OpenBilldrug price receipt

NADAC week of 2026-10-14

SIROLIMUS 1 MG/ML SOLUTION

For 60 mL

Pharmacies pay

$263.42 filed

60 × $4.39032 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 B pays

$36.54 derived

60 × $0.609 per ML, Part B limit

Medicare's price is not your price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)


The spread

0.14× estimated

These two figures may not measure the same thing

At 0.14×, the Medicare figure is 0.2 times what pharmacies pay or less. 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.

11 labelers share HCPCS J7520 on the CMS crosswalk, so its payment limit is an average across all their products billed under that code, not this NDC’s own price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Cost-plus estimate

$307.93 estimated

$263.42 + $39.51 (15%) + $5.00 fee per fill = $307.93

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

SIROLIMUS 1 MG/ML SOLUTION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as sirolimus.

FDA gives its dosage form as solution and its route as oral.

FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Rising Pharma Holdings, Inc., Camber Pharmaceuticals, Inc. and Mylan Pharmaceuticals Inc.

FDA lists it under 2 Established Pharmacologic Classes: Kinase Inhibitor and mTOR Inhibitor Immunosuppressant.

The NADAC file of 2026-10-14 prices it under 10 NDCs (National Drug Codes); the FDA directory lists 8 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 $263.42 for 60 mL (60 × $4.39032 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

The 8 labelers

LabelerNDCsPharmacies pay per unit
Amneal Pharmaceuticals NY LLC1$4.39032 per ML filed
Apotex Corp1$4.39032 per ML filed
Camber Pharmaceuticals, Inc.1$4.39032 per ML filed
Mylan Pharmaceuticals Inc.1$4.39032 per ML filed
Northstar Rx LLC1$4.39032 per ML filed
Novadoz Pharmaceuticals LLC1$4.39032 per ML filed
Rising Pharma Holdings, Inc.1$4.39032 per ML filed
VistaPharm, LLC1$4.39032 per ML filed
Not listed as a package in the FDA directory2$4.39032 per ML filed
All 10 NDCs, with labeler and price
  • 16571-0806-06 · Rising Pharma Holdings, Inc. · $4.39032 per ML · eff. 2026-09-23 filed
  • 31722-0316-31 · Camber Pharmaceuticals, Inc. · $4.39032 per ML · eff. 2026-09-23 filed
  • 59762-1205-04 · not listed as a package in the FDA directory · $4.39032 per ML · eff. 2026-09-23 filed
  • 59762-1205-06 · Mylan Pharmaceuticals Inc. · $4.39032 per ML · eff. 2026-09-23 filed
  • 60505-6197-02 · Apotex Corp · $4.39032 per ML · eff. 2026-09-23 filed
  • 66689-0347-02 · VistaPharm, LLC · $4.39032 per ML · eff. 2026-09-23 filed
  • 69238-1594-03 · Amneal Pharmaceuticals NY LLC · $4.39032 per ML · eff. 2026-09-23 filed
  • 69238-1594-06 · not listed as a package in the FDA directory · $4.39032 per ML · eff. 2026-09-23 filed
  • 72205-0099-78 · Novadoz Pharmaceuticals LLC · $4.39032 per ML · eff. 2026-09-23 filed
  • 72603-0409-01 · Northstar Rx LLC · $4.39032 per ML · eff. 2026-09-23 filed

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name sirolimus with SIROLIMUS 1 MG/ML SOLUTION.

ProductPharmacies pay per unitMedicare per unit
SIROLIMUS 0.5 MG TABLET
generic · tablet, film coated / tablet, sugar coated
$0.84147 per EA filed
eff. 2026-09-23
$0.3045 per EA derived
Part B limit 2026 Q4
SIROLIMUS 1 MG TABLET
generic · tablet, film coated / tablet / tablet, sugar coated
$0.72296 per EA filed
eff. 2026-09-23
$0.609 per EA derived
Part B limit 2026 Q4
SIROLIMUS 1 MG/ML SOLUTION this page
generic · solution
$4.39032 per ML filed
eff. 2026-09-23
$0.609 per ML derived
Part B limit 2026 Q4
SIROLIMUS 2 MG TABLET
generic · tablet, film coated / tablet / tablet, sugar coated
$2.5288 per EA filed
eff. 2026-09-23
$1.218 per EA derived
Part B limit 2026 Q4

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

What Medicare paid

Medicare Part B’s payment limit for HCPCS J7520, for 2026-10-01 to 2026-12-31, comes to $36.54 for 60 mL, or $0.609 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for this oral drug at a pharmacy only in specific circumstances CMS sets for this code; most prescriptions are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.1218 per 1 MG.

5 of the product’s 10 NDCs have this Medicare figure; the other 5 do not, and the interactive card says why for each.

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 does this page start at 60 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 60 mL in one package for the 8 of this product’s 10 NDCs it lists (“1 CARTON in 1 KIT (16571-806-06) / 1 BOTTLE, GLASS in 1 CARTON / 60 mL in 1 BOTTLE, GLASS”), so the card starts at one package: 60 ML. Change it to match your prescription.