TOBRAMYCIN-DEXAMETH OPHTH SUSP

What it is

TOBRAMYCIN-DEXAMETH OPHTH SUSP is how the CMS NADAC file names this product. The FDA NDC Directory lists it as tobramycin and dexamethasone.

FDA gives its dosage form as suspension/ drops and its route as ophthalmic.

Its labelers, the companies named on the label, are Padagis US LLC, Bausch & Lomb Incorporated and Sandoz Inc.

FDA lists it under 2 Established Pharmacologic Classes: Aminoglycoside Antibacterial and Corticosteroid.

The NADAC file of 2026-10-14 prices it under 9 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 $4.01 – $4.57 for 1 mL, depending on the NDC ($4.01206 to $4.56623 per ML), 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; 5, calculated based on package size; 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 · NADAC explanation codes

The 3 labelers

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name tobramycin and dexamethasone with TOBRAMYCIN-DEXAMETH OPHTH SUSP.

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 9 NDCs’ NADAC prices is $4.1784 per ML filed.

Of the 15 other products in FDA’s Aminoglycoside Antibacterial class priced per ML, 7 have a higher middle NADAC price and 8 a lower one. The one in the middle is NEOMYCIN-POLYMYXIN-HC EAR SUSP, at $3.83312 per ML filed (eff. 2026-09-23).

Of the 106 other products in FDA’s Corticosteroid class priced per ML, 43 have a higher middle NADAC price and 63 a lower one. The one in the middle is FLUNISOLIDE 0.025% SPRAY, at $1.98777 per ML 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

How the class comparison works

What Medicare paid

Medicare Part D paid $8.60 for 1 mL, at an average of $8.59857 per ML in 2024 (2024-01-01 to 2024-12-31) for “Tobramycin-Dexamethasone” and “Tobramycin/Dexamethasone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 518,468 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 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 1 mL? Is it lower than what I would pay through my insurance?
• Which NDC (the 11-digit number on the package) is this? Pharmacies pay $4.01206 to $4.56623 per ML for this product, depending on the NDC.
• How much is in the package I am getting? This page uses 1 mL; your package may hold a different amount.
• 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.