OpenBilldrug price receipt

NADAC week of 2026-10-14

SPIRONOLACTONE 25 MG TABLET

For 30 tablets

Pharmacies pay

$1.28 filed

30 × $0.04264 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

$3.98 filed

30 × $0.13256 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

3.1× estimated

Medicare paid 3.1× what pharmacies pay.

Part D averages every strength and form sold under “Spironolactone” 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

$6.47 estimated

$1.28 + $0.19 (15%) + $5.00 fee per fill = $6.47

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

SPIRONOLACTONE 25 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as spironolactone.

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

FDA lists 13 labelers (the companies named on the label) for its NDCs, among them Mylan Pharmaceuticals Inc., Major Pharmaceuticals and Camber Pharmaceuticals, Inc.

FDA’s Established Pharmacologic Class for it is Aldosterone Antagonist.

The NADAC file of 2026-10-14 prices it under 34 NDCs (National Drug Codes); the FDA directory lists 32 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 $1.28 for 30 tablets (30 × $0.04264 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 13 labelers

LabelerNDCsPharmacies pay per unit
Oxford Pharmaceuticals, LLC4$0.04264 per EA filed
Amneal Pharmaceuticals of New York LLC3$0.04264 per EA filed
Aurobindo Pharma Limited3$0.04264 per EA filed
Camber Pharmaceuticals, Inc.3$0.04264 per EA filed
Jubilant Cadista Pharmacuticals Inc.3$0.04264 per EA filed
NorthStar Rx LLC3$0.04264 per EA filed
Sun Pharmaceutical Industries, Inc.3$0.04264 per EA filed
Zydus Pharmaceuticals (USA) Inc.3$0.04264 per EA filed
Mylan Pharmaceuticals Inc.2$0.04264 per EA filed
Rising Pharma Holdings, Inc.2$0.04264 per EA filed
American Health Packaging1$0.04264 per EA filed
Major Pharmaceuticals1$0.04264 per EA filed
Mylan Institutional Inc.1$0.04264 per EA filed
Not listed as a package in the FDA directory2$0.04264 per EA filed
All 34 NDCs, with labeler and price
  • 00378-2146-01 · Mylan Pharmaceuticals Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 00378-2146-05 · Mylan Pharmaceuticals Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 00904-6927-61 · Major Pharmaceuticals · $0.04264 per EA · eff. 2026-09-23 filed
  • 31722-0094-01 · Camber Pharmaceuticals, Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 31722-0094-05 · Camber Pharmaceuticals, Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 31722-0094-10 · Camber Pharmaceuticals, Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 51079-0103-01 · not listed as a package in the FDA directory · $0.04264 per EA · eff. 2026-09-23 filed
  • 51079-0103-20 · Mylan Institutional Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 53489-0143-01 · Sun Pharmaceutical Industries, Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 53489-0143-05 · Sun Pharmaceutical Industries, Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 53489-0143-10 · Sun Pharmaceutical Industries, Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 53746-0511-01 · Amneal Pharmaceuticals of New York LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 53746-0511-05 · Amneal Pharmaceuticals of New York LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 53746-0511-10 · Amneal Pharmaceuticals of New York LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 59651-0426-01 · Aurobindo Pharma Limited · $0.04264 per EA · eff. 2026-09-23 filed
  • 59651-0426-05 · Aurobindo Pharma Limited · $0.04264 per EA · eff. 2026-09-23 filed
  • 59651-0426-99 · Aurobindo Pharma Limited · $0.04264 per EA · eff. 2026-09-23 filed
  • 59746-0216-05 · Jubilant Cadista Pharmacuticals Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 59746-0216-06 · Jubilant Cadista Pharmacuticals Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 59746-0216-09 · Jubilant Cadista Pharmacuticals Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 60687-0465-01 · American Health Packaging · $0.04264 per EA · eff. 2026-09-23 filed
  • 60687-0465-11 · not listed as a package in the FDA directory · $0.04264 per EA · eff. 2026-09-23 filed
  • 64980-0706-01 · Rising Pharma Holdings, Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 64980-0706-50 · Rising Pharma Holdings, Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 68382-0660-01 · Zydus Pharmaceuticals (USA) Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 68382-0660-05 · Zydus Pharmaceuticals (USA) Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 68382-0660-10 · Zydus Pharmaceuticals (USA) Inc. · $0.04264 per EA · eff. 2026-09-23 filed
  • 69584-0852-10 · Oxford Pharmaceuticals, LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 69584-0852-50 · Oxford Pharmaceuticals, LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 69584-0852-90 · Oxford Pharmaceuticals, LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 69584-0852-92 · Oxford Pharmaceuticals, LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 72603-0134-01 · NorthStar Rx LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 72603-0134-02 · NorthStar Rx LLC · $0.04264 per EA · eff. 2026-09-23 filed
  • 72603-0134-03 · NorthStar Rx LLC · $0.04264 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name spironolactone with SPIRONOLACTONE 25 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
SPIRONOLACTONE 25 MG TABLET this page
generic · tablet, film coated / tablet / tablet, coated
$0.04264 per EA filed
eff. 2026-09-23
$0.13256 per EA filed
Part D 2024 average
SPIRONOLACTONE 25 MG/5 ML SUSP
generic · suspension
$1.61922 to $1.81187 per ML filed
eff. 2026-09-23
We don’t know yet
SPIRONOLACTONE 50 MG TABLET
generic · tablet, film coated / tablet / tablet, coated
$0.08319 per EA filed
eff. 2026-09-23
$0.13256 per EA filed
Part D 2024 average
SPIRONOLACTONE 100 MG TABLET
generic · tablet, film coated / tablet / tablet, coated
$0.16783 per EA filed
eff. 2026-09-23
$0.13256 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 · 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 34 NDCs’ NADAC prices is $0.04264 per EA filed.

Of the 5 other products in FDA’s Aldosterone Antagonist class priced per EA, 5 have a higher middle NADAC price and 0 a lower one. The one in the middle is EPLERENONE 25 MG TABLET, at $0.30799 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 $3.98 for 30 tablets, at an average of $0.13256 per EA in 2024 (2024-01-01 to 2024-12-31) for “Spironolactone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 9,081,323 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 SPIRONOLACTONE 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 Spironolactone / Spironolactone: 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. 82 of 88 NADAC NDCs joined to this name are priced per EA (6 per ML): CMS's average mixes those units.