OpenBilldrug price receipt

NADAC week of 2026-10-14

UREA 40% CREAM

For 1 g

Pharmacies pay

$0.27 – $1.05 filed

1 × $0.26873 to $1.04865 per GM (the 6 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 D paid

$0.62 filed

1 × $0.62269 per GM, 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

0.59× – 2.3× estimated

Medicare paid between 0.59× and 2.3× what pharmacies pay, depending on the NDC.

Part D averages every strength and form sold under “Urea” 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. 2026-09-23 (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

$5.31 – $6.21 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. 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

UREA 40% CREAM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as urea, under the trade names “Urea 40%” and “Urea Cream 40 Percent”.

FDA gives its dosage form as cream and its route as topical.

Its labelers, the companies named on the label, are Patrin Pharma, Inc, AvPAK and Method Pharmaceuticals, LLC.

FDA lists no Established Pharmacologic Class for it.

The NADAC file of 2026-10-14 prices it under 6 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 $0.27 – $1.05 for 1 g, depending on the NDC ($0.26873 to $1.04865 per GM), 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 6 NDCs

What Medicare paid

Medicare Part D paid $0.62 for 1 g, at an average of $0.62269 per GM in 2024 (2024-01-01 to 2024-12-31) for “Urea”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 226 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 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.

Questions

Why is the comparison with Medicare for UREA 40% CREAM 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 Urea / Urea: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on generic name.
Why does this page start at 1 g?
The FDA package descriptions of this product’s NDCs give different amounts (28.35 g, 85 g). So the card starts at 1 GM; change it to match your prescription.

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