Prescription refill in Montana

A single tablet tipped into an open palm beside a pill organiser and a glass of water.

At $75,000 income

$46

Rank among states we cover

13 of 51

vs. national median

+2%

A prescription refill priced in Montana carries no general sales tax, so the sticker price and the real price are nearly the same thing — unusual, compared with most of the country. The gross income required is still about $46 on a $75,000 salary, 13 of 51 states, because Montana's income tax runs about 3.84% effective at this income, and the money has to be earned before it can be spent. Montana is one of the states with no general sales tax, so this purchase adds nothing at checkout.

Delaware costs about the same for a prescription refill

Prices in Montana

Shopping in Montana costs 9.76% less than the national average. Goods, the things you buy off a shelf, run 5.71% below average, higher than prices overall. Counting from the most expensive, Montana ranks 41 among the states. A hundred dollars of average American shopping costs $90.24 here.

The cost above uses one national price for a prescription refill, so these local prices are not in it. See how prices break down in Montana.

BEA regional price parity, all items: about 9.76% below the national level, rank 41 by price level, most expensive first. Goods parity: about 5.71% below. A national-average basket costing one hundred dollars costs $90 here.

The category figures above apply a single national default price and are not adjusted for this price level. A parity measures what a basket costs, not what a salary is worth after tax. Full Montana price-level breakdown.

Source: US Bureau of Economic Analysis — Regional Price Parities by state (SARPP), 2023, as of 2023-12-31.

Try your own numbers

$

Annual income≈ $36/hr
Loading map…
You must earn1.55× sticker
$46

to cover a prescription refill

Sticker
$30
Markup
55%
Your time
1.3 hrs
16% of a work day
Total to earn$46select a band
  • Income tax (federal, FICA, state)35%$16
  • Prescription refill65%$30
  • Income tax (federal, FICA, state)
  • Prescription refill

Data for nerds — sources, confidence and assumptions

Data for nerdssources, confidence, assumptions

Where each number comes from

ComponentAmountConfidence
Item price$30.00Your figureHigh confidence. You supplied this, so it is exact by definition.
Income tax to earn it$16.36StatutoryHigh confidence. This number is the law — federal, FICA and state tax rates are published rates, so the only real risk is staleness.

Jurisdiction applied

  • State: MT
  • Local income tax: none selected

Assumptions

  • We use your state's own rule, including the reduced rate Illinois charges instead of a full exemption.
  • The amount you enter is what you hand over at the counter. What your insurance covers sets that number, and we don't model it.
  • Medicine you buy off the shelf is usually taxed. That's a separate page.
  • Your own state's prescription rule is applied, verified state by state, including Illinois's reduced rate rather than a full exemption.
  • The amount entered is what is paid at the counter. Insurance, deductibles and negotiated prices determine that amount and are not modeled.
  • Over-the-counter medicines are taxed as ordinary goods in most states and are covered separately.

Sources

What this commitment adds up to

$5,563 over 10 yrs
×
Per period

Prescription refill, every month — $556 of income every year, and 15 hrs of your life.

$2k$5kyr 1yr 10
Spent $4kInvested instead $5k
Year
tap a year or use the picker
Income needed / yr
$556
before tax, to cover it
Growth given up
$1,374
at 7.0% a year, real
Life spent
4 work weeks
over 10 years
Year by year
YearSpentInvested instead
1$360$360
2$720$745
3$1,080$1,157
4$1,440$1,598
5$1,800$2,070
6$2,160$2,575
7$2,520$3,115
8$2,880$3,694
9$3,240$4,312
10$3,600$4,974

Prices and wages are held at today's levels, and the return above is inflation-adjusted to match — consistent by design. The invested-instead line assumes the cash is contributed at the end of each year and left alone; it is an alternative use of the same money, never an extra cost on top.

Your position in the tax system

35.3% on the next dollar

Every extra dollar you earn is taxed at your marginal rate, not your average one — which is why a purchase costs more to fund than a paycheck stub suggests.

