FLUOCINONIDE 0.05% GEL
FLUOCINONIDE 0.05% GEL, a generic topical medication with a Medicare acquisition cost of $0.69, typically shows significant pricing variations between acquisition cost and hospital billing rates.
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
Fluocinonide 0.05% gel is a topical corticosteroid prescribed for inflammatory skin conditions like eczema and psoriasis. This generic formulation typically generates lower reimbursement rates compared to brand-name alternatives, with potential billing variations based on dispensing quantity and patient insurance coverage.
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Data source: National Average Drug Acquisition Cost (NADAC) survey, published by CMS. HCPCS drug pricing codes from Medicare Part B Drug Average Sales Price file.
What NADAC means: The average price pharmacies pay to acquire this drug from wholesalers. Hospital charges for the same drug are typically higher due to facility fees, compounding, and administration costs.
Limitations: NADAC reflects pharmacy acquisition cost, not patient out-of-pocket cost. Insurance copays, formulary tiers, and manufacturer rebates affect what patients actually pay.