OpenBilldrug price receipt

NADAC week of 2026-10-14

SOLU-CORTEF 100 MG ACT-O-VIAL

FDA nonproprietary name: hydrocortisone sodium succinate

For 1 unit (EA)

Pharmacies pay

$24.68 – $25.53 filed

1 × $24.68317 to $25.52679 per EA (the 2 NDCs differ)

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-07-01 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part B pays

$23.15 derived

1 × $23.149 per EA, 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

0.91× – 0.94× estimated

Medicare pays between 0.91× and 0.94× what pharmacies pay, depending on the NDC.

5 labelers share HCPCS J1720 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. 2026-07-01 (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

$33.38 – $34.36 estimated

NADAC for the pack + 15% + $5.00 fee per fill

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. 2026-07-01 (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

SOLU-CORTEF 100 MG ACT-O-VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as hydrocortisone sodium succinate, under the trade name “Solu-Cortef”.

FDA gives its dosage form as injection, powder, for solution and its route as intramuscular; intravenous.

The labeler, the company named on the label, is Pharmacia & Upjohn Company LLC.

FDA’s Established Pharmacologic Class for it is Corticosteroid.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $24.68 – $25.53 for 1 unit (EA), depending on the NDC ($24.68317 to $25.52679 per EA), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-07-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 2, the latest survey was within 2% of the current NADAC, so the NADAC was carried forward from the previous file; 4, carried forward from the previous file; 5, calculated based on package size.

The NADAC of all 2 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2026-07-01. The file is new; the price is not.

All 2 NDCs

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name hydrocortisone sodium succinate with SOLU-CORTEF 100 MG ACT-O-VIAL.

ProductPharmacies pay per unitMedicare per unit
HYDROCORTISONE SS 100 MG VIAL
generic · injection, powder, for solution / injection
$14.61713 per EA filed
eff. 2026-09-23
$13.61789 per EA filed
Part D 2024 average
SOLU-CORTEF 100 MG ACT-O-VIAL this page
brand · injection, powder, for solution
$24.68317 to $25.52679 per EA filed
eff. 2026-07-01
$23.149 per EA derived
Part B limit 2026 Q4
SOLU-CORTEF 100 MG VIAL
brand · injection, powder, for solution
$25.72673 per EA filed
eff. 2026-10-01
$23.149 per EA derived
Part B limit 2026 Q4
SOLU-CORTEF 250 MG ACT-O-VIAL
brand · injection, powder, for solution
$51.43208 per EA filed
eff. 2026-07-01
$69.447 per EA derived
Part B limit 2026 Q4

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. 2026-07-01, 2026-09-23, 2026-10-01 · 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

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)

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $24.68317 per EA filed.

Of the 73 other products in FDA’s Corticosteroid class priced per EA, 12 have a higher middle NADAC price and 61 a lower one. The one in the middle is FLUTICASONE PROP 100 MCG DISKUS, at $2.05252 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. 2026-07-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part B’s payment limit for HCPCS J1720, for 2026-10-01 to 2026-12-31, comes to $23.15 for 1 unit (EA), or $23.149 per EA once converted to NADAC’s unit for this product.

Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $4.6298 per 100 MG.

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 1 unit (EA)?
NADAC prices this product per EA, and the FDA NDC Directory lists its 2 NDCs as dosage form “INJECTION, POWDER, FOR SOLUTION” with route “INTRAMUSCULAR; INTRAVENOUS”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and none of these is one. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.