Unlock Drug Markup Calculator with FairPass
Compare prices, negotiate bills, and save up to 40–60%* on eligible care
*Savings vary by procedure, location, and provider. Based on price spreads in public CMS data; individual results not guaranteed.
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How We Expose Pharmacy Markups
NADAC Data
We use the National Average Drug Acquisition Cost (NADAC) from CMS - the federal government's data on what pharmacies actually pay wholesalers.
Compare Options
We compare retail prices against Walmart $4 generics, Cost Plus Drugs (Mark Cuban), free antibiotic programs, and discount cards like GoodRx.
Negotiation Scripts
We generate personalized scripts with actual NADAC prices so you can negotiate with confidence - or switch to a cheaper option.
Frequently Asked Questions
What is NADAC and why does it matter?
NADAC (National Average Drug Acquisition Cost) is federal government data showing what pharmacies pay wholesalers for medications. When a pharmacy charges you $50 for a drug they paid $2 for, that's a 2,400% markup. NADAC exposes this hidden markup.
How can I get my medications for $4?
Walmart, Publix, and other pharmacies offer lists of 150+ generic medications for $4/month or $10/90-days. These include common medications for diabetes, blood pressure, cholesterol, depression, and more. No insurance needed.
What is Cost Plus Drugs (Mark Cuban's pharmacy)?
Cost Plus Drugs is Mark Cuban's transparent pharmacy. They charge: manufacturer cost + 15% markup + $5 dispensing fee. For a drug that costs $2 wholesale, you'd pay about $7.30 - compared to $50+ at traditional pharmacies.
Can I negotiate with my pharmacy?
Yes! Many pharmacies will match lower prices or offer cash-pay discounts when asked. Our negotiation scripts give you the exact NADAC wholesale prices to cite during negotiations. 70% of people who negotiate get a lower price.
The High-Deductible Problem
Until you hit your deductible, you're paying retail prices that are often 20x above wholesale. This calculator shows you how to pay what pharmacies pay.
Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Pricing information is based on publicly reported data and may not reflect your actual costs.
Always consult with a qualified healthcare provider for medical decisions. Prices shown are estimates for self-pay patients and may vary by provider, location, and individual circumstances.