TACROLIMUS 5 MG CAPSULE (IMMEDIATE RELEASE)
For 30 capsules
Pharmacies pay
$20.64 filed
30 × $0.68805 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 B pays
$24.30 derived
30 × $0.81 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
1.2× estimated
Medicare pays 1.2× what pharmacies pay.
15 labelers share HCPCS J7507 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
$28.74 estimated
$20.64 + $3.10 (15%) + $5.00 fee per fill = $28.74
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
TACROLIMUS 5 MG CAPSULE (IMMEDIATE RELEASE) is how the CMS NADAC file names this product. The FDA NDC Directory lists it as tacrolimus.
FDA gives its dosage form as “capsule” and “capsule, gelatin coated” and its route as oral.
FDA lists 14 labelers (the companies named on the label) for its NDCs, among them Mylan Pharmaceuticals Inc., Sandoz Inc. and Major Pharmaceuticals.
FDA’s Established Pharmacologic Class for it is Calcineurin Inhibitor Immunosuppressant.
The NADAC file of 2026-10-14 prices it under 16 NDCs (National Drug Codes); the FDA directory lists 14 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 $20.64 for 30 capsules (30 × $0.68805 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.
What NADAC measures · Why 30 capsules · NADAC explanation codes
The 14 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| American Health Packaging | 1 | $0.68805 per EA filed |
| Ascend Laboratories, LLC | 1 | $0.68805 per EA filed |
| Biocon Pharma Inc. | 1 | $0.68805 per EA filed |
| Dr. Reddy's Laboratories Limited | 1 | $0.68805 per EA filed |
| Glenmark Pharmaceuticals Inc., USA | 1 | $0.68805 per EA filed |
| Jubilant Cadista Pharmaceuticals Inc. | 1 | $0.68805 per EA filed |
| Major Pharmaceuticals | 1 | $0.68805 per EA filed |
| Mylan Pharmaceuticals Inc. | 1 | $0.68805 per EA filed |
| MylanInstitutional Inc. | 1 | $0.68805 per EA filed |
| NORTHSTAR RX LLC | 1 | $0.68805 per EA filed |
| Quallent Pharmaceuticals Health LLC | 1 | $0.68805 per EA filed |
| Sandoz Inc. | 1 | $0.68805 per EA filed |
| Stellon Biotech Inc. | 1 | $0.68805 per EA filed |
| Strides Pharma Science Limited | 1 | $0.68805 per EA filed |
| Not listed as a package in the FDA directory | 2 | $0.68805 per EA filed |
All 16 NDCs, with labeler and price
- 00378-2047-01 · Mylan Pharmaceuticals Inc. · $0.68805 per EA · eff. 2026-09-23 filed
- 00781-2104-01 · Sandoz Inc. · $0.68805 per EA · eff. 2026-09-23 filed
- 00904-6624-61 · Major Pharmaceuticals · $0.68805 per EA · eff. 2026-09-23 filed
- 16714-0100-01 · NORTHSTAR RX LLC · $0.68805 per EA · eff. 2026-09-23 filed
- 51079-0028-01 · not listed as a package in the FDA directory · $0.68805 per EA · eff. 2026-09-23 filed
- 51079-0028-20 · MylanInstitutional Inc. · $0.68805 per EA · eff. 2026-09-23 filed
- 55111-0527-01 · Dr. Reddy's Laboratories Limited · $0.68805 per EA · eff. 2026-09-23 filed
- 59746-0800-01 · Jubilant Cadista Pharmaceuticals Inc. · $0.68805 per EA · eff. 2026-09-23 filed
- 64380-0722-06 · Strides Pharma Science Limited · $0.68805 per EA · eff. 2026-09-23 filed
- 67877-0280-01 · Ascend Laboratories, LLC · $0.68805 per EA · eff. 2026-09-23 filed
- 68084-0451-01 · American Health Packaging · $0.68805 per EA · eff. 2026-09-23 filed
- 68084-0451-11 · not listed as a package in the FDA directory · $0.68805 per EA · eff. 2026-09-23 filed
- 68462-0687-01 · Glenmark Pharmaceuticals Inc., USA · $0.68805 per EA · eff. 2026-09-23 filed
- 70377-0016-11 · Biocon Pharma Inc. · $0.68805 per EA · eff. 2026-09-23 filed
- 82009-0165-01 · Quallent Pharmaceuticals Health LLC · $0.68805 per EA · eff. 2026-09-23 filed
- 85972-0103-01 · Stellon Biotech Inc. · $0.68805 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
8 other products in the NADAC file share the FDA nonproprietary name tacrolimus with TACROLIMUS 5 MG CAPSULE (IMMEDIATE RELEASE).
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| PROGRAF 0.2 MG GRANULE PACKET | $5.01513 per EA filed | $5.93047 per EA filed |
| PROGRAF 0.5 MG CAPSULE | $3.65915 per EA filed | $5.93047 per EA filed |
| PROGRAF 1 MG CAPSULE | $7.32732 per EA filed | $5.93047 per EA filed |
| PROGRAF 1 MG GRANULE PACKET | $7.4446 per EA filed | $5.93047 per EA filed |
| TACROLIMUS 0.03% OINTMENT | $0.88777 to $0.99827 per GM filed | We don’t know yet |
| TACROLIMUS 0.1% OINTMENT | $0.94262 to $0.98159 per GM filed | We don’t know yet |
| TACROLIMUS 0.5 MG CAPSULE (IMMEDIATE RELEASE) | $0.12274 per EA filed | $0.081 per EA derived |
| TACROLIMUS 1 MG CAPSULE (IMMEDIATE RELEASE) | $0.1535 per EA filed | $0.162 per EA derived |
| TACROLIMUS 5 MG CAPSULE (IMMEDIATE RELEASE) this page | $0.68805 per EA filed | $0.81 per EA derived |
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
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 16 NDCs’ NADAC prices is $0.68805 per EA filed.
Of the 19 other products in FDA’s Calcineurin Inhibitor Immunosuppressant class priced per EA, 16 have a higher middle NADAC price and 3 a lower one. The one in the middle is NEORAL 25 MG GELATIN CAPSULE, at $2.94566 per EA filed (eff. 2026-07-08).
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. 2026-07-08, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
What Medicare paid
Medicare Part B’s payment limit for HCPCS J7507, for 2026-10-01 to 2026-12-31, comes to $24.30 for 30 capsules, or $0.81 per EA 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 $0.0324 per 1 MG.
9 of the product’s 16 NDCs have this Medicare figure; the other 7 do not, and the interactive card says why for each.
Medicare's price is not your price.
What the Part B payment limit is · Converting it to the NADAC unit · How the spread is worked out
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.
- What is your cash price for 30 capsules? Is it lower than what I would pay through my insurance?
- If you have Medicare Part B: is this drug covered for me in this setting, and what is my share?
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.