OpenBilldrug price receipt

NADAC week of 2026-10-14

ZOLEDRONIC ACID 5 MG/100 ML

For 100 mL

Pharmacies pay

$47.51 filed

100 × $0.47512 per ML

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 B pays

$88.37 derived

100 × $0.88365 per ML, Part B limit

Medicare's price is not your price.

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)


The spread

1.9× estimated

Medicare pays 1.9× what pharmacies pay.

12 labelers share HCPCS J3489 on the CMS crosswalk, so its payment limit is an average across all their products billed under that code, not this NDC’s own price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · 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)

Cost-plus estimate

$59.64 estimated

$47.51 + $7.13 (15%) + $5.00 fee per fill = $59.64

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. 2026-09-23 (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

ZOLEDRONIC ACID 5 MG/100 ML is how the CMS NADAC file names this product. The FDA NDC Directory lists it as zoledronic acid.

FDA gives its dosage form as injection, solution and its route as intravenous.

FDA lists 4 labelers (the companies named on the label) for its NDCs, among them Dr.Reddy's Laboratories Ltd, Fresenius Kabi USA, LLC and Mylan Institutional LLC.

FDA’s Established Pharmacologic Class for it is Bisphosphonate.

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 $47.51 for 100 mL (100 × $0.47512 per ML, rounded to the cent), 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.

All 4 NDCs

What Medicare paid

Medicare Part B’s payment limit for HCPCS J3489, for 2026-10-01 to 2026-12-31, comes to $88.37 for 100 mL, or $0.88365 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $3.5346 per 1 MG.

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 does this page start at 100 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 100 mL in one package for all 4 NDCs of this product (“100 mL in 1 BOTTLE, GLASS (55111-688-52)”), so the card starts at one package: 100 ML. Change it to match your prescription.