OpenBilldrug price receipt

NADAC week of 2026-10-14

TOBRAMYCIN-LOTEPREDNOL 0.3%-0.5% EYE DROP

For 5 mL

Pharmacies pay

$196.32 filed

5 × $39.26379 per ML

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · 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

$230.77 estimated

$196.32 + $29.45 (15%) + $5.00 fee per fill = $230.77

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

TOBRAMYCIN-LOTEPREDNOL 0.3%-0.5% EYE DROP is how the CMS NADAC file names this product. The FDA NDC Directory lists it as loteprednol etabonate and tobramycin.

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

Its labelers, the companies named on the label, are Alembic Pharmaceuticals Inc. and Bausch & Lomb Americas Inc.

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

The NADAC file of 2026-10-14 prices it under 2 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 $196.32 for 5 mL (5 × $39.26379 per ML, 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; 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.

All 2 NDCs

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name loteprednol etabonate and tobramycin with TOBRAMYCIN-LOTEPREDNOL 0.3%-0.5% EYE DROP.

ProductPharmacies pay per unitMedicare per unit
TOBRAMYCIN-LOTEPREDNOL 0.3%-0.5% EYE DROP this page
generic · suspension/ drops / solution/ drops
$39.26379 per ML filed
eff. 2026-09-23
We don’t know yet
ZYLET EYE DROPS
brand · suspension/ drops
$64.31703 to $64.5118 per ML filed
eff. 2026-09-23
$63.60638 per ML 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. 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 2 NDCs’ NADAC prices is $39.26379 per ML filed.

Of the 15 other products in FDA’s Aminoglycoside Antibacterial class priced per ML, 2 have a higher middle NADAC price and 13 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, 5 have a higher middle NADAC price and 101 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

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.

Questions

Why does this page start at 5 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 5 mL in one package for all 2 NDCs of this product (“1 BOTTLE in 1 CARTON (62332-801-05) / 5 mL in 1 BOTTLE”), so the card starts at one package: 5 ML. Change it to match your prescription.