OpenBilldrug price receipt

NADAC week of 2026-10-14

ACTEMRA ACTPEN 162 MG/0.9 ML

FDA nonproprietary name: tocilizumab

For 0.9 mL

Pharmacies pay

$1,151.15 filed

0.9 × $1,279.05778 per ML

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-08-19 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$1,162.44 filed

0.9 × $1,291.60124 per ML, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

1.0× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Actemra Actpen” / “Tocilizumab” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-08-19 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$1,328.82 estimated

$1,151.15 + $172.67 (15%) + $5.00 fee per fill = $1,328.82

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-08-19 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

ACTEMRA ACTPEN 162 MG/0.9 ML is how the CMS NADAC file names this product. The FDA NDC Directory lists it as tocilizumab, under the trade name “Actemra ACTPen”.

FDA gives its dosage form as injection, solution and its route as subcutaneous.

The labeler, the company named on the label, is Genentech, Inc.

FDA’s Established Pharmacologic Class for it is Interleukin-6 Receptor Antagonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 50242-0143-01.

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $1,151.15 for 0.9 mL (0.9 × $1,279.05778 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-08-19. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-08-19. The file is new; the price is not.

The NDC

Compared with its class

Its NADAC price is $1,279.05778 per ML filed.

Of the 3 other products in FDA’s Interleukin-6 Receptor Antagonist class priced per ML, 2 have a higher middle NADAC price and 1 a lower one. The one in the middle is KEVZARA 200 MG/1.14 ML SYRINGE, at $2,068.06403 per ML filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-08-19, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $1,162.44 for 0.9 mL, at an average of $1,291.60124 per ML in 2024 (2024-01-01 to 2024-12-31) for “Actemra Actpen” and “Tocilizumab”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 56,900 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for ACTEMRA ACTPEN 162 MG/0.9 ML labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Actemra Actpen / Tocilizumab: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on brand name.
Why does this page start at 0.9 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 0.9 mL in one package for this product’s NDC (“1 SYRINGE, GLASS in 1 BOX (50242-143-01) / .9 mL in 1 SYRINGE, GLASS”), so the card starts at one package: 0.9 ML. Change it to match your prescription.