OpenBilldrug price receipt

NADAC week of 2026-10-14

BELBUCA 750 MCG FILM

FDA nonproprietary name: buprenorphine hydrochloride

For 30 films

Pharmacies pay

$542.97 filed

30 × $18.09899 per EA

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

$382.88 filed

30 × $12.76277 per EA, 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

0.71× estimated

Medicare paid 29% less than pharmacies pay.

Part D averages every strength and form sold under “Belbuca” / “Buprenorphine HCl” 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

$629.42 estimated

$542.97 + $81.45 (15%) + $5.00 fee per fill = $629.42

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

BELBUCA 750 MCG FILM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as buprenorphine hydrochloride, under the trade name “BELBUCA”.

FDA gives its dosage form as film, soluble and its route as buccal.

The labeler, the company named on the label, is BioDelivery Sciences International Inc.

FDA’s Established Pharmacologic Class for it is Partial Opioid Agonist.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 of them.

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 $542.97 for 30 films (30 × $18.09899 per EA, 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 code for it: 1, calculated from the most recently completed pharmacy survey.

All 2 NDCs

Other strengths, forms and brands

8 other products in the NADAC file share the FDA nonproprietary name buprenorphine hydrochloride with BELBUCA 750 MCG FILM.

ProductPharmacies pay per unitMedicare per unit
BELBUCA 75 MCG FILM
brand · film, soluble
$7.54173 per EA filed
eff. 2026-09-23
$12.76277 per EA filed
Part D 2024 average
BELBUCA 150 MCG FILM
brand · film, soluble
$7.55761 per EA filed
eff. 2026-09-23
$12.76277 per EA filed
Part D 2024 average
BELBUCA 300 MCG FILM
brand · film, soluble
$11.85628 per EA filed
eff. 2026-09-23
$12.76277 per EA filed
Part D 2024 average
BELBUCA 450 MCG FILM
brand · film, soluble
$16.1142 per EA filed
eff. 2026-09-23
$12.76277 per EA filed
Part D 2024 average
BELBUCA 600 MCG FILM
brand · film, soluble
$17.19033 per EA filed
eff. 2026-09-23
$12.76277 per EA filed
Part D 2024 average
BELBUCA 750 MCG FILM this page
brand · film, soluble
$18.09899 per EA filed
eff. 2026-09-23
$12.76277 per EA filed
Part D 2024 average
BELBUCA 900 MCG FILM
brand · film, soluble
$18.59055 per EA filed
eff. 2026-09-23
$12.76277 per EA filed
Part D 2024 average
BUPRENORPHINE 2 MG TABLET SL
generic · tablet
$0.27676 per EA filed
eff. 2026-09-23
We don’t know yet
BUPRENORPHINE 8 MG TABLET SL
generic · tablet
$0.57141 per EA filed
eff. 2026-09-23
We don’t know yet

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

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $18.09899 per EA filed.

Of the 34 other products in FDA’s Partial Opioid Agonist class priced per EA, 12 have a higher middle NADAC price and 22 a lower one. The one in the middle is ZUBSOLV 5.7-1.4 MG TABLET SL, at $10.54312 per EA 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 D paid $382.88 for 30 films, at an average of $12.76277 per EA in 2024 (2024-01-01 to 2024-12-31) for “Belbuca” and “Buprenorphine HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 217,647 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 BELBUCA 750 MCG FILM 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 Belbuca / Buprenorphine HCl: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on brand name.
Why does this page start at 30 films?
NADAC prices this product per EA, and the FDA NDC Directory lists 1 of its 2 NDCs (it does not list the other one) as a film taken against the cheek (dosage form “FILM, SOLUBLE”, route “BUCCAL”), so one EA is one film. OpenBill counts a tablet or film taken under the tongue or against the cheek as an oral solid, like one that is swallowed. The card starts at 30 films, a common one-month supply of a once-a-day medicine; change it to match your prescription.