OpenBilldrug price receipt

NADAC week of 2026-10-14

BUPRENORPHINE-NALOXONE 12-3 MG SL FILM

For 30 films

Pharmacies pay

$134.57 filed

30 × $4.48557 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

$78.76 filed

30 × $2.62528 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

0.59× estimated

Medicare paid 41% less than pharmacies pay.

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

$159.76 estimated

$134.57 + $20.19 (15%) + $5.00 fee per fill = $159.76

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

BUPRENORPHINE-NALOXONE 12-3 MG SL FILM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as buprenorphine and naloxone, under the trade name “Buprenorphine and Naloxone Sublingual Film”.

FDA gives its dosage form as “film” and “film, soluble” and its route as buccal; sublingual.

FDA lists 4 labelers (the companies named on the label) for its NDCs, among them Mylan Pharmaceuticals Inc., Dr.Reddys Laboratories Inc and Alvogen Inc.

FDA lists it under 2 Established Pharmacologic Classes: Opioid Antagonist and Partial Opioid Agonist.

The NADAC file of 2026-10-14 prices it under 8 NDCs (National Drug Codes); the FDA directory lists 4 of them.

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 $134.57 for 30 films (30 × $4.48557 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.

The 4 labelers

LabelerNDCsPharmacies pay per unit
Alvogen Inc.1$4.48557 per EA filed
Dr.Reddys Laboratories Inc1$4.48557 per EA filed
INGENUS PHARMACEUTICALS, LLC1$4.48557 per EA filed
Mylan Pharmaceuticals Inc.1$4.48557 per EA filed
Not listed as a package in the FDA directory4$4.48557 per EA filed
All 8 NDCs, with labeler and price
  • 00378-8768-16 · not listed as a package in the FDA directory · $4.48557 per EA · eff. 2026-09-23 filed
  • 00378-8768-93 · Mylan Pharmaceuticals Inc. · $4.48557 per EA · eff. 2026-09-23 filed
  • 43598-0581-01 · not listed as a package in the FDA directory · $4.48557 per EA · eff. 2026-09-23 filed
  • 43598-0581-30 · Dr.Reddys Laboratories Inc · $4.48557 per EA · eff. 2026-09-23 filed
  • 47781-0358-03 · Alvogen Inc. · $4.48557 per EA · eff. 2026-09-23 filed
  • 47781-0358-11 · not listed as a package in the FDA directory · $4.48557 per EA · eff. 2026-09-23 filed
  • 50742-0365-01 · not listed as a package in the FDA directory · $4.48557 per EA · eff. 2026-09-23 filed
  • 50742-0365-30 · INGENUS PHARMACEUTICALS, LLC · $4.48557 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

5 other products in the NADAC file share the FDA nonproprietary name buprenorphine and naloxone with BUPRENORPHINE-NALOXONE 12-3 MG SL FILM.

ProductPharmacies pay per unitMedicare per unit
BUPRENORPHINE-NALOXONE 2-0.5 MG SL FILM
generic · film / film, soluble
$1.38554 per EA filed
eff. 2026-09-23
$2.62528 per EA filed
Part D 2024 average
BUPRENORPHINE-NALOXONE 2-0.5 MG SL TABLET
generic · tablet
$0.52138 per EA filed
eff. 2026-09-23
$2.62528 per EA filed
Part D 2024 average
BUPRENORPHINE-NALOXONE 4-1 MG SL FILM
generic · film / film, soluble
$2.57624 per EA filed
eff. 2026-09-23
$2.62528 per EA filed
Part D 2024 average
BUPRENORPHINE-NALOXONE 8-2 MG SL FILM
generic · film / film, soluble
$1.98226 per EA filed
eff. 2026-09-23
$2.62528 per EA filed
Part D 2024 average
BUPRENORPHINE-NALOXONE 8-2 MG SL TABLET
generic · tablet
$0.66282 per EA filed
eff. 2026-09-23
$2.62528 per EA filed
Part D 2024 average
BUPRENORPHINE-NALOXONE 12-3 MG SL FILM this page
generic · film / film, soluble
$4.48557 per EA filed
eff. 2026-09-23
$2.62528 per EA 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

Compared with its class

The middle of its 8 NDCs’ NADAC prices is $4.48557 per EA filed.

Of the 30 other products in FDA’s Opioid Antagonist class priced per EA, 23 have a higher middle NADAC price and 7 a lower one. The one in the middle is MOVANTIK 12.5 MG TABLET, at $14.59872 per EA filed (eff. 2026-09-23).

Of the 34 other products in FDA’s Partial Opioid Agonist class priced per EA, 27 have a higher middle NADAC price and 7 a lower one. The one in the middle is BELBUCA 300 MCG FILM, at $11.85628 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 $78.76 for 30 films, at an average of $2.62528 per EA in 2024 (2024-01-01 to 2024-12-31) for “Buprenorphine-Naloxone” and “Buprenorphine HCl/Naloxone HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,625,314 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 BUPRENORPHINE-NALOXONE 12-3 MG SL 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 Buprenorphine-Naloxone / Buprenorphine HCl/Naloxone 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 generic name.
Why does this page start at 30 films?
NADAC prices this product per EA, and the FDA NDC Directory lists 4 of its 8 NDCs (it does not list the other 4) as a film taken under the tongue or against the cheek (dosage forms “FILM”, “FILM, SOLUBLE”, route “BUCCAL; SUBLINGUAL”), 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.