OpenBilldrug price receipt

NADAC week of 2026-10-14

ARISTADA ER 1,064 MG/3.9 ML SYR

FDA nonproprietary name: aripiprazole lauroxil

For 3.9 mL

Pharmacies pay

$3,875.04 filed

3.9 × $993.60013 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 B pays

$3,777.20 derived

3.9 × $968.51282 per ML, Part B limit

Medicare's price is not your price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)


The spread

0.97× derived

Medicare pays about what pharmacies pay.

Derived because only one labeler, Alkermes, Inc., is listed for HCPCS J1944 on the CMS crosswalk, so the payment limit comes from that company’s own products under the code, not an average across companies.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Cost-plus estimate

$4,461.30 estimated

$3,875.04 + $581.26 (15%) + $5.00 fee per fill = $4,461.30

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

ARISTADA ER 1,064 MG/3.9 ML SYR is how the CMS NADAC file names this product. The FDA NDC Directory lists it as aripiprazole lauroxil, under the trade name “ARISTADA”.

FDA gives its dosage form as injection, suspension, extended release and its route as intramuscular.

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

FDA’s Established Pharmacologic Class for it is Atypical Antipsychotic.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 65757-0404-03.

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 $3,875.04 for 3.9 mL (3.9 × $993.60013 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

4 other products in the NADAC file share the FDA nonproprietary name aripiprazole lauroxil with ARISTADA ER 1,064 MG/3.9 ML SYR.

ProductPharmacies pay per unitMedicare per unit
ARISTADA ER 1,064 MG/3.9 ML SYR this page
brand · injection, suspension, extended release
$993.60013 per ML filed
eff. 2026-09-23
$968.51282 per ML derived
Part B limit 2026 Q4
ARISTADA ER 441 MG/1.6 ML SYRN
brand · injection, suspension, extended release
$1,007.58949 per ML filed
eff. 2026-09-23
$978.46875 per ML derived
Part B limit 2026 Q4
ARISTADA ER 662 MG/2.4 ML SYRN
brand · injection, suspension, extended release
$1,006.57422 per ML filed
eff. 2026-09-23
$979.20833 per ML derived
Part B limit 2026 Q4
ARISTADA ER 882 MG/3.2 ML SYRN
brand · injection, suspension, extended release
$1,004.17967 per ML filed
eff. 2026-09-23
$978.46875 per ML derived
Part B limit 2026 Q4
ARISTADA INITIO ER 675 MG/2.4
brand · injection, suspension, extended release
$1,026.91122 per ML filed
eff. 2026-01-01
$972.84375 per ML derived
Part B limit 2026 Q4

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

Its NADAC price is $993.60013 per ML filed.

Of the 25 other products in FDA’s Atypical Antipsychotic class priced per ML, 22 have a higher middle NADAC price and 3 a lower one. The one in the middle is INVEGA SUSTENNA 39 MG/0.25 ML, at $2,338.748 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

What Medicare paid

Medicare Part B’s payment limit for HCPCS J1944, for 2026-10-01 to 2026-12-31, comes to $3,777.20 for 3.9 mL, or $968.51282 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.71 per 1 MG.

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 does this page start at 3.9 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 3.9 mL in one package for this product’s NDC (“1 SYRINGE in 1 CARTON (65757-404-03) / 3.9 mL in 1 SYRINGE”), so the card starts at one package: 3.9 ML. Change it to match your prescription.