Data as of November 4, 2026

Refresh Classic Eye Drops

POLYVINYL ALCOHOL, POVIDONE

Brand: REFRESH Classic

Acquisition price (NADAC) is as of October 21, 2026. Medicaid reimbursement figures are from 2024, the most recent year in CMS's published claims data. The two are not contemporaneous — treat any comparison as directional, not exact.

Price per fill

NADAC (acquisition)
$5.88/ fill$0.31 / EA
Medicaid FFS
$21.87/ fill
Medicaid MCO
$17.60/ fill

Sources: cms/nadac:price-ladder · cms/sdud

What's in the reimbursement

Ingredient cost (19.2 units/fill)$5.88
Dispensing fee & other (state-fixed, not margin)$15.99
Total reimbursed per fill$21.87

The gap above stays roughly flat across drugs regardless of acquisition cost — that's the professional dispensing fee, a fixed per-fill amount the state pays every pharmacy, not a markup.

Medicaid volume backing this card: 12 fee-for-service states, 12 managed-care states.

Full methodology and source columns: /tools/drug-prices/methodology

Sources: acquisition prices from CMS's National Average Drug Acquisition Cost survey, effective 2026-10-28; utilisation from CMS State Drug Utilization Data, 2024; Cost Plus Drugs prices from their published price list. NADAC and SDUD vintages differ. Every number links to how it was calculated. Full methodology