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Medicine prices in the United States

Hydrochlorothiazide Price in the United States (2026)

Compiled by the TrustClinix data team · Medical review pending2 official sourcesPrices last checked 31 October 2026How we get our data
Lowest NADAC pharmacy acquisition cost per tablet
$0.036

Average pharmacy cost for generic hydrochlorothiazide 12.5 mg tablet, across 13 product codes (NDCs). CMS NADAC file, Oct 2026.

≈ $0.036 per tablet
$1.08
30 tablets (pharmacy cost)
$3.23
90 tablets (pharmacy cost)
4
strengths and forms
NADAC
price type (CMS)
Cash price

Hydrochlorothiazide cost without insurance

The figures here are what US retail pharmacies pay for generic hydrochlorothiazide: about $0.036 per tablet (12.5 mg tablet), so $1.08 for a 30-day supply at one a day. If you pay cash, the pharmacy adds a dispensing fee and its margin, so expect to pay more than this, and prices differ between pharmacies for the same prescription.

With insurance or Medicare Part D you usually pay a fixed co-pay or co-insurance instead. Ask for the generic rather than the brand, compare a few pharmacies, and check discount programs: for cheap generics a cash price can be lower than your co-pay.

4 products

One product name across 3 strengths are on the official list.

India

has the lowest listed price per tablet for the same strength: $0.006 vs $0.036 here (different price types; see below).

Interactive

How much will Hydrochlorothiazide 12.5 mg tablet cost you?

tablets per day: 1 a day

Your doctor decides how many tablets you need. This is a cost estimate only, using $0.036 per tablet.

Estimated cost
$1.08
For a full year$13.10
Every listed product

All 4 hydrochlorothiazide products in the United States

Hydrochlorothiazide official prices in the United States
Generic (NADAC description)StrengthFormPer unit30 units
hydrochlorothiazide 12.5 mg tb12.5 mgtablet$0.036$1.08
hydrochlorothiazide 12.5 mg cp12.5 mgother$0.027$0.82
hydrochlorothiazide 25 mg tab25 mgtablet$0.011$0.34
hydrochlorothiazide 50 mg tab50 mgtablet$0.031$0.94
Same medicine, other countries

Hydrochlorothiazide 12.5 mg tablet: the United States vs 3 other countries

India$0.006
United States (this page)$0.036
South Africa$0.040
United Arab Emirates$0.077
Lowest listed price per tablet (USD)
By country
CountryPrice typePer tablet (local)Per unit (USD)
IndiaJan Aushadhi MRP₹0.56$0.006
South AfricaSingle Exit Price (SEP)R0.66$0.040
United Arab EmiratesAbu Dhabi DoH public priceAED 0.28$0.077

Countries publish different kinds of price (manufacturer, reimbursement or retail), so differences are partly due to what is measured. Converted at official US dollar pegs (AED, SAR) and ECB reference rates of 23 October 2026.

What this price means

How NADAC prices work in the United States

Prices on this page are the National Average Drug Acquisition Cost (NADAC): the average price US retail pharmacies pay wholesalers for the drug, per tablet, capsule, mL or gram, from a monthly survey run for the Centers for Medicare & Medicaid Services (CMS). It is not the price on your receipt. Pharmacies add a dispensing fee and a margin, so the cash price without insurance is higher, often much higher, while your co-pay with insurance depends on your plan. Discount programs and low-cost pharmacies often sell common generics close to this cost plus a fee.

Read the full guide to medicine prices in the United States.

Other medicines with hydrochlorothiazide
Strengths and forms

Every strength and form of hydrochlorothiazide in the United States

Strengths and forms
Strength and formProductsCheapest packCheapest per unit
12.5 mg tablet1$0.036$0.036
12.5 mg other1$0.027—
25 mg tablet1$0.011$0.011
50 mg tablet1$0.031$0.031

Different strengths and forms (for example slow-release or dissolving tablets) are not interchangeable without your doctor's advice.

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Quick answers

Frequently asked questions

How much does hydrochlorothiazide cost in the United States?
Official NADAC prices for hydrochlorothiazide in the United States range from $0.036 to $0.036 per pack across 4 listed products. The cheapest 12.5 mg tablet works out at $0.036 each (about $0.036).
What kind of price is this?
It is the National Average Drug Acquisition Cost (NADAC): the average price US retail pharmacies pay wholesalers for the drug, per tablet, capsule, mL or gram, from a monthly survey run for the Centers for Medicare & Medicaid Services (CMS). It is not the price on your receipt. Pharmacies add a dispensing fee and a margin, so the cash price without insurance is higher, often much higher, while your co-pay with insurance depends on your plan. Discount programs and low-cost pharmacies often sell common generics close to this cost plus a fee.
What is the cheapest hydrochlorothiazide 12.5 mg tablet in the United States?
Generic at $0.036 for 1 tablet, or $0.036 per tablet.
How much does hydrochlorothiazide cost without insurance?
US pharmacies pay about $0.036 per tablet for 12.5 mg tablet, or $1.08 for 30 (NADAC, Oct 2026). Without insurance you pay that cost plus the pharmacy's dispensing fee and margin, so cash prices are higher and vary a lot between pharmacies. Asking for the generic, comparing pharmacies and using a discount program usually brings the price closest to this cost.
Is NADAC the retail price of hydrochlorothiazide?
No. NADAC is what pharmacies pay to buy the drug. It is the closest public benchmark for the real cost of a generic, which is why Medicaid uses it to pay pharmacies, but the price at the counter includes fees on top.
Is hydrochlorothiazide cheaper in other countries?
For 12.5 mg tablet, the lowest listed price per tablet is $0.006 in India, $0.040 in South Africa and $0.077 in the UAE, compared with $0.036 in the United States. Each country publishes a different type of price, so treat this as a rough guide.
Evidence

Sources

  1. Centers for Medicare & Medicaid Services (CMS). NADAC (National Average Drug Acquisition Cost) 2026, weekly file as of 28 October 2026 (generic prescription drugs). data.medicaid.gov/dataset/fbb83258-11c7-47f5-8b18-5f8e79f7e704. Retrieved 31 October 2026.
  2. European Central Bank. Euro foreign exchange reference rates (2026-10-23). www.ecb.europa.eu/stats/eurofxref/eurofxref-daily.xml. Retrieved 25 October 2026.

Important: These are published reference prices and estimates, not a quote, and not medical advice. Actual costs depend on the hospital, your health, the exact treatment and your insurance. Always confirm the price with the provider before treatment. Read our disclaimer · Report an error