Federal22%
FICA7.65%
MT5.65%
Combined35.3%
Next bracket at
$121,800
$46,800 away
This purchase
35.29%
average rate paid to fund it
Tax to earn it
$16
on top of the price

Marginal rates are read in gross-income terms: below the standard deduction an extra dollar of pay adds nothing to taxable income, so the true rate there is 0%, not the lowest bracket's. Excludes pre-tax deductions (401(k), HSA), which would lower all three.

Same purchase, different state

MT is #39 of 51

The purchase inputs and income stay the same. Your row uses your calculator settings; other states use example counties and omit local income tax. Spread across all 51: $6, from Alaska to Oregon.

  • $43
  • Montanayou$46
  • $49

Choose a state name to compare against somewhere else.

Where every dollar goes

35% never reaches you

The $46.36 you must earn, followed to where it lands. Select a band to isolate it.

  • Federal income tax$10.20
  • FICA (Social Security + Medicare)$3.54
  • MT income tax$2.62
  • Prescription refill$30.00
To tax $16.36To the purchase $30.00

Each tax layer is the extra tax this purchase causes — that layer's tax at your income subtracted from its tax at your income plus the gross-up — so bracket boundaries the purchase straddles are handled correctly rather than smoothed over with an average rate.

Is a raise actually a raise?

you keep 65%

A raise arrives on top of everything you already earn, so it is taxed at your marginal rate — not the average rate on your whole salary.

Kept $6,470To tax $3,530
Take-home now
$58,716
78% of gross
Take-home after
$65,186
+$6,470 a year
Per month
$539
what actually lands

Federal, FICA, state and any local income tax — no pre-tax deductions, benefit changes, or payroll withholding quirks, all of which move the real figure. Moving into a higher bracket never taxes the income below the threshold: only the dollars above it pay the higher rate.

The arithmetic, for Montana

Nothing below is illustrative — it's the real chain the calculator runs for a single filer earning $75,000 in Montana, 2026 tax year. Follow it step by step and check our work.

Gross salary$75,000Where every calculation starts.
Less the federal standard deduction−$16,100The 2026 figure for a single filer.
Federally taxable income$58,900What the bracket table is applied to.
Federal income tax−$7,670Top bracket reached: 22.00%.
FICA — Social Security and Medicare−$5,7387.65% up to the wage base, then 1.45% above it.
Montana taxable income$58,900After Montana's own deduction, which differs from the federal one.
Montana income tax−$2,877Marginal rate on the next dollar earned here: 5.65%.
Take-home pay$58,716$16,284 withheld — 21.71% of the salary never reaches you.

That's the gap between a price tag and a real cost: it takes roughly 1.28 earned dollars to spend one here, and that's the multiplier this page applies to every purchase.

What's different about Montana

  • On income tax Montana sits in the middle: about 3.84% at this salary, rank 22. No great advantage, no great penalty.
  • Montana adds no general sales tax at the register — the combined rate is 0%. Shelf and till agree, which almost nowhere else manages.
  • For a prescription refill, Montana ranks 13 at $46 in gross income. The national spread runs $6.06, from Alaska at $43 up to Oregon at $49.
  • Delaware lands closest to Montana here, at $47 — only $0.70 between them. Two states that look nothing alike can still end up a few dollars apart.
  • Montana taxes the pay stub and leaves the till alone. Few states are simply cheap or expensive — mostly they pick a different moment to collect.
  • Montana's effective state income tax at the representative salary is about 3.84%, ranking 22 nationally — mid-distribution, with neither the structural advantage of a no-tax state nor the drag of a top-decile one.
  • Montana imposes no general sales tax, leaving the purchase-side charge at 0% before any category-specific excise. Against a state adding several points at checkout, that absence is the larger part of the difference on a prescription refill.
  • Montana ranks 13 for a prescription refill at $46 of required gross income. The national range spans $6.06 end to end — Alaska at $43, Oregon at $49.
  • On this purchase Delaware is Montana's nearest neighbor at $47, separated by $0.70. The convergence is a property of the composed stack rather than of similar tax policy — offsetting income and sales treatments frequently produce near-identical totals.
  • Collection in Montana sits on the earn side, with an income tax and no general sales tax. Two states with similar total burdens can therefore produce materially different results on any given purchase, depending on which layer that purchase touches.

