OpenBilldrug price receipt

NADAC week of 2026-10-14

THEO-24 ER 400 MG CAPSULE

FDA nonproprietary name: theophylline anhydrous

For 30 capsules

Pharmacies pay

$293.80 filed

30 × $9.79324 per EA

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

Medicare

We don’t know yet

No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.


The spread

We don’t know yet

There is no Medicare figure to compare with, so there is no spread.

Cost-plus estimate

$342.87 estimated

$293.80 + $44.07 (15%) + $5.00 fee per fill = $342.87

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. 2026-01-01 (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

THEO-24 ER 400 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as theophylline anhydrous, under the trade name “Theo-24”.

FDA gives its dosage form as capsule, extended release and its route as oral.

The labeler, the company named on the label, is ENDO USA, Inc.

FDA’s Established Pharmacologic Class for it is Methylxanthine.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 52244-0400-10.

NADAC classes it in its brand rate-setting class B-ANDA, and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $293.80 for 30 capsules (30 × $9.79324 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 4, carried forward from the previous file; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-01-01. The file is new; the price is not.

The NDC

Other strengths, forms and brands

5 other products in the NADAC file share the FDA nonproprietary name theophylline anhydrous with THEO-24 ER 400 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
THEO-24 ER 100 MG CAPSULE
brand · capsule, extended release
$3.81613 per EA filed
eff. 2026-09-23
We don’t know yet
THEO-24 ER 200 MG CAPSULE
brand · capsule, extended release
$5.66778 per EA filed
eff. 2026-01-01
We don’t know yet
THEO-24 ER 300 MG CAPSULE
brand · capsule, extended release
$6.95288 per EA filed
eff. 2026-09-23
We don’t know yet
THEO-24 ER 400 MG CAPSULE this page
brand · capsule, extended release
$9.79324 per EA filed
eff. 2026-01-01
We don’t know yet
THEOPHYLLINE ER 400 MG TABLET
generic · tablet, extended release
$0.99526 per EA filed
eff. 2026-09-23
$1.29285 per EA filed
Part D 2024 average
THEOPHYLLINE ER 600 MG TABLET
generic · tablet, extended release
$1.39516 per EA filed
eff. 2025-11-19 to 2026-01-14
$1.29285 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. between 2025-11-19 and 2026-09-23 (4 dates) · 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 $9.79324 per EA filed.

Of the 32 other products in FDA’s Methylxanthine class priced per EA, 0 have a higher middle NADAC price and 32 a lower one. The one in the middle is QC STAY AWAKE 200 MG TABLET, at $0.08299 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. 2026-01-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

We don’t know yet; the card above says why.

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.