Pharmacy Margin Against NADAC
A pharmacy claim's margin against NADAC or the pharmacy's invoice cost.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- NDC
- 00002-1433-80
- Quantity dispensed
- 30 units
- Reimbursement
- 130 USD
- Invoice cost per unit
- 4.20 USD
Result: NDC 00002-1433-80: invoice cost $4.20 per unit times 30 = $126.00. Reimbursed $130.00: a margin of $4.00 (3.1% of the reimbursement).
The tool opens with these values already filled in. Replace them with your own.
What you enter
- NDC (11 digits, or with its hyphens)
- Date of service (YYYY-MM-DD)
- Quantity dispensed
- Reimbursement
- Invoice cost per unit
How this is calculated
Citation
CMS National Average Drug Acquisition Cost (NADAC), the weekly national average of retail pharmacy invoice prices per unit; margin = reimbursement minus the per-unit cost times the quantity. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.