OpenBilldrug price receipt

NADAC week of 2026-10-14

AJOVY 225 MG/1.5 ML AUTOINJECT

FDA nonproprietary name: fremanezumab-vfrm

For 1.5 mL

Pharmacies pay

$762.26 filed

1.5 × $508.17066 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 Part D paid

$681.91 filed

1.5 × $454.60618 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

0.89× estimated

Medicare paid 11% less than pharmacies pay.

Part D averages every strength and form sold under “Ajovy Autoinjector” / “Fremanezumab-Vfrm” 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. 2026-09-23 (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

$881.60 estimated

$762.26 + $114.34 (15%) + $5.00 fee per fill = $881.60

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

AJOVY 225 MG/1.5 ML AUTOINJECT is how the CMS NADAC file names this product. The FDA NDC Directory lists it as fremanezumab-vfrm, under the trade name “AJOVY”.

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

The labeler, the company named on the label, is Teva Pharmaceuticals USA, Inc.

FDA lists no Established Pharmacologic Class for it.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 51759-0202-10.

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 $762.26 for 1.5 mL (1.5 × $508.17066 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.

The NDC

Other strengths, forms and brands

2 other products in the NADAC file share the FDA nonproprietary name fremanezumab-vfrm with AJOVY 225 MG/1.5 ML AUTOINJECT.

ProductPharmacies pay per unitMedicare per unit
AJOVY 225 MG/1.5 ML AUTOINJECT this page
brand · injection
$508.17066 per ML filed
eff. 2026-09-23
$454.60618 per ML filed
Part D 2024 average
AJOVY 225 MG/1.5 ML AUTOINJECTOR (3 PACK)
brand · injection
$507.447 per ML filed
eff. 2026-09-23
$454.60618 per ML filed
Part D 2024 average
AJOVY 225 MG/1.5 ML SYRINGE
brand · injection
$508.50721 per ML filed
eff. 2026-09-23
$471.62941 per ML filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

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

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

What Medicare paid

Medicare Part D paid $681.91 for 1.5 mL, at an average of $454.60618 per ML in 2024 (2024-01-01 to 2024-12-31) for “Ajovy Autoinjector” and “Fremanezumab-Vfrm”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 89,892 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 AJOVY 225 MG/1.5 ML AUTOINJECT 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 Ajovy Autoinjector / Fremanezumab-Vfrm: 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 1.5 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 1.5 mL in one package for this product’s NDC (“1 CONTAINER in 1 CARTON (51759-202-10) / 1.5 mL in 1 CONTAINER”), so the card starts at one package: 1.5 ML. Change it to match your prescription.