Why does this page start at 0.8 mL?

NADAC prices this product per ML. The FDA NDC Directory’s package description gives 0.8 mL in one package for this product’s NDC (“2 SYRINGE in 1 CARTON (61314-327-20) / .4 mL in 1 SYRINGE”), so the card starts at one package: 0.8 ML. Change it to match your prescription.

ADALIMUMAB-ADAZ(CF) PEN 40 MG/0.4 ML

For 0.8 mL

Pharmacies pay

$1,270.25 filed

0.8 × $1,587.81765 per ML

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

Medicare

We don’t know yet

No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.

The spread

We don’t know yet

There is no Medicare figure to compare with, so there is no spread.

Cost-plus estimate

$1,465.79 estimated

$1,270.25 + $190.54 (15%) + $5.00 fee per fill = $1,465.79

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. 2026-09-23 (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

ADALIMUMAB-ADAZ(CF) PEN 40 MG/0.4 ML is how the CMS NADAC file names this product. The FDA NDC Directory lists it as adalimumab-adaz, under the trade name “Adalimumab”.

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

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

FDA’s Established Pharmacologic Class for it is Tumor Necrosis Factor Blocker.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 61314-0327-20.

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

What pharmacies pay

Pharmacies pay $1,270.25 for 0.8 mL (0.8 × $1,587.81765 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

What NADAC measures · NADAC explanation codes

The NDC

61314-0327-20 · Sandoz Inc · $1,587.81765 per ML · eff. 2026-09-23 filed

Compared with its class

Its NADAC price is $1,587.81765 per ML filed.

Of the 10 other products in FDA’s Tumor Necrosis Factor Blocker class priced per ML, 6 have a higher middle NADAC price and 4 a lower one. The one in the middle is ENBREL 50 MG/ML SYRINGE, at $2,080.59222 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. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

How the class comparison works

What Medicare paid

We don’t know yet; the card above says why.

Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched

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.

What is your cash price for 0.8 mL? Is it lower than what I would pay through my insurance?
How much is in the package I am getting? This page uses 0.8 mL; your package may hold a different amount.
These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.

Questions

Why does this page start at 0.8 mL?: NADAC prices this product per ML. The FDA NDC Directory’s package description gives 0.8 mL in one package for this product’s NDC (“2 SYRINGE in 1 CARTON (61314-327-20) / .4 mL in 1 SYRINGE”), so the card starts at one package: 0.8 ML. Change it to match your prescription.

Its pharmacologic class

Tumor Necrosis Factor Blocker 12 products