OpenBilldrug price receipt

NADAC week of 2026-10-14

TOPROL XL 25 MG TABLET

FDA nonproprietary name: metoprolol succinate

For 30 tablets

Pharmacies pay

$41.57 filed

30 × $1.38564 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-07-01 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$43.58 filed

30 × $1.45252 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

1.0× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Toprol XL” / “Metoprolol Succinate” 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. 2026-07-01 (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

$52.81 estimated

$41.57 + $6.24 (15%) + $5.00 fee per fill = $52.81

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. 2026-07-01 (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

TOPROL XL 25 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as metoprolol succinate, under the trade name “TOPROL XL”.

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

The labeler, the company named on the label, is Melinta Therapeutics, LLC.

FDA’s Established Pharmacologic Class for it is beta-Adrenergic Blocker.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 70842-0110-02.

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $41.57 for 30 tablets (30 × $1.38564 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-07-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 2, the latest survey was within 2% of the current NADAC, so the NADAC was carried forward from the previous file.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-07-01. The file is new; the price is not.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.04762 per EA filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

The NDC

Other strengths, forms and brands

10 other products in the NADAC file share the FDA nonproprietary name metoprolol succinate with TOPROL XL 25 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
KAPSPARGO SPRINKLE 25 MG CAP
brand · capsule, extended release
$1.88783 per EA filed
eff. 2026-09-23
We don’t know yet
KAPSPARGO SPRINKLE 50 MG CAP
brand · capsule, extended release
$1.88748 per EA filed
eff. 2026-09-23
We don’t know yet
KAPSPARGO SPRINKLE 100 MG CAP
brand · capsule, extended release
$2.29279 per EA filed
eff. 2026-09-23
We don’t know yet
METOPROLOL SUCC ER 25 MG TAB
generic · tablet, film coated, extended release / tablet, extended release
$0.04762 per EA filed
eff. 2026-09-23
$0.18251 per EA filed
Part D 2024 average
METOPROLOL SUCC ER 50 MG TAB
generic · tablet, film coated, extended release / tablet, extended release
$0.05152 per EA filed
eff. 2026-09-23
$0.18251 per EA filed
Part D 2024 average
METOPROLOL SUCC ER 100 MG TAB
generic · tablet, film coated, extended release / tablet, extended release
$0.08496 per EA filed
eff. 2026-09-23 to 2026-10-07
$0.18251 per EA filed
Part D 2024 average
METOPROLOL SUCC ER 200 MG TAB
generic · tablet, extended release / tablet, film coated, extended release
$0.188 per EA filed
eff. 2026-09-23
$0.18251 per EA filed
Part D 2024 average
TOPROL XL 25 MG TABLET this page
brand · tablet, extended release
$1.38564 per EA filed
eff. 2026-07-01
$1.45252 per EA filed
Part D 2024 average
TOPROL XL 50 MG TABLET
brand · tablet, extended release
$1.38525 per EA filed
eff. 2026-07-01
$1.45252 per EA filed
Part D 2024 average
TOPROL XL 100 MG TABLET
brand · tablet, extended release
$2.07883 per EA filed
eff. 2026-07-01
$1.45252 per EA filed
Part D 2024 average
TOPROL XL 200 MG TABLET
brand · tablet, extended release
$3.3208 per EA filed
eff. 2026-07-01
$1.45252 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. 2026-07-01, 2026-09-23, 2026-10-07 · 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 $1.38564 per EA filed.

Of the 76 other products in FDA’s beta-Adrenergic Blocker class priced per EA, 23 have a higher middle NADAC price and 53 a lower one. The one in the middle is ATENOLOL-CHLORTHALIDONE 50-25, at $0.22171 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. 2026-07-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $43.58 for 30 tablets, at an average of $1.45252 per EA in 2024 (2024-01-01 to 2024-12-31) for “Toprol XL” and “Metoprolol Succinate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 37,862 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 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 is the comparison with Medicare for TOPROL XL 25 MG TABLET 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 Toprol XL / Metoprolol Succinate: 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 brand name.