Phenylephrine
Also known as: Mydfrin, Nasal Decong Pe, Nasal Four, Nasal Spray, Neo-Synephrine, Sinus Congest Pe, Sinus Relief, Sudafed Pe, Wal-Four, Wal-Phed Pe.
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 |
|---|---|---|---|
| 1% | Spray OTC | $0.077 / mL | Generic |
| 1% | (unspecified) OTC | $0.069 / mL | Generic |
| 2.5% | Drops | $9.20 / mL | Generic |
| 10 MG | Tablet OTC | $0.050 / unit | Generic |
| 10% | Drops | $5.30 / mL | Generic |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. 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 $165,664 gross for Phenylephrine across 2,217 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$47,616 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 · CMS