OpenBilldrug price receipt

NADAC week of 2026-10-14

TRIAMCINOLONE ACET 40 MG/ML VL

For 1 mL

Pharmacies pay

$4.83 – $7.39 filed

1 × $4.83043 to $7.39146 per ML (the 16 NDCs differ)

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 B pays

$3.15 derived

1 × $3.148 per ML, Part B limit

Medicare's price is not your price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)


The spread

0.43× – 0.65× estimated

Medicare pays between 0.43× and 0.65× what pharmacies pay, depending on the NDC.

10 labelers share HCPCS J3301 on the CMS crosswalk, so its payment limit is an average across all their products billed under that code, not this NDC’s own price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Cost-plus estimate

$10.55 – $13.50 estimated

NADAC for the pack + 15% + $5.00 fee per fill

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

TRIAMCINOLONE ACET 40 MG/ML VL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as triamcinolone acetonide.

FDA gives its dosage form as “injection, suspension” and “suspension” and its route as “intra-articular; intramuscular” and “intra-arterial; intramuscular”.

FDA lists 7 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Teva Parenteral Medicines, Inc. and NorthStar Rx LLC.

FDA’s Established Pharmacologic Class for it is Corticosteroid.

The NADAC file of 2026-10-14 prices it under 16 NDCs (National Drug Codes); the FDA directory lists 12 of them.

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 $4.83 – $7.39 for 1 mL, depending on the NDC ($4.83043 to $7.39146 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.

The 7 labelers

LabelerNDCsPharmacies pay per unit
Amneal Pharmaceuticals LLC5$4.83043 to $7.39146 per ML filed
NorthStar Rx LLC2$4.83043 to $7.39146 per ML filed
Hikma Pharmaceuticals USA Inc.1$4.83043 per ML filed
Long Grove Pharmaceuticals, LLC1$4.83043 per ML filed
Mylan Institutional LLC1$4.83043 per ML filed
Sagent Pharmaceuticals1$4.83043 per ML filed
Teva Parenteral Medicines, Inc.1$7.39146 per ML filed
Not listed as a package in the FDA directory4$7.39146 per ML filed
All 16 NDCs, with labeler and price
  • 00143-9387-01 · not listed as a package in the FDA directory · $7.39146 per ML · eff. 2026-09-23 filed
  • 00143-9387-25 · Hikma Pharmaceuticals USA Inc. · $4.83043 per ML · eff. 2026-09-23 filed
  • 00703-0241-01 · Teva Parenteral Medicines, Inc. · $7.39146 per ML · eff. 2026-09-23 filed
  • 16714-0130-01 · NorthStar Rx LLC · $7.39146 per ML · eff. 2026-09-23 filed
  • 16714-0130-25 · NorthStar Rx LLC · $4.83043 per ML · eff. 2026-09-23 filed
  • 25021-0054-01 · Sagent Pharmaceuticals · $4.83043 per ML · eff. 2026-09-23 filed
  • 67457-0621-02 · not listed as a package in the FDA directory · $7.39146 per ML · eff. 2026-09-23 filed
  • 67457-0621-99 · Mylan Institutional LLC · $4.83043 per ML · eff. 2026-09-23 filed
  • 70121-1049-01 · not listed as a package in the FDA directory · $7.39146 per ML · eff. 2026-09-23 filed
  • 70121-1049-02 · Amneal Pharmaceuticals LLC · $7.39146 per ML · eff. 2026-09-23 filed
  • 70121-1049-05 · Amneal Pharmaceuticals LLC · $4.83043 per ML · eff. 2026-09-23 filed
  • 70121-1651-01 · Amneal Pharmaceuticals LLC · $7.39146 per ML · eff. 2026-09-23 filed
  • 70121-1651-05 · Amneal Pharmaceuticals LLC · $4.83043 per ML · eff. 2026-09-23 filed
  • 70121-1657-01 · Amneal Pharmaceuticals LLC · $7.39146 per ML · eff. 2026-09-23 filed
  • 81298-5781-01 · not listed as a package in the FDA directory · $7.39146 per ML · eff. 2026-09-23 filed
  • 81298-5781-05 · Long Grove Pharmaceuticals, LLC · $4.83043 per ML · eff. 2026-09-23 filed

Other strengths, forms and brands

23 other products in the NADAC file share the FDA nonproprietary name triamcinolone acetonide with TRIAMCINOLONE ACET 40 MG/ML VL.

