OpenBilldrug price receipt

NADAC week of 2026-10-14

BUPRENORPHINE-NALOXONE 8-2 MG SL TABLET

For 30 tablets

Pharmacies pay

$19.88 filed

30 × $0.66282 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

4.0× estimated

Medicare paid 4.0× what 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

$27.86 estimated

$19.88 + $2.98 (15%) + $5.00 fee per fill = $27.86

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 8-2 MG SL TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “buprenorphine hydrochloride and naloxone hydrochloride dihydrate”, “buprenorphine and naloxone” and “buprenorphine hydrochloride and naloxone hydrochloride”, as its NDCs’ listings variously write the nonproprietary name, under the trade name “Buprenorphine HCl and Naloxone HCl”.

FDA gives its dosage form as tablet and its route as sublingual.

FDA lists 12 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., PAI Holdings, LLC dba PAI Pharma and Actavis Pharma, 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 14 NDCs (National Drug Codes); the FDA directory lists 12 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 $19.88 for 30 tablets (30 × $0.66282 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 12 labelers

LabelerNDCsPharmacies pay per unit
Accord Healthcare, Inc1$0.66282 per EA filed
Actavis Pharma, Inc.1$0.66282 per EA filed
American Health Packaging1$0.66282 per EA filed
Amneal Pharmaceuticals LLC1$0.66282 per EA filed
AvPAK1$0.66282 per EA filed
Hikma Pharmaceuticals USA Inc.1$0.66282 per EA filed
Lannett Company, Inc.1$0.66282 per EA filed
Major Pharmaceuticals1$0.66282 per EA filed
PAI Holdings, LLC dba PAI Pharma1$0.66282 per EA filed
Rhodes Pharmaceuticals LLC1$0.66282 per EA filed
SpecGx LLC1$0.66282 per EA filed
Sun Pharmaceutical Industries, Inc.1$0.66282 per EA filed
Not listed as a package in the FDA directory2$0.66282 per EA filed
All 14 NDCs, with labeler and price
  • 00054-0189-13 · Hikma Pharmaceuticals USA Inc. · $0.66282 per EA · eff. 2026-09-23 filed
  • 00121-2036-30 · PAI Holdings, LLC dba PAI Pharma · $0.66282 per EA · eff. 2026-09-23 filed
  • 00228-3155-03 · Actavis Pharma, Inc. · $