OpenBilldrug price receipt

NADAC week of 2026-10-14

TEMOZOLOMIDE 250 MG CAPSULE

For 30 capsules

Pharmacies pay

$616.00 filed

30 × $20.5332 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2025-10-22 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part B pays

$312.00 derived

30 × $10.40 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

0.51× estimated

Medicare pays 49% less than pharmacies pay.

4 labelers share HCPCS J8700 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. 2025-10-22 (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

$713.40 estimated

$616.00 + $92.40 (15%) + $5.00 fee per fill = $713.40

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. 2025-10-22 (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

TEMOZOLOMIDE 250 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as temozolomide.

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

FDA lists 7 labelers (the companies named on the label) for its NDCs, among them Rising Pharma Holdings, Inc., Accord Healthcare Inc. and Camber Pharmaceuticals, Inc.

FDA’s Established Pharmacologic Class for it is Alkylating Drug.

The NADAC file of 2026-10-14 prices it under 8 NDCs (National Drug Codes); the FDA directory lists 7 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 $616.00 for 30 capsules (30 × $20.5332 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2025-10-22. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 4, carried forward from the previous file.

The NADAC of all 8 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2025-10-22. The file is new; the price is not.

The 7 labelers

LabelerNDCsPharmacies pay per unit
Accord Healthcare Inc.1$20.5332 per EA filed
Amneal Pharmaceuticals LLC1$20.5332 per EA filed
Ascend Laboratories, LLC1$20.5332 per EA filed
Camber Pharmaceuticals, Inc.1$20.5332 per EA filed
Devatis, Inc.1$20.5332 per EA filed
Rising Pharma Holdings, Inc.1$20.5332 per EA filed
Sun Pharmaceutical Industries, Inc.1$20.5332 per EA filed
Not listed as a package in the FDA directory1$20.5332 per EA filed
All 8 NDCs, with labeler and price
  • 16571-0821-51 · Rising Pharma Holdings, Inc. · $20.5332 per EA · eff. 2025-10-22 filed carried forward
  • 16729-0051-53 · Accord Healthcare Inc. · $20.5332 per EA · eff. 2025-10-22 filed carried forward
  • 31722-0416-31 · Camber Pharmaceuticals, Inc. · $20.5332 per EA · eff. 2025-10-22 filed carried forward
  • 47335-0893-60 · not listed as a package in the FDA directory · $20.5332 per EA · eff. 2025-10-22 filed carried forward
  • 47335-0893-74 · Sun Pharmaceutical Industries, Inc. · $20.5332 per EA · eff. 2025-10-22 filed carried forward
  • 65162-0806-51 · Amneal Pharmaceuticals LLC · $20.5332 per EA · eff. 2025-10-22 filed carried forward
  • 67877-0542-07 · Ascend Laboratories, LLC · $20.5332 per EA · eff. 2025-10-22 filed carried forward
  • 73043-0016-05 · Devatis, Inc. · $20.5332 per EA · eff. 2025-10-22 filed carried forward

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name temozolomide with TEMOZOLOMIDE 250 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
TEMOZOLOMIDE 20 MG CAPSULE
generic · capsule
$0.87977 per EA filed
eff. 2026-09-23
$0.832 per EA derived
Part B limit 2026 Q4
TEMOZOLOMIDE 100 MG CAPSULE
generic · capsule
$4.37549 per EA filed
eff. 2026-09-23
$4.16 per EA derived
Part B limit 2026 Q4
TEMOZOLOMIDE 250 MG CAPSULE this page
generic · capsule
$20.5332 per EA filed
eff. 2025-10-22
$10.40 per EA derived
Part B limit 2026 Q4

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2025-10-22, 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 J8700, for 2026-10-01 to 2026-12-31, comes to $312.00 for 30 capsules, or $10.40 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 $0.0416 per 5 MG.

3 of the product’s 8 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.