OpenBilldrug price receipt

NADAC week of 2026-10-14

TUSSIN DM 20-200 MG/10 ML LIQ

FDA nonproprietary name: dextromethorphan hbr and guaifenesin

For 118 mL

Pharmacies pay

$1.30 filed

118 × $0.01105 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

$6.50 estimated

$1.30 + $0.20 (15%) + $5.00 fee per fill = $6.50

This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. 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

TUSSIN DM 20-200 MG/10 ML LIQ is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dextromethorphan hbr and guaifenesin, under the trade names “Tussin DM Regular” and “Tussin DM Sugar free”.

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

The labeler, the company named on the label, is AARNA USA, Inc.

FDA lists it under 3 Established Pharmacologic Classes: Expectorant, Sigma-1 Agonist and Uncompetitive N-methyl-D-aspartate Receptor Antagonist.

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 marks it as sold over the counter.

What pharmacies pay

Pharmacies pay $1.30 for 118 mL (118 × $0.01105 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.

All 2 NDCs

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name dextromethorphan hbr and guaifenesin with TUSSIN DM 20-200 MG/10 ML LIQ.

ProductPharmacies pay per unitMedicare per unit
MUCUS RELIEF DM COUGH TABLET
generic · tablet, film coated
$0.08191 per EA filed
eff. 2026-09-23
We don’t know yet
TUSSIN DM 20-200 MG/10 ML LIQ this page
generic · liquid
$0.01105 per ML filed
eff. 2026-09-23
We don’t know yet

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

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $0.01105 per ML filed.

Of the 38 other products in FDA’s Expectorant class priced per ML, 32 have a higher middle NADAC price and 4 a lower one; 2 have the same. The one in the middle is TUSSIN DM 200-20 MG/20 ML LIQ, at $0.02069 per ML filed (eff. 2026-09-23).

Of the 63 other products in FDA’s Sigma-1 Agonist class priced per ML, 58 have a higher middle NADAC price and 3 a lower one; 2 have the same. The one in the middle is QC COUGH RELIEF 15 MG/5 ML LIQ, at $0.02263 per ML filed (eff. 2026-09-23).

Of the 63 other products in FDA’s Uncompetitive N-methyl-D-aspartate Receptor Antagonist class priced per ML, 58 have a higher middle NADAC price and 3 a lower one; 2 have the same. The one in the middle is QC COUGH RELIEF 15 MG/5 ML LIQ, at $0.02263 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 118 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 118 mL in one package for all 2 NDCs of this product (“1 BOTTLE, PLASTIC in 1 PACKAGE (82568-0014-4) / 118 mL in 1 BOTTLE, PLASTIC”), so the card starts at one package: 118 ML. Change it to match your prescription.