Theophylline
Also known as: Elixophyllin, Theo-24.
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 |
|---|---|---|---|
| 80 MG/15 ML | Solution | $0.112 / mL | Generic |
| 100 MG | Capsule ER | $3.82 / capsule | Brand |
| 200 MG | Capsule ER | $5.67 / capsule | Brand |
| 300 MG | Tablet ER | $0.330 / tablet | Generic |
| 300 MG | Capsule ER | $6.95 / capsule | Brand |
| 400 MG | Tablet ER | $0.995 / tablet | Generic |
| 400 MG | Capsule ER | $9.79 / capsule | Brand |
| 450 MG | Tablet ER | $1.10 / tablet | Generic |
| 600 MG | Tablet ER | $1.40 / tablet | 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