Lidocaine
Also known as: Anecream, Anlido, Bio-Kool, Burn Relief, Dr. Numb, Glydo, Hemorrhoidal Relief, Lido King, Lidocaine Anorectal, Lidocaine Pain Relief, Lidocan, Lidocan IV and 15 more.
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 | Package | Class |
|---|---|---|---|---|
| 0.5% | Spray OTC | $0.028 / gram | — | Generic |
| 1% | Vial | $0.070 / mL† | — | Generic |
| 1.8% | (unspecified) | $12.31 / unit | — | Brand |
| 2% | Syringe | $0.688 / mL† | — | Generic |
| 2% | Solution | $0.081 / mL | — | Generic |
| 2% | (unspecified) | $1.17 / mL | — | Generic |
| 2% | Vial | $0.088 / mL† | — | Generic |
| 3% | Cream | $0.596 / gram | — | Generic |
| 4% | Patch OTC | $1.12 / unit | — | Generic |
| 4% | Cream OTC | $0.435 / gram | — | Generic |
| 4% | Solution | $0.227 / mL | — | Generic |
| 5% | Cream OTC | $0.345 / gram | — | Generic |
| 5% | Ointment | $0.157 / gram | — | Generic |
| 5% | Patch | $2.01 / unit | — | Generic |
| 5% | Patch ER | $2.01 / unit | — | Generic |
| 20 MG/2 ML | Vial | $0.872 / mL† | — | Generic |
| 40 MG/2 ML | Vial | $0.355 / mL† | — | Generic |
| 50 MG/5 ML | Vial | $0.454 / mL† | — | Generic |
| 100 MG/10 ML | (unspecified) | $0.132 / mL | — | Generic |
| 100 MG/5 ML | (unspecified) | $0.363 / mL | — | Generic |
| 200 MG/20 ML | (unspecified) | $0.070 / mL | — | Generic |
| 300 MG/30 ML | (unspecified) | $0.071 / mL | — | Generic |
| 400 MG/20 ML | (unspecified) | $0.088 / mL | — | Generic |
| 500 MG/50 ML | (unspecified) | $0.054 / mL | — | Generic |
| 1000 MG/50 ML | (unspecified) | $0.088 / mL | — | Generic |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. Brand list prices fall after confidential rebates. † Package size not curated yet — priced per single unit/mL, not per full pen, inhaler, or vial. Liquids, creams, and sprays are priced per mL or gram; a typical package may be a bottle or tube (size not set yet).
NADAC week of 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $199,411,536 gross for Lidocaine across 2,621,619 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$162,399,494 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
5% · Patch
TrumpRx discount card$86.92 · 60 units — $111.20 · 90 units
Cost Plus Drugs (mail)$101.90 · 60 units — $147.73 · 90 units
Amazon Pharmacy (mail)$111.20 · 90 units
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.