VANCOMYCIN 25 MG/ML ORAL SOLN
For 1 mL
Pharmacies pay
$0.39 – $0.67 filed
1 × $0.39002 to $0.67288 per ML (the 4 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
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
$5.45 – $5.77 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
VANCOMYCIN 25 MG/ML ORAL SOLN is how the CMS NADAC file names this product. The FDA NDC Directory lists it as vancomycin hydrochloride, under the trade name “Vancomycin Hydrochloride for Oral Solution”.
FDA gives its dosage form as kit.
Its labelers, the companies named on the label, are Wilshire Pharmaceuticals, Inc. and Ascend Laboratories, LLC.
FDA lists no Established Pharmacologic Class for it.
The NADAC file of 2026-10-14 prices it under 4 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 $0.39 – $0.67 for 1 mL, depending on the NDC ($0.39002 to $0.67288 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.
What NADAC measures · NADAC explanation codes
All 4 NDCs
- 52536-0104-05 · Wilshire Pharmaceuticals, Inc. · $0.67288 per ML · eff. 2026-09-23 filed
- 52536-0107-10 · Wilshire Pharmaceuticals, Inc. · $0.39002 per ML · eff. 2026-09-23 filed
- 67877-0750-58 · Ascend Laboratories, LLC · $0.39002 per ML · eff. 2026-09-23 filed
- 67877-0750-81 · Ascend Laboratories, LLC · $0.67288 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
6 other products in the NADAC file share the FDA nonproprietary name vancomycin hydrochloride with VANCOMYCIN 25 MG/ML ORAL SOLN.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| FIRVANQ 50 MG/ML SOLUTION | $1.18602 per ML filed | $0.92382 per ML filed |
| VANCOMYCIN 25 MG/ML ORAL SOLN this page | $0.39002 to $0.67288 per ML filed | We don’t know yet |
| VANCOMYCIN 50 MG/ML ORAL SOLN | $0.70181 to $0.8007 per ML filed | We don’t know yet |
| VANCOMYCIN 250 MG/5 ML ORAL SOL | $0.70181 to $2.90936 per ML filed | We don’t know yet |
| VANCOMYCIN 500 MG VIAL | $2.3054 per EA filed | $1.60 per EA derived |
| VANCOMYCIN HCL 125 MG CAPSULE | $1.32898 per EA filed | We don’t know yet |
| VANCOMYCIN HCL 250 MG CAPSULE | $2.59757 per EA filed | We don’t know yet |
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. 2025-12-17, 2026-01-01, 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)
What Medicare paid
We don’t know yet; the card above says why.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
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 1 mL? Is it lower than what I would pay through my insurance?
- Which NDC (the 11-digit number on the package) is this? Pharmacies pay $0.39002 to $0.67288 per ML for this product, depending on the NDC.
- How much is in the package I am getting? This page uses 1 mL; your package may hold a different amount.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why does this page start at 1 mL?
- The FDA package description of NDC 52536-0104-05 (“1 KIT in 1 CARTON (52536-104-05) * 3.75 g in 1 BOTTLE (52536-094-05) * 147 mL in 1 BOTTLE (52536-084-05)”) does not give one amount in mL, NADAC’s unit for this product. So the card starts at 1 ML; change it to match your prescription.