ProductPharmacies pay per unitMedicare per unit
24H NASAL ALLERGY 55 MCG SPRAY
generic · spray, metered
$0.73884 per ML filed
eff. 2026-09-23
We don’t know yet
FT 24H NASAL ALLERGY 55 MCG SPR
generic · spray, metered
$0.73884 per ML filed
eff. 2026-09-23
We don’t know yet
GS NASAL ALLERGY 24HR SPRAY
generic · spray, metered
$0.73884 per ML filed
eff. 2026-09-23
We don’t know yet
KENALOG-10 50 MG/5 ML VIAL
brand · injection, suspension
$2.3256 per ML filed
eff. 2026-09-23
$2.7135 per ML filed
Part D 2024 average
KENALOG-40 40 MG/ML VIAL
brand · injection, suspension
$9.00182 per ML filed
eff. 2026-09-23
$1.87106 per ML filed
Part D 2024 average
KENALOG-40 200 MG/5 ML VIAL
brand · injection, suspension
$9.1454 per ML filed
eff. 2026-09-23
$1.87106 per ML filed
Part D 2024 average
KENALOG-40 400 MG/10 ML VIAL
brand · injection, suspension
$6.78651 per ML filed
eff. 2026-09-23
$1.87106 per ML filed
Part D 2024 average
KENALOG-80 80 MG/ML VIAL
brand · injection, suspension
$17.86667 per ML filed
eff. 2026-09-23
$20.62501 per ML filed
Part D 2024 average
NASAL ALLERGY 55 MCG SPRAY
generic · spray, metered
$0.73884 per ML filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.025% CREAM
generic · cream
$0.03528 to $0.1198 per GM filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.025% LOTION
generic · lotion
$0.35034 per ML filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.025% OINT
generic · ointment
$0.04715 to $0.23917 per GM filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.05% OINTMENT
generic · ointment
$0.18678 per GM filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.1% CREAM
generic · cream
$0.02496 to $0.10199 per GM filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.1% LOTION
generic · lotion
$0.27095 per ML filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.1% OINTMENT
generic · ointment
$0.03407 to $0.11948 per GM filed
eff. 2026-07-22 to 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.1% PASTE
generic · paste
$2.58343 per GM filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.147 MG/G SPRAY
generic · aerosol, spray
$1.93075 to $2.83003 per GM filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.5% CREAM
generic · cream
$0.19028 per GM filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 0.5% OINTMENT
generic · ointment
$0.27541 per GM filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE 55 MCG NASAL SPR
generic · spray, metered
$0.73884 per ML filed
eff. 2026-09-23
We don’t know yet
TRIAMCINOLONE ACET 40 MG/ML VL this page
generic · injection, suspension / suspension
$4.83043 to $7.39146 per ML filed
eff. 2026-09-23
$3.148 per ML derived
Part B limit 2026 Q4
TRIAMCINOLONE ACET 200 MG/5 ML
generic · injection, suspension / suspension
$6.38317 per ML filed
eff. 2026-09-23
$3.148 per ML derived
Part B limit 2026 Q4
TRIAMCINOLONE ACET 400 MG/10 ML
generic · injection, suspension / suspension
$4.782 per ML filed
eff. 2026-09-23
$3.148 per ML derived
Part B limit 2026 Q4

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. 2026-07-22, 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

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

The middle of its 16 NDCs’ NADAC prices is $7.39146 per ML filed.

Of the 106 other products in FDA’s Corticosteroid class priced per ML, 29 have a higher middle NADAC price and 77 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

Medicare Part B’s payment limit for HCPCS J3301, for 2026-10-01 to 2026-12-31, comes to $3.15 for 1 mL, or $3.148 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.1574 per 10 MG.

10 of the product’s 16 NDCs have this Medicare figure; the other 6 do not, and the interactive card says why for each.

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 does this page start at 1 mL?
NADAC prices this product per ML. In the FDA NDC Directory, 7 of this product’s NDCs are wholesale packs of identical units, so OpenBill counts one unit of each; for example, NDC 00143-9387-25 (“25 VIAL in 1 CARTON (0143-9387-25) / 1 mL in 1 VIAL (0143-9387-01)”) is a carton of 25 vials, 25 mL in all. Its package descriptions of the other 5 NDCs give 1 mL in one package (“1 VIAL, SINGLE-DOSE in 1 CARTON (0703-0241-01) / 1 mL in 1 VIAL, SINGLE-DOSE”). It does not list 4 of this product’s NDCs. So the card starts at one unit: 1 ML. Change it to match your prescription.