OpenBilldrug price receipt

NADAC week of 2026-10-14

ZARONTIN 250 MG CAPSULE

FDA nonproprietary name: ethosuximide

For 30 capsules

Pharmacies pay

$39.26 filed

30 × $1.30857 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-01 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$33.97 filed

30 × $1.13247 per EA, 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

0.87× estimated

Medicare paid 13% less than pharmacies pay.

Part D averages every strength and form sold under “Zarontin” / “Ethosuximide” 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. 2026-01-01 (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

$50.15 estimated

$39.26 + $5.89 (15%) + $5.00 fee per fill = $50.15

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-01-01 (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

ZARONTIN 250 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as ethosuximide, under the trade name “Zarontin”.

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

The labeler, the company named on the label, is Parke-Davis Div of Pfizer Inc.

FDA’s Established Pharmacologic Class for it is Anti-epileptic Agent.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00071-0237-24.

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 $39.26 for 30 capsules (30 × $1.30857 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 4, carried forward from the previous file.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-01-01. The file is new; the price is not.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.24349 per EA filed.

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

The NDC

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name ethosuximide with ZARONTIN 250 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
ETHOSUXIMIDE 250 MG CAPSULE
generic · capsule / capsule, liquid filled
$0.24349 per EA filed
eff. 2026-09-23
We don’t know yet
ETHOSUXIMIDE 250 MG/5 ML SOLN
generic · solution
$0.10045 per ML filed
eff. 2026-09-23
We don’t know yet
ZARONTIN 250 MG CAPSULE this page
brand · capsule
$1.30857 per EA filed
eff. 2026-01-01
$1.13247 per EA 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. 2026-01-01, 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

Compared with its class

Its NADAC price is $1.30857 per EA filed.

Of the 85 other products in FDA’s Anti-epileptic Agent class priced per EA, 44 have a higher middle NADAC price and 41 a lower one. The one in the middle is PHENYTEK 200 MG CAPSULE, at $1.4026 per EA 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. 2026-01-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $33.97 for 30 capsules, at an average of $1.13247 per EA in 2024 (2024-01-01 to 2024-12-31) for “Zarontin” and “Ethosuximide”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 298 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 ZARONTIN 250 MG CAPSULE 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 Zarontin / Ethosuximide: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on brand name.