-23 filed
  • 65862-0689-30 · Aurobindo Pharma Limited · $0.12199 per EA · eff. 2026-09-23 filed
  • 65862-0689-99 · Aurobindo Pharma Limited · $0.12199 per EA · eff. 2026-09-23 filed
  • 72241-0069-11 · Modavar Pharmaceuticals LLC · $0.12199 per EA · eff. 2026-09-23 filed
  • 72241-0069-22 · Modavar Pharmaceuticals LLC · $0.12199 per EA · eff. 2026-09-23 filed
  • 72603-0883-01 · Northstar Rx LLC · $0.12199 per EA · eff. 2026-09-30 filed
  • 72888-0015-05 · Advagen Pharma Ltd · $0.12199 per EA · eff. 2026-09-23 filed
  • 75834-0272-00 · NIVAGEN PHARMACEUTICALS, INC. · $0.12199 per EA · eff. 2026-09-23 filed
  • 76282-0643-30 · Exelan Pharmaceuticals, Inc. · $0.12199 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

5 other products in the NADAC file share an FDA nonproprietary name with SILDENAFIL 25 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
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 this page
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
VIAGRA 100 MG TABLET
brand · tablet, film coated
$83.71647 per EA filed
eff. 2026-09-23
$82.09527 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 19 NDCs’ NADAC prices is $0.12199 per EA filed.

Of the 17 other products in FDA’s Phosphodiesterase 5 Inhibitor class priced per EA, 13 have a higher middle NADAC price and 4 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, 2026-10-07 · 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 25 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.