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Aterra7 Antibacterial Foaming Hand Fragrance Free Benzalkonium Chloride 1 mg/mL Solution, 3785 mL — NDC 68306-0117-01 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Aterra7 Antibacterial Foaming Hand Fragrance Free Benzalkonium Chloride 1 mg/mL Solution, 3785 mL — NDC 68306-117-01 (Billing 68306-0117-01)

by B4 Soap LLC · 3785 mL in 1 BOTTLE, PLASTIC

This is a package of 3,785 mL of Aterra7 Antibacterial Foaming Hand Fragrance Free Benzalkonium Chloride 1 mg/mL Solution from B4 Soap LLC, marketed since Oct 2024 and currently FDA-listed. It is this product's only package size.

NDC 68306-0117-01
🏷️ FDA NDC (as labeled) 68306-117-01 billing pads the product segment with a zero
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →
⚠️
Other active recalls for Benzalkonium Chloride (different manufacturers) — 6 · tap to view
These affect other manufacturers’ products for the same ingredient — not necessarily the exact NDC on this page.
Class II · Apr 8, 2026 — CGMP Deviations: product manufactured in the same facility under the same conditions as the product found to be contaminated (Blaine Labs Inc) · FDA recall D-0693-2026
Class II · Apr 8, 2026 — CGMP Deviations; product manufactured in the same facility under the same conditions as the product found to be contaminated (Blaine Labs Inc) · FDA recall D-0699-2026
Class II · Jan 20, 2026 — CGMP Deviations (ACME UNITED CORPORATION) · FDA recall D-0375-2026
Class II · Jan 20, 2026 — CGMP Deviations (ACME UNITED CORPORATION) · FDA recall D-0369-2026
Class II · Jan 20, 2026 — CGMP Deviations (ACME UNITED CORPORATION) · FDA recall D-0365-2026
Class II · Jan 20, 2026 — CGMP Deviations (ACME UNITED CORPORATION) · FDA recall D-0374-2026
Each entry is an official FDA enforcement report — look up any recall number in the FDA recall database ↗

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 68306-117-01
Product NDC 68306-117
11-digit billing NDC 68306011701
RxCUI 1233282
UNII F5UM2KM3W7
Application # 505G(a)(3)
SPL Set ID 25280f7c-9543-c4ff-e063-6394a90aee0f
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2024-10-21
Route TOPICAL
Dosage form SOLUTION
Substance BENZALKONIUM CHLORIDE
Quick answers
  • RxCUI (RxNorm): 1233282
Why two NDCs? The FDA registers this code as 68306-117-01 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 68306-0117-01. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Quaternary ammonium compounds class.

Drug family (ATC) Quaternary ammonium compounds, Medicated dressings with antiinfectives, Antiseptics
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

🧪 What is this product?

Aterra7 Antibacterial Foaming Hand is a fragrance-free topical solution containing benzalkonium chloride, an antimicrobial agent typically used in hand-hygiene products. This is an over-the-counter monograph drug, meaning it is marketed under FDA guidelines for its category rather than as an individually reviewed product. Benzalkonium chloride functions as an antibacterial ingredient commonly found in hand sanitizers and cleansers. The foaming formulation is applied topically to the hands for routine hygiene purposes.

Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer mLPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
ℹ️
No price is published for this exact package yet. CMS surveys NADAC per package size, so a different pack of the same drug often has one.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
68306-0117-01 You're viewing this Main listing 3785 mL in 1 BOTTLE, PLASTIC 2024-10-21 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
g and h Protect Hand 1 mg/mL 10056-0026-00 Access 250 ml — — FDA listed —
Summit 367 Antibacterial Foam 1 mg/mL 23590-0200-10 R.L. 850 ml — — FDA listed —
Summit E2 1 mg/mL 23590-0300-10 R.L. 850 ml — — FDA listed —
Swisher 1 mg/mL 47593-0592-41 Ecolab 750 ml — — FDA listed —
Swisher TF 1 mg/mL 47593-0601-26 Ecolab 1000 ml — — FDA listed —
XtraCare Foam Antibacterial Hand Wash Refill Vanilla Passion Flower .5 g/444g 57337-0045-01 Rejoice 444 g — — FDA listed —
XtraCare Foam Antibacterial Hand Wash Refill Wild Berry Blast .5 g/444g 57337-0046-01 Rejoice 444 g — — FDA listed —
XtraCare Foam Antibacterial Hand Wash Vanilla Passion Flower .2 g/221g 57337-0047-01 Rejoice 221 g — — FDA listed —
XtraCare Foam Antibacterial Hand Wash Wild Berry Blast .2 g/221g 57337-0048-01 Rejoice 221 g — — FDA listed —
XtraCare Foam Antibacterial Hand Wash Pink Cherry Blossom .2 g/221g 57337-0049-01 Rejoice 221 g — — FDA listed —
XtraCare Foam Antibacterial Hand Wash Refill Pink Cherry Blossom .5 g/444g 57337-0050-01 Rejoice 444 g — — FDA listed —
SunDrops 87 1 mg/mL 63621-0387-14 Sunburst 3785 ml — — Discontinued —
WhiskCare 387 1 mg/mL 65585-0513-01 Whisk 50 ml — — FDA listed —
Algonquin HanClean Foam 1 mg/mL 65585-0520-01 Whisk 4000 ml — — FDA listed —
FOAM-BAC Antibacterial Hand 1 mg/mL 65585-0521-01 Whisk 1000 ml — — FDA listed —
Algonquin HanClean Foam 1 mg/mL 65585-0530-01 Whisk 4000 ml — — FDA listed —
WhiskCare 387 1 mg/mL 65585-0531-01 Whisk 50 ml — — FDA listed —
WhiskCare 357 1 mg/mL 65585-0557-01 Whisk 50 ml — — Discontinued —
WhiskCare 357 1 mg/mL 65585-0558-01 Whisk 50 ml — — FDA listed —
Jade Antibacterial Hand 1 mg/mL 65585-0586-01 Whisk 900 ml — — FDA listed —
Natural Extensions Antibacterial Foaming Hand 1 mg/mL 66975-0104-01 Benco 3785 ml — — FDA listed —
Aterra7 Antibacterial Foaming Hand 1 mg/mL 68306-0115-01 B4 530 ml — — FDA listed —
Aterra7 Antibacterial Foaming Hand Fragrance Free 1 mg/mLthis 68306-0117-01 B4 3785 ml — — FDA listed —
Germ-Free 24 Sanitizing 1 mg/mL 71884-0026-01 Enviro 245 ml — — FDA listed —
My-Shield Sanitizing 1 mg/mL 71884-0040-01 Enviro 244 ml — — FDA listed —
Doctor Inks Sanitizing 1 mg/mL 71884-0200-01 Enviro 118 ml — — FDA listed —
Hustle Butter Antibacterial Foaming .1 g/100mL 72014-0200-07 H.B.D. 207 ml — — Discontinued —
Lavex Foaming Antibacterial Hand 1 mg/mL 81551-0387-01 Clark 1000 ml — — FDA listed —
Foamy Blue 1 mg/mL 83188-0405-04 Pro 1000 ml — — FDA listed —
FloraMedis Hand Sanitizer .1 g/100mL 87215-0001-01 Sichuan 450 ml — — FDA listed —
Simple Hygiene Alcohol Free Foam Hand Sanitizer 1 mg/mL 60933-0018-01 FULLER 237 ml — — FDA listed —
Decon7 Antiseptic Foaming Hand Sanitizer 1 mg/mL 78245-0201-01 Decon7 50 ml — — FDA listed —
Pure Force 1 mg/mL 47593-0504-41 Ecolab 750 ml — — FDA listed —
Ecolab 1 mg/mL 47593-0581-41 Ecolab 750 ml — — FDA listed —
Kay Foaming Hand Sanitizer 1 mg/mL 47593-0670-59 Ecolab 1250 ml — — FDA listed —
WhiskCare 377 1 mg/mL 65585-0529-01 Whisk 50 ml — — FDA listed —
Swisher 1 mg/mL 47593-0576-30 Ecolab 207 ml — — FDA listed —
Alcohol-Free Hand Sanitizing Foam 1 mg/mL 63998-0764-01 United 59 ml — — FDA listed —
WhiskCare 377 Free 1 mg/mL 65585-0527-01 Whisk 1000 ml — — FDA listed —
SSDC Foaming Hand Sanitizer 1 mg/mL 47593-0662-70 Ecolab 1250 ml — — FDA listed —
SSDC Mystic Foaming Hand Sanitizer 1 mg/mL 47593-0674-41 Ecolab 750 ml — — FDA listed —
Sani-Sure AF 1 mg/mL 65585-0360-01 Whisk 1000 ml — — FDA listed —
Servo Stat BAC 1 mg/mL 78041-0023-01 Fusion 3875 ml — — FDA listed —
ForPro Professional Collection Alcohol-Free Foaming Instant Hand Sanitizer - Eucalyptus Tranquility 1 mg/mL 59555-0408-11 R 3785 ml — — FDA listed —
Summit 377Alcohol Free Foam Hand Sanitizer 1 mg/mL 23590-0600-10 R.L. 850 ml — — FDA listed —
DigiSan E 1 mg/mL 47593-0404-41 Ecolab 750 ml — — FDA listed —
WhiskCare 377 1 mg/mL 65585-0356-01 Whisk 50 ml — — FDA listed —
Ecolab Foaming Hand Sanitizer 1 mg/mL 47593-0677-59 Ecolab 1250 ml — — FDA listed —
Sani-Foam Foaming Non-Alcohol Hand Sanitizer 1 mg/mL 62767-0104-31 Multi-Clean 50 ml — — FDA listed —
PureForce 1 mg/mL 47593-0567-30 Ecolab 207 ml — — Discontinued —
Clean Force 1 mg/mL 47593-0586-41 Ecolab 750 ml — — FDA listed —
ForPro Professional Collection Alcohol-Free Foaming Instant Hand Sanitizer - Vanilla Sugar Bliss 1 mg/mL 59555-0406-11 R 3785 ml — — FDA listed —
ForPro Professional Collection Alcohol-Free Foaming Instant Hand Sanitizer - Whispering Rose 1 mg/mL 59555-0409-11 R 3785 ml — — FDA listed —
WhiskCare 377 Free 1 mg/mL 65585-0528-01 Whisk 1000 ml — — FDA listed —
Servo Stat BAC 1 mg/mL 76378-0023-01 Enzyme 473 ml — — FDA listed —
ForPro Professional Collection Alcohol-Free Foaming Instant Hand Sanitizer - Cucumber Mint Bliss 1 mg/mL 59555-0405-11 R 3785 ml — — FDA listed —
FoamFresh Alco-Free Hand Sanitizer 1 mg/mL 11429-1001-00 Woodbine 1125 ml — — FDA listed —
ForPro Professional Collection Alcohol-Free Foaming Instant Hand Sanitizer 1 mg/mL 59555-0404-11 R 3785 ml — — FDA listed —
Aire-Master Antibacterial Foam 1 mg/mL 65585-0523-01 Whisk 3785 ml — — FDA listed —
Lavex Alcohol Free Foaming Instant Hand Sanitizer 1 mg/mL 81551-0377-01 Clark 1000 ml — — FDA listed —
ForPro Professional Collection Alcohol-Free Foaming Instant Hand Sanitizer - Island Tranquility 1 mg/mL 59555-0407-11 R 3785 ml — — FDA listed —
Foaming Antibacterial Hand 1 mg/mL 67502-0110-85 Intercon 850 ml — — FDA listed —
Laura Lynn Antibacterial Liquid Hand 1 mg/mL 62936-0150-03 Ingles 236 ml — — FDA listed —
Laura Lynn Foaming Fragrance and Dye Free Antibacterial Hand 1 mg/mL 62936-0120-02 Ingles 222 ml — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2024
On the market since
Oct 2024
📍
2026
Currently FDA-listed
2 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

What it looks like

Color white
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 2968PHW8QP
    A weak organic acid derived from citrus fruits or made through fermentation. It works as a buffer to control pH, a preservative to extend shelf life, and a flavoring agent in medications.
  • UNII PDC6A3C0OX
    Glycerin is a clear, thick liquid derived from plant oils or fats. It acts as a humectant to retain moisture, a sweetener, and a solvent in medications.
  • UNII 4F6FC4MI8W
    Lauramine oxide is a surfactant, a substance that helps mix oil and water together. It's used in medicines to improve how ingredients blend and to help the product dissolve or spread properly.
  • UNII YM0K64F20V
    A synthetic emulsifier derived from polyethylene glycol and glucose. It helps blend oil and water-based ingredients together and improves the texture and spreadability of the product.
  • UNII HIE492ZZ3T
    Phenoxyethanol is a synthetic preservative and antimicrobial agent used to prevent bacterial and fungal growth in medicines and cosmetic products, extending shelf life and maintaining product safety.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

6 inactive ingredients listed in the exact product block matched to this NDC.

The official label also statesWater, Lauramine Oxide, Glycerin, PEG-120 Methyl Glucose Dioleate, Phenoxyethanol, Citric Acid

Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerB4 Soap LLC
FDA application505G(a)(3) (OTC MONOGRAPH DRUG)
Labeler code68306
First marketedOct 2024
Product typeHuman Otc Drug
Portfolio6 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 7 words ▾

Use reduces amount of bacteria on hands

⏱️ Dosage and Administration 19 words ▾

Directions Apply a palmful to hands and forearms. Scrub thoroughly for at least 15 seconds. Rinse completely and dry.

⚠️ Warnings 62 words ▾

Warnings For external use only . When using this product avoid contact with eyes. In case of eye contact, flush eyes with water. Stop use and ask doctor if irritation or redness develops, or if condition persists for more than 72 hours. Keep out of reach of children . If swallowed, get medical help or contact a Poison Control Center right away.

🧪 Active Ingredient 5 words ▾

Active Ingredient Benzalkonium Chloride 0.1%

🧪 Inactive Ingredients 13 words ▾

Inactive Ingredients Water, Lauramine Oxide, Glycerin, PEG-120 Methyl Glucose Dioleate, Phenoxyethanol, Citric Acid

🎯 Purpose 3 words ▾

Purpose Skin Antimicrobial

📄 Keep Out of Reach of Children 20 words ▾

Keep out of reach of children . If swallowed, get medical help or contact a Poison Control Center right away.

📄 Questions or Comments 6 words ▾

Questions or Comments? 1-319-455-3210 or www.b4brands.com

📄 Package Label / Principal Display Panel 8 words ▾

Product Label - 1 Gallon Short Neck Bottle

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Benzalkonium Chloride — the ingredient across all brands.

Top reported reactions

Drug Hypersensitivity124
Arthralgia117
Condition Aggravated115
Pain In Extremity114
Infection111
Musculoskeletal Stiffness111
Joint Swelling109

Age at onset

Infant1
Child1
Adolescent3
Adult41
Elderly17

Reporter sex

0 reports
Male · 32%
Female · 68%
Unknown · 0%

Serious outcomes

Hospitalization211
Life-threatening33
Death31
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 81 0
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

About this NDC listing & data coverage

Over-the-counter (OTC) product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos ✓ Available
Inactive ingredients (structured) ✓ Available
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope.
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Is this NDC FDA-approved?
An NDC listing does not by itself establish FDA approval — the NDC Directory records that a product is listed with FDA, not that it was reviewed and approved. This listing's marketing category is "Otc Monograph Drug". Products approved under an application carry an NDA, ANDA, or BLA number.
Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by B4 Soap LLC. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
B4 Soap LLC is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as an over-the-counter product, so it does not require a prescription. Follow the package directions, and ask your pharmacist if you are unsure whether it is right for you.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.