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Dr Butlers Advanced Hemorrhoid Relief Lidocaine HCl 5%, Phenylephrine HCl 0.25%, Witch Hazel 50% 50 g/100g; 5 g/100g; .25 g/100g Spray, 142 g — NDC 70942-0127-05 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Dr Butlers Advanced Hemorrhoid Relief Lidocaine HCl 5%, Phenylephrine HCl 0.25%, Witch Hazel 50% 50 g/100g; 5 g/100g; .25 g/100g Spray, 142 g — NDC 70942-127-05 (Billing 70942-0127-05)

by Beyond Health. PA · 142 g in 1 CAN

This is a package of 142 g of Dr Butlers Advanced Hemorrhoid Relief Lidocaine HCl 5%, Phenylephrine HCl 0.25%, Witch Hazel 50% 50 g/100g; 5 g/100g; .25 g/100g Spray from Beyond Health. PA, marketed since Jul 2024 and currently FDA-listed. It is this product's only package size.

NDC 70942-0127-05
🏷️ FDA NDC (as labeled) 70942-127-05 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 Aug 27, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

NDC database record

One package, one record: these facts belong to NDC 70942-127-05 alone.

Record
FDA NDC Directory package listing · Human OTC drug
Code segments
70942 labeler · 127 product · 05 package
Package marketed since
Jul 22, 2024
Sample package
No — commercial package
Listing certified through
Dec 31, 2026
Barcode (UPC-A, from the NDC)
3 7094212705 0
FDA record last changed
Aug 27, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 70942-127-05
Product NDC 70942-127
11-digit billing NDC 70942012705
RxCUI 2099775
UNII 101I4J0U34, V13007Z41A, 04JA59TNSJ
Application # M015
SPL Set ID 3aa0ee7a-3863-254d-e063-6394a90ad40e
Established class (EPC) Amide Local Anesthetic; Antiarrhythmic; alpha-1 Adrenergic Agonist
Mechanism of action Adrenergic alpha1-Agonists
Physiologic effect Local Anesthesia
Chemical class Amides
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2024-07-22
Route TOPICAL
Dosage form SPRAY
Substance WITCH HAZEL; LIDOCAINE HCL; PHENYLEPHRINE HYDROCHLORIDE
Quick answers
  • RxCUI (RxNorm): 2099775
Why two NDCs? The FDA registers this code as 70942-127-05 — 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 → 70942-0127-05. 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 Antiarrhythmic class.

Pharmacologic class Antiarrhythmic, Amide Local Anesthetic
Drug family (ATC) Antiarrhythmics, class Ib, Local anesthetics, Anesthetics for topical use
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?

Dr Butler's Advanced Hemorrhoid Relief is a topical spray containing lidocaine, phenylephrine, and witch hazel. Lidocaine is a local anesthetic typically used to numb pain and itching, while phenylephrine is a decongestant that functions to reduce swelling and shrink blood vessels. Witch hazel is an astringent herb commonly included in products meant to help reduce inflammation and provide a soothing effect. This is an over-the-counter monograph product, meaning it follows FDA's established rules for hemorrhoid relief products rather than having undergone individual application review.

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
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
70942-0127-05 You're viewing this Main listing 142 g in 1 CAN 2024-07-22 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Lidocaine Hemorrhoid 50 g/100g; .25 g/100g; 5 g/100g 00363-1657-03 Walgreens 85 g — — FDA listed —
Dr Butlers Advanced Hemorrhoid Relief 50 g/100g; 5 g/100g; .25 g/100gthis 70942-0127-05 Beyond 142 g — — FDA listed —
myDerm MEDICAL NEW Soothing Hemorrhoidal 50 g/100g; .25 g/100g; 5 g/100g 72667-0287-05 Inspec 127 g — — 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
Jul 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.

