Polyethylene Glycol 3350 / Potassium Chloride / Sodium Bicarbonate / Sodium Chloride / Sodium Sulfate
Also known as: Gavilyte-C, Gavilyte-G, Golytely, Peg-3350 And Electrolytes.
What pharmacies pay (NADAC) for every strength and dosage form, published weekly by CMS. Not your out-of-pocket price.
What pharmacies pay (NADAC) — every strength & form
| Strength | Form | NADAC / unit | Class |
|---|---|---|---|
| — | Solution | $0.005 / mL | Generic |
What pharmacies pay (NADAC) — 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 2026-10-14 · source CMS