OpenBilldrug price receipt

NADAC week of 2026-10-14

VENTOLIN HFA 90 MCG INHALER

FDA nonproprietary name: albuterol sulfate

For 1 g

Pharmacies pay

$2.72 – $3.03 filed

1 × $2.72021 to $3.03483 per GM (the 2 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

$3.05 filed

1 × $3.05456 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

1.0× – 1.1× estimated

Medicare paid between 1.0× and 1.1× what pharmacies pay, depending on the NDC.

Part D averages every strength and form sold under “Ventolin HFA” / “Albuterol Sulfate” 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

$8.13 – $8.48 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

VENTOLIN HFA 90 MCG INHALER is how the CMS NADAC file names this product. The FDA NDC Directory lists it as albuterol sulfate, under the trade name “VENTOLIN HFA”.

FDA gives its dosage form as aerosol, metered and its route as respiratory (inhalation).

The labeler, the company named on the label, is GlaxoSmithKline LLC.

FDA’s Established Pharmacologic Class for it is beta2-Adrenergic Agonist.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $2.72 – $3.03 for 1 g, depending on the NDC ($2.72021 to $3.03483 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $1.82548 per GM filed.

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

All 2 NDCs

Other strengths, forms and brands

9 other products in the NADAC file share the FDA nonproprietary name albuterol sulfate with VENTOLIN HFA 90 MCG INHALER.

ProductPharmacies pay per unitMedicare per unit
ALBUTEROL 2.5 MG/0.5 ML SOL
generic · solution
$0.51582 per EA filed
eff. 2026-09-23
We don’t know yet
ALBUTEROL HFA 90 MCG INHALER
generic · aerosol, metered / inhalant
$1.54049 to $2.12002 per GM filed
eff. 2026-09-23
$2.38734 per GM filed
Part D 2024 average
ALBUTEROL SUL 0.63 MG/3 ML SOL
generic · solution
$0.19407 to $0.25227 per ML filed
eff. 2026-09-23
$0.01393 to $0.01408 per ML derived
Part B limit 2026 Q4
ALBUTEROL SUL 1.25 MG/3 ML SOL
generic · solution
$0.1979 to $0.22622 per ML filed
eff. 2026-09-23
$0.02787 to $0.02816 per ML derived
Part B limit 2026 Q4
ALBUTEROL SUL 2.5 MG/3 ML SOLN
generic · solution
$0.06044 to $0.06651 per ML filed
eff. 2026-09-23
$0.055 to $0.05544 per ML derived
Part B limit 2026 Q4
ALBUTEROL SULF 2 MG/5 ML SYRUP
generic · syrup
$0.03176 per ML filed
eff. 2026-09-23
We don’t know yet
ALBUTEROL SULFATE 2 MG TAB
generic · tablet
$0.28791 per EA filed
eff. 2026-09-23
We don’t know yet
ALBUTEROL SULFATE 4 MG TAB
generic · tablet
$0.40437 per EA filed
eff. 2026-09-23
We don’t know yet
PROAIR RESPICLICK 90 MCG INHLR
brand · powder, metered
$67.17954 per EA filed
eff. 2026-09-23
$65.66361 per EA filed
Part D 2024 average
VENTOLIN HFA 90 MCG INHALER this page
brand · aerosol, metered
$2.72021 to $3.03483 per GM filed
eff. 2026-09-23
$3.05456 per GM filed
Part D 2024 average

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. 2026-09-23 · 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 2 NDCs’ NADAC prices is $2.72021 per GM filed.

Of the 24 other products in FDA’s beta2-Adrenergic Agonist class priced per GM, 23 have a higher middle NADAC price and 1 a lower one. The one in the middle is BREYNA 160-4.5 MCG INHALER, at $21.61843 per GM 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 D paid $3.05 for 1 g, at an average of $3.05456 per GM in 2024 (2024-01-01 to 2024-12-31) for “Ventolin HFA” and “Albuterol Sulfate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 2,272,575 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 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 VENTOLIN HFA 90 MCG INHALER 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 Ventolin HFA / Albuterol Sulfate: 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 brand name.
Why does this page start at 1 g?
The FDA package description of NDC 00173-0682-20 (“1 INHALER in 1 CARTON (0173-0682-20) / 200 AEROSOL, METERED in 1 INHALER”) does not give one amount in g, NADAC’s unit for this product. So the card starts at 1 GM; change it to match your prescription.