OpenBilldrug price receipt

NADAC week of 2026-10-14

ZADITOR 0.025% (0.035%) DROPS

FDA nonproprietary name: ketotifen fumarate

For 1 mL

Pharmacies pay

$1.87 – $2.23 filed

1 × $1.87003 to $2.22853 per ML (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

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

$7.15 – $7.56 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

ZADITOR 0.025% (0.035%) DROPS is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ketotifen fumarate, under the trade name “Zaditor”.

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

The labeler, the company named on the label, is Alcon Laboratories, Inc.

FDA’s Established Pharmacologic Class for it is Histamine-1 Receptor Inhibitor.

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

NADAC classes it in its brand rate-setting class B-ANDA, and marks it as sold over the counter.

What pharmacies pay

Pharmacies pay $1.87 – $2.23 for 1 mL, depending on the NDC ($1.87003 to $2.22853 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $1.29403 per ML 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

2 other products in the NADAC file share the FDA nonproprietary name ketotifen fumarate with ZADITOR 0.025% (0.035%) DROPS.

ProductPharmacies pay per unitMedicare per unit
EYE ITCH RELIEF 0.025% DROPS
generic · solution/ drops / solution
$1.29403 per ML filed
eff. 2026-09-23
We don’t know yet
KETOTIFEN 0.025% (0.035%) DROP
generic · solution/ drops / solution
$1.29403 per ML filed
eff. 2026-09-23
We don’t know yet
ZADITOR 0.025% (0.035%) DROPS this page
brand · solution
$1.87003 to $2.22853 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 $1.87003 per ML filed.

Of the 14 other products in FDA’s Histamine-1 Receptor Inhibitor class priced per ML, 8 have a higher middle NADAC price and 6 a lower one. The one in the middle is ADVANCED EYE RELIEF 0.2% DROPS, at $1.98349 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 1 mL?
The FDA package descriptions of this product’s NDCs give different amounts (5 mL, 10 mL). So the card starts at 1 ML; change it to match your prescription.