TIZANIDINE HCL 4 MG CAPSULE
For 30 capsules
Pharmacies pay
$2.90 filed
30 × $0.09672 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
$4.16 filed
30 × $0.13861 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
1.4× estimated
Medicare paid 1.4× what pharmacies pay.
Part D averages every strength and form sold under “Tizanidine HCl” 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
$8.34 estimated
$2.90 + $0.44 (15%) + $5.00 fee per fill = $8.34
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
TIZANIDINE HCL 4 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “tizanidine hydrochloride” and “tizanidne hydrochloride”, as its NDCs’ listings variously write the nonproprietary name.
FDA gives its dosage form as “capsule, gelatin coated” and “capsule” and its route as oral.
FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Actavis Pharma, Inc., Ingenus Pharmaceuticals, LLC and Aurobindo Pharma Limited.
FDA’s Established Pharmacologic Class for it is Central alpha-2 Adrenergic Agonist.
The NADAC file of 2026-10-14 prices it under 8 NDCs (National Drug Codes).
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 $2.90 for 30 capsules (30 × $0.09672 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.
What NADAC measures · Why 30 capsules · NADAC explanation codes
The 8 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| Actavis Pharma, Inc. | 1 | $0.09672 per EA filed |
| Advagen Pharma Limited | 1 | $0.09672 per EA filed |
| Alembic Pharmaceuticals Inc. | 1 | $0.09672 per EA filed |
| Apotex Corp. | 1 | $0.09672 per EA filed |
| Ascend Laboratories, LLC | 1 | $0.09672 per EA filed |
| Aurobindo Pharma Limited | 1 | $0.09672 per EA filed |
| Ingenus Pharmaceuticals, LLC | 1 | $0.09672 per EA filed |
| Zydus Pharmaceuticals (USA) Inc. | 1 | $0.09672 per EA filed |
All 8 NDCs, with labeler and price
- 00591-2789-86 · Actavis Pharma, Inc. · $0.09672 per EA · eff. 2026-09-23 filed
- 50742-0225-15 · Ingenus Pharmaceuticals, LLC · $0.09672 per EA · eff. 2026-09-23 filed
- 59651-0315-77 · Aurobindo Pharma Limited · $0.09672 per EA · eff. 2026-09-23 filed
- 60505-2649-07 · Apotex Corp. · $0.09672 per EA · eff. 2026-09-23 filed
- 62332-0492-41 · Alembic Pharmaceuticals Inc. · $0.09672 per EA · eff. 2026-09-23 filed
- 67877-0611-15 · Ascend Laboratories, LLC · $0.09672 per EA · eff. 2026-09-23 filed
- 70710-1112-08 · Zydus Pharmaceuticals (USA) Inc. · $0.09672 per EA · eff. 2026-09-23 filed
- 72888-0002-15 · Advagen Pharma Limited · $0.09672 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
2 other products in the NADAC file share an FDA nonproprietary name with TIZANIDINE HCL 4 MG CAPSULE.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| TIZANIDINE HCL 2 MG CAPSULE | $0.09015 per EA filed | $0.13861 per EA filed |
| TIZANIDINE HCL 4 MG CAPSULE this page | $0.09672 per EA filed | $0.13861 per EA filed |
| TIZANIDINE HCL 6 MG CAPSULE | $0.14053 per EA filed | $0.13861 per EA filed |
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 8 NDCs’ NADAC prices is $0.09672 per EA filed.
Of the 22 other products in FDA’s Central alpha-2 Adrenergic Agonist class priced per EA, 16 have a higher middle NADAC price and 6 a lower one. The one in the middle is GUANFACINE HCL ER 3 MG TABLET, at $0.16584 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 $4.16 for 30 capsules, at an average of $0.13861 per EA in 2024 (2024-01-01 to 2024-12-31) for “Tizanidine HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 6,984,387 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.
7 of the product’s 8 NDCs have this Medicare figure; the other 1 do not, and the interactive card says why for each.
Medicare's price is not your price.
What Part D spending measures · Which Medicare figure OpenBill compares · 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 D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for TIZANIDINE HCL 4 MG CAPSULE 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 Tizanidine HCl / Tizanidine HCl: 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.
Related pages
Its pharmacologic class
Related in the same class
- TIZANIDINE HCL 2 MG TABLET
- CLONIDINE HCL 0.1 MG TABLET
- CLONIDINE 0.1 MG/DAY PATCH
- GUANFACINE HCL ER 1 MG TABLET
- JAVADIN 0.02 MG/ML SOLUTION