Spironolactone
Also known as: Aldactone, Carospir.
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 |
|---|---|---|---|
| 25 MG/5 ML | Suspension | $1.66 / mL | Generic |
| 25 MG | Tablet | $0.044 / unit | Generic |
| 50 MG | Tablet | $0.087 / unit | Generic |
| 100 MG | Tablet | $0.176 / unit | 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 $35,883,003 gross for Spironolactone across 2,409,900 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$80,624,327 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
25 MG · Tablet
TrumpRx discount card$6.47 · 30 tablets — $8.57 · 60 tablets — $10.60 · 90 tablets
Amazon Pharmacy (mail)$6.80 · 30 tablets — $11.30 · 90 tablets — $13.10 · 60 tablets
Cost Plus Drugs (mail)$11.14 · 30 tablets — $12.03 · 60 tablets — $12.92 · 90 tablets
50 MG · Tablet
TrumpRx discount card$6.26 · 30 tablets — $8.01 · 60 tablets — $9.77 · 90 tablets
Amazon Pharmacy (mail)$8.30 · 30 tablets — $14.00 · 90 tablets — $16.10 · 60 tablets
Cost Plus Drugs (mail)$11.26 · 30 tablets — $12.28 · 60 tablets — $13.29 · 90 tablets
100 MG · Tablet
TrumpRx discount card$10.77 · 60 tablets
Amazon Pharmacy (mail)$13.10 · 60 tablets
Cost Plus Drugs (mail)$14.07 · 60 tablets
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.