TRICITRATES ORAL SOLUTION

What it is

TRICITRATES ORAL SOLUTION is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “potassium citrate, sodium citrate, and citric acid monohydrate” and “tricitrates”, as its NDCs’ listings variously write the nonproprietary name.

FDA gives its dosage form as solution and its route as oral.

Its labelers, the companies named on the label, are PAI Holdings, LLC dba PAI Pharma and Chartwell RX, LLC.

FDA lists it under 2 Established Pharmacologic Classes: Anti-coagulant and Calculi Dissolution Agent.

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 $14.85 for 473 mL (473 × $0.0314 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.

What NADAC measures · NADAC explanation codes

All 2 NDCs

• 00121-0677-16 · PAI Holdings, LLC dba PAI Pharma · $0.0314 per ML · eff. 2026-09-23 filed
• 62135-0438-47 · Chartwell RX, LLC · $0.0314 per ML · eff. 2026-09-23 filed

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $0.0314 per ML filed.

Of the 10 other products in FDA’s Anti-coagulant class priced per ML, 9 have a higher middle NADAC price and 1 a lower one. The one in the middle is HEPARIN SOD 5,000 UNIT/ML VIAL, at $1.1796 per ML filed (eff. 2026-09-23).

Of the 21 other products in FDA’s Calculi Dissolution Agent class priced per ML, 5 have a higher middle NADAC price and 16 a lower one. The one in the middle is ANTACID ANTI-GAS LIQUID, at $0.01206 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 $42.73 for 473 mL, at an average of $0.09034 per ML in 2024 (2024-01-01 to 2024-12-31) for “Tricitrates” and “Sod/Pot/K Cit/Sod Cit/Cit Acid”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 100 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

1 of the product’s 2 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 473 mL? Is it lower than what I would pay through my insurance?
• How much is in the package I am getting? This page uses 473 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.