Polyethylene Glycol 400 / Propylene Glycol
Also known as: Lubricant Eye, Lubricating Eye, Systane, Systane Gel, Systane Hydration Pf, Systane Ultra, Systane Ultra Pf, Ultra Lubricant.
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 |
|---|---|---|---|
| 0.3-0.4% | Drops OTC | $0.374 / unit | Brand |
| 0.4-0.3% | Drops OTC | $0.363 / mL | Generic |
| 0.4-0.3% | (unspecified) OTC | $1.15 / mL | Brand |
| 0.4%-0.3% | Drops OTC | $0.187 / unit | Generic |
| — | Drops OTC | $0.363 / mL | Generic |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. Brand list prices fall after confidential rebates. 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 $3,904,696 gross for Polyethylene Glycol 400 / Propylene Glycol across 248,636 prescriptions (measured, national).
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