OpenBilldrug price receipt

NADAC week of 2026-10-14

SOOLANTRA 1% CREAM

FDA nonproprietary name: ivermectin

For 45 g

Pharmacies pay

$697.91 filed

45 × $15.5092 per GM

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

$686.70 filed

45 × $15.25999 per GM, 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

0.98× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Soolantra” / “IVermectin” 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

$807.60 estimated

$697.91 + $104.69 (15%) + $5.00 fee per fill = $807.60

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

SOOLANTRA 1% CREAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ivermectin, under the trade name “SOOLANTRA”.

FDA gives its dosage form as cream and its route as topical.

The labeler, the company named on the label, is Galderma Laboratories, L.P.

FDA lists it under 2 Established Pharmacologic Classes: Antiparasitic and Pediculicide.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00299-3823-45.

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 $697.91 for 45 g (45 × $15.5092 per GM, 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $2.74609 per GM filed.

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

The NDC

Other strengths, forms and brands

6 other products in the NADAC file share the FDA nonproprietary name ivermectin with SOOLANTRA 1% CREAM.

ProductPharmacies pay per unitMedicare per unit
IVERMECTIN 0.5% LOTION
generic · lotion
$1.23937 per GM filed
eff. 2026-09-23
We don’t know yet
IVERMECTIN 1% CREAM
generic · cream
$2.74609 per GM filed
eff. 2026-09-23
We don’t know yet
IVERMECTIN 3 MG TABLET
generic · tablet
$1.99423 per EA filed
eff. 2026-09-23
We don’t know yet
IVERMECTIN 6 MG TABLET
generic · tablet
$9.80491 per EA filed
eff. 2026-09-23
We don’t know yet
SKLICE 0.5% LOTION
brand · lotion
$0.28538 per GM filed
eff. 2026-09-23
We don’t know yet
SOOLANTRA 1% CREAM this page
brand · cream
$15.5092 per GM filed
eff. 2026-09-23
$15.25999 per GM filed
Part D 2024 average
STROMECTOL 3 MG TABLET
brand · tablet
$4.4593 per EA filed
eff. 2025-11-19
We don’t know yet

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. 2025-11-19, 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

Compared with its class

Its NADAC price is $15.5092 per GM filed.

Of the 3 other products in FDA’s Antiparasitic class priced per GM, 0 have a higher middle NADAC price and 3 a lower one. The one in the middle is IVERMECTIN 0.5% LOTION, at $1.23937 per GM filed (eff. 2026-09-23).

Of the 3 other products in FDA’s Pediculicide class priced per GM, 0 have a higher middle NADAC price and 3 a lower one. The one in the middle is IVERMECTIN 0.5% LOTION, at $1.23937 per GM 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 $686.70 for 45 g, at an average of $15.25999 per GM in 2024 (2024-01-01 to 2024-12-31) for “Soolantra” and “IVermectin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,911 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 SOOLANTRA 1% CREAM 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 Soolantra / IVermectin: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on brand name.
Why does this page start at 45 g?
NADAC prices this product per GM. The FDA NDC Directory’s package description gives 45 g in one package for this product’s NDC (“1 TUBE in 1 CARTON (0299-3823-45) / 45 g in 1 TUBE”), so the card starts at one package: 45 GM. Change it to match your prescription.