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.
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 |
|---|---|---|---|
| 0.4-0.3% | Drops OTC | $0.363 / mL | Generic |
| 0.4-0.3% | Form not listed OTC | $1.16 / mL | Brand |
| 0.4%-0.3% | Drops OTC | $0.204 / unit | Generic |
| — | Drops OTC | $0.363 / mL | Generic |
What pharmacies pay (NADAC) — 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 2026-10-14 · source CMS