Esomeprazole
Also known as: Nexium.
Wholesale (NADAC) cost for every strength and dosage form — the price pharmacies pay, published weekly by CMS. Not your out-of-pocket price.
Wholesale (NADAC) prices — every strength & form
| Strength | Form | NADAC / unit | Class |
|---|---|---|---|
| 2.5 MG | Packet DR | $6.14 / unit | Generic |
| 5 MG | Packet DR | $5.98 / unit | Generic |
| 10 MG | Packet DR | $5.73 / unit | Generic |
| 20 MG | Packet DR | $5.29 / unit | Generic |
| 20 MG | Capsule DR OTC | $0.160 / unit | Generic |
| 20 MG | (unspecified) DR OTC | $0.351 / unit | Generic |
| 40 MG | Packet DR | $4.65 / unit | Generic |
| 40 MG | Capsule DR | $0.127 / unit | Generic |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price.
NADAC week of 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $57,755,036 gross for Esomeprazole across 670,331 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$124,327,482 gross (retail pharmacy only; excludes Part B).
Gross program spending, before rebates — not what patients pay out of pocket. Brand net cost is materially lower after confidential rebates; generics are close to net.
Source: Medicaid SDUD 2024 · Medicare Part D 2024 · CMSBuy it with a cash program — no insurance needed
40 MG · Capsule DR
TrumpRx discount card$9.80 · 30 capsules — $12.83 · 90 capsules
Amazon Pharmacy (mail)$9.80 · 30 capsules — $15.80 · 90 capsules
Cost Plus Drugs (mail)$11.11 · 30 capsules — $12.83 · 90 capsules
Fixed program prices at participating pharmacies or by mail. Covered strengths & quantities only; program terms apply. TrumpRx card & mail-order prices as listed on trumprx.gov (updated weekly). Mail orders take days to arrive.