What this page can't tell you

Worth being straight about, because a number without its limits is just a claim.

  • These figures assume one filer with no dependants. They also assume nothing goes into a retirement account or an HSA before tax, and no itemized deductions. Any of those would cut the tax. That would cut the true cost too.
  • Ownership costs fall back on national averages sometimes. That happens where a state figure does not exist, or could not be checked against a primary source. The data panel on the result says so outright when it does. We do not dress an estimate up as a measurement.
  • Figures assume a single filer with no dependants, no pre-tax retirement or HSA contributions, and the standard deduction rather than itemized deductions. Each of those would reduce taxable income and therefore the gross-up, so the figures here should be read as an upper bound on the earn-side requirement for this household shape.
  • Ownership-layer inputs fall back to national averages where a state-level figure is unavailable or could not be verified against a primary source. Those fallbacks are disclosed per-figure in the provenance panel rather than being silently blended into the total, so an estimate is never presented with the same confidence as a measurement.

Questions people ask

Is Montana an expensive place for this, or not?

It sits in the middle. $46 here, $0.81 away from the median state — a difference you would struggle to notice in a year.

Is there really no sales tax on this in Montana?

Correct for the state's general sales tax. Local levies and product-specific excise can still appear, and the tax taken out of your pay before you shop is untouched by any of it.

Where in the country is this cheapest?

Alaska sits at the bottom, $3.72 below where you are. Oregon sits at the top, $2.34 above. Worth knowing if you are weighing a move.

This is a monthly cost — does the state matter more or less?

More. The state gap applies every single time the cost comes round, so a monthly purchase multiplies whatever difference exists rather than settling it once.

What is this figure leaving out?

There is a declared gap. Rather than fold in a guess, the page names what is missing and leaves it out of the arithmetic, which keeps the number defensible even though it is incomplete.

Where does Montana sit relative to the national median here?

Montana is within a couple of percent of the national median, at $46 — a gap of $0.81. The state variable is therefore not the dominant term for this purchase; marginal rate on the buyer's own income slice is.

How does the absence of a general sales tax affect this purchase?

Montana levies no general sales tax, so the purchase-side component of the gross-up is limited to any product-specific excise and any local levy the model records. The income-side wedge is unaffected; required gross income remains $46.

What is the national spread on this purchase?

Against Alaska at the light end, Montana carries $3.72 of additional gross requirement; against Oregon at the heavy end it is $2.34 lighter. ⚠️ The model holds the pre-tax outlay constant across states, so the spread reflects tax structure alone and not regional price levels.

How does recurrence interact with the state differential?

The state differential is multiplicative in the number of occurrences. For a monthly outlay the annualised gap equals the per-occurrence gap times the periods per year, which is why recurring categories separate states far more sharply than one-off purchases of the same nominal value.

What falls outside the model for this category?

The category declaration records at least one component outside the model's scope. It is excluded from the computation rather than estimated, in line with the project's rule against unsourced figures; the reported requirement of $46 is therefore a lower bound on total cost.

Keep going

What you must earn to buy it

A $75,000 salary

$46of pay, before any tax
Sticker price$30.00
Sales tax$0.00
Out of pocket$30.00
Income tax on earning it$16.36
Hours of work1.3 hr

35.29% of that pay never reaches the purchase.

Show your work

A $75,000 salary

PriceWhat you typed$30.00
Sales taxNo sales tax applied to this purchase$0.00
Out of pocketPrice plus sales tax$30.00
Federal, next dollarIRS brackets, 202622%
Social Security and MedicareFICA rates, 20267.65%
State, next dollarMT brackets, 20265.65%
Pay you must earnWalked up your own bracket boundaries$46.36
Tax on earning itPay needed, less out of pocket$16.36

If the money stayed put

A $75,000 salary

$54in 10 years, at that rate
Spent today$30
Growth given up$24
Pay needed to buy it$46

Assumes a 6% annual return that you can edit.