CAI
Clinical Asset Index
by VOS Supply Group
Drugs · acquisition-cost intelligence

spironolactone and hydrochlorothiazide

· ingredient hydrochlorothiazideAldosterone antagonists· HYDROCHLOROTHIAZIDE 25 mg/1; SPIRONOLACTONE 25 mg/1
What this is. Acquisition-cost intelligence for pharmacy & clinic buyers — the historical trend, generic-equivalent costs, and Part D posture. NADAC is a pharmacy acquisition cost (the national average pharmacies pay), not a retail or cash price — for consumer cash prices use GoodRx/your plan.
Acquisition benchmark · NADAC per EA
$0.53463
NADAC — pharmacy acquisition cost, not a retail/cash price

Acquisition-cost history

Weekly NADAC per EA — the trend nobody else shows. 6 weeks.

2025-12-172026-05-20

Same-ingredient options by acquisition cost

Other hydrochlorothiazide products, cheapest acquisition cost first. Per EA — confirm strength/form equivalence before switching.

ProductNADAC / EAvs this
hydrochlorothiazide$0.01219−$0.52240
hydrochlorothiazide$0.02865−$0.50600
hydrochlorothiazide$0.03324−$0.50140
hydrochlorothiazide$0.04038−$0.49430
Diovan HCT$0.14221−$0.39240
Avalide$0.17972−$0.35490
Micardis HCT$0.36196−$0.17270
Amiloride Hydrochloride and Hydrochlorothiazide$0.44788−$0.08680

Medicare Part D coverage · CY2026

On 324 plan formularies · typical tier 2
Prior auth 0% · Step therapy 0% · Quantity limit 0% of formularies

Sources: CMS NADAC (pharmacy acquisition cost), FDA NDC + RxNorm (identity), RxClass (therapeutic class), CMS Medicare Part D formulary (coverage). Observed reference data for professional buyers — not a retail/cash price, not pricing or medical advice. Verify before purchasing or substituting.