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 3K9958V90M
    A liquid solvent derived from fermentation or chemical synthesis. In medicines, alcohol dissolves active ingredients, helps preserve the product, and improves how the body absorbs certain drugs.
  • UNII ZY81Z83H0X
    Aloe vera leaf is a plant extract derived from the aloe plant. It is used in medicines as a natural moisturizer and skin-soothing agent in topical formulations.
  • UNII 9E8X80D2L0
    A synthetic form of vitamin E used as an antioxidant and preservative in medications. It helps prevent the active ingredients from degrading when exposed to oxygen or light.
  • UNII CUQ3A77YXI
    Panax ginseng root is a plant extract traditionally used in herbal preparations. In medications, it may serve as an active botanical ingredient or be included for flavoring and as a natural preservative or binder in formulations.
  • UNII 1W6L629B4K
    Sulisobenzone is a chemical UV filter used in some topical products to help protect against sun damage. It works as a sunscreen ingredient that absorbs ultraviolet light before it reaches the skin.
  • UNII LKG8494WBH
    Benzyl alcohol is a clear liquid used as a preservative and solvent in medicines. It helps prevent bacterial and fungal growth and dissolves other ingredients to create uniform liquid formulations.
  • UNII P0M7O4Y7YD
    A plant extract from calendula flowers, traditionally used in formulations. It typically serves as a botanical ingredient that may provide color, fragrance, or skin-conditioning properties to topical products.
  • UNII X765CF609L
    A plant-derived ingredient from hickory bark used as a flavoring agent and natural additive in medications. It may contribute subtle taste or aroma to make the medicine more palatable.
  • UNII 6810070TYD
    Centella asiatica leaf is a plant extract used in medicines as a skin-conditioning agent and natural ingredient. It may help soften or soothe the product's texture and is included for its traditional botanical properties in topical or oral formulations.
  • UNII FGL3685T2X
    Chamomile is a plant extract used in medications as a flavoring agent and for its mild soothing properties in formulations. It helps improve taste and aroma of the medicine.
  • UNII 7FLD91C86K
    Edetate disodium is a chemical compound that binds and removes certain metal ions. In medicines, it acts as a preservative and stabilizer by preventing metals like calcium from interfering with the product's shelf life and consistency.
  • UNII 7NV86426N2
    A plant extract from narrow-leaved willowherb leaves. It's used in formulations as a natural ingredient to support texture, consistency, or sensory appeal of the product.
  • UNII 147D247K3P
    Ethylhexylglycerin is a synthetic preservative used to prevent bacteria and mold from growing in medicines and personal care products. It helps keep the product safe and stable throughout its shelf life.
  • UNII 2R04ONI662
    Eucalyptus oil is a fragrant liquid extracted from eucalyptus tree leaves. It's used in medicines as a flavor, scent, or soothing agent in topical products and cough preparations.
  • 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 T07U1161SV
    A plant extract from witch hazel leaves, used in medicines as a natural astringent and skin-soothing agent. It helps reduce irritation and is often included in topical formulations for its mild anti-inflammatory properties.
  • UNII P62Y550X24
    A plant extract from helichrysum flowers that may be used as a natural fragrance, flavor enhancer, or colorant in medicines. It contributes aroma or taste to make the medication more pleasant.
  • UNII 3C18L6RJAZ
    A plant extract from horse chestnut seeds used in formulations as a natural thickening agent and binder. It helps hold tablet or capsule ingredients together and may improve product texture.
  • UNII YSE9PPT4TH
    Hyaluronate sodium is a natural carbohydrate that holds moisture. It's used in medicines as a lubricant, thickener, and moisture-retaining agent to improve texture and delivery of the active ingredient.
  • UNII T4V6TWG28D
    A plant-derived thickening agent made from cellulose. It increases viscosity and helps form a gel or paste consistency in medications, and may serve as a binder or coating material in various formulations.
  • UNII 19AH1RAF4M
    A plant extract from lavender flowers used as a flavoring and fragrance agent in medicines. It adds taste and aroma to make the product more pleasant to take.
  • UNII JNJ23Q2COM
    Lysine hydrochloride is an amino acid salt used in medicines as a buffer and pH stabilizer. It helps maintain the acidity level of the product to keep the active ingredient stable and effective.
  • UNII G43C57162K
    A natural plant extract from tea tree leaves used in topical formulations. It acts as a fragrance, preservative, and antimicrobial agent to help maintain product freshness and sensory appeal.
  • UNII MJ95C3OH47
    A plant extract from olive leaves used in formulations as an antioxidant and preservative. It helps protect the medicine from degradation and extend shelf life.
  • UNII AV092KU4JH
    A natural oil extracted from peppermint plants. It's used as a flavoring agent to mask bitter tastes and add a refreshing mint flavor to medicines, making them easier to take.
  • UNII STI11B5A2X
    Polysorbate 40 is a synthetic emulsifier derived from sorbitol and fatty acids. It helps keep oils and water mixed together in liquid medications and also improves how the product flows.
  • UNII 6DC9Q167V3
    Propylene glycol is a clear liquid derived from petroleum or vegetable sources. It acts as a solvent, humectant, and preservative in medicines, helping dissolve active ingredients and maintain product stability.
  • UNII IJ67X351P9
    A natural plant extract from rosemary leaves used as a preservative to help prevent oils and fats in the medicine from spoiling or becoming rancid during storage.
  • UNII 1Q73Q2JULR
    Sodium citrate is a salt derived from citric acid. It works as a buffer to maintain the medicine's pH level and may also help improve taste or act as a preservative in the formulation.
  • UNII R0ZB2556P8
    Tocopherol is a form of vitamin E derived from plant oils. It acts as an antioxidant in medicines to prevent oils and fats from breaking down and spoiling during storage.
  • UNII 856YO1Z64F
    Turmeric is a natural spice derived from the turmeric plant root. It serves as a colorant in medicines, giving products a yellow or golden appearance, and may also provide mild flavoring.
  • 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.

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

The official label also statesaesculus hippocastanum (horse chestnut) extract alcohol aloe barbadensis leaf extract benzophenone-4 benzyl alcohol calendula officinalis flower extract carya ovata bark extract centella asiatica extract chamomilla recutita (matricaria) flower extract curcuma longa (tumeric) root extract disodium EDTA epilobium angustifolium extract ethylhexylglycerin eucalyptus globulus leaf oil glycerin hammamelis virginiana (witch hazel) leaf extract helichrysum italicum extract hydroxyethylcellulose lavandula angustifolia (lavender) flower extract lysine HCl melaluca alternifolia (tea tree) leaf extract mentha piperita (peppermint) oil olea europaea (olive) leaf extract panax ginsing root extract polysorbate 40 propylene glycol rosmarinus officinalis (rosemary) leaf extract sodium citrate sodium hyaluronate tocopherol tocopherol acetate water

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

LabelerBeyond Health. PA
FDA applicationM015 (OTC MONOGRAPH DRUG)
Labeler code70942
First marketedJul 2024
Product typeHuman Otc Drug

More NDCs from Beyond Health. PA labeler code 70942

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 ⏱️ Dosage and Administration ⚠️ Warnings 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Do Not Use 📄 Ask a Doctor or Pharmacist Before Use If 📄 When Using This Product 📄 Stop Use and Ask a Doctor If 🤰 If Pregnant or Breast-Feeding 📄 Keep Out of Reach of Children 📄 Other Information 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 35 words ▾

Uses temporary relief of anorectal itching and discomfort associated with hemorrhoids and other anorectal disorders for the temporary relief of pain, soreness or burning temporarily reduces the swelling associated with hemorrhoids temporarily shrinks hemorrhoidal tissue

⏱️ Dosage and Administration 76 words ▾

Directions adults, when practical, cleanse the affected area by pattig or blotting with an appropriate cleansing pad gently dry by patting or blotting with toie tissue or soft cloth before application of this product shake well before using hold 3 to 6" away from rectal area, spray to moisten and then wipe off excess, if desired apply externally to the affected area up to 4 times daily chidren under 12 years of age, consult a doctor

⚠️ Warnings 181 words ▾

Warnings For external use only. Flammable Do not use whie smoking or near heat or flame. Do not use in large quantities, particularly over raw surfaces or blistered areas.

Do not exceed recommended dosage unless directed by a doctor. When using this product keep out of eyes. Rinse eyes with water to remove do not put this product in the rectum by using fingers or any mechanical device or applicator Ask a doctor or pharmacist before use if you have heart disease, high blood pressure, thyroid disease, diabetes, difficulty in urination due to enlargement of the prostate gland are presently taking a prescription drug for high blood pressure or depression Stop use and ask a doctor if condition worsens or does not improve within seven (7) days bleeding occurs an allergic reaction develops the symptom being treated does not subside or if redness, irritation, swelling, pain or other symptoms develop or icrease If pregnant or breastfeeding ask a health professioal before use.

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

🧪 Active Ingredient 11 words ▾

Active Ingredients Lidocaine HCl 5% Phenylephrine HCl 0.25% Witch Hazel 50%

🧪 Inactive Ingredients 100 words ▾

Inactive ingredients aesculus hippocastanum (horse chestnut) extract alcohol aloe barbadensis leaf extract benzophenone-4 benzyl alcohol calendula officinalis flower extract carya ovata bark extract centella asiatica extract chamomilla recutita (matricaria) flower extract curcuma longa (tumeric) root extract disodium EDTA epilobium angustifolium extract ethylhexylglycerin eucalyptus globulus leaf oil glycerin hammamelis virginiana (witch hazel) leaf extract helichrysum italicum extract hydroxyethylcellulose lavandula angustifolia (lavender) flower extract lysine HCl melaluca alternifolia (tea tree) leaf extract mentha piperita (peppermint) oil olea europaea (olive) leaf extract panax ginsing root extract polysorbate 40 propylene glycol rosmarinus officinalis (rosemary) leaf extract sodium citrate sodium hyaluronate tocopherol tocopherol acetate water

🎯 Purpose 5 words ▾

Purpose External Analgesic Vasoconstrictor Astrigent

📄 Do Not Use 23 words ▾

Do not use in large quantities, particularly over raw surfaces or blistered areas. Do not exceed recommended dosage unless directed by a doctor.

📄 Ask a Doctor or Pharmacist Before Use If 40 words ▾

Ask a doctor or pharmacist before use if you have heart disease, high blood pressure, thyroid disease, diabetes, difficulty in urination due to enlargement of the prostate gland are presently taking a prescription drug for high blood pressure or depression

📄 When Using This Product 31 words ▾

When using this product keep out of eyes. Rinse eyes with water to remove do not put this product in the rectum by using fingers or any mechanical device or applicator

📄 Stop Use and Ask a Doctor If 42 words ▾

Stop use and ask a doctor if condition worsens or does not improve within seven (7) days bleeding occurs an allergic reaction develops the symptom being treated does not subside or if redness, irritation, swelling, pain or other symptoms develop or icrease

🤰 If Pregnant or Breast-Feeding 10 words ▾

If pregnant or breastfeeding ask a health professioal before use.

📄 Keep Out of Reach of Children 19 words ▾

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

📄 Other Information 11 words ▾

Flammable Do not use whie smoking or near heat or flame.

📄 Package Label / Principal Display Panel 5 words ▾

5oz / 142g can PDP

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

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 Beyond Health. PA. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Beyond Health. PA 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.
← 70942-0121-01 · Beyond 70942-0135-03 · Beyond →
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.