Data as of November 4, 2026
Refresh Optive Sensitive Drops
CARBOXYMETHYLCELLULOSE SODIUM, GLYCERIN
Brand: Refresh Optive
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)
$5.40/ fill$0.34 / EA
Medicaid FFS
$29.06/ fill
Medicaid MCO
$20.58/ fill
Sources: cms/nadac:price-ladder · cms/sdud
What's in the reimbursement
Ingredient cost (15.8 units/fill)$5.40
Dispensing fee & other (state-fixed, not margin)$23.66
Total reimbursed per fill$29.06
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: 5 fee-for-service states, 7 managed-care states.
Full methodology and source columns: /tools/drug-prices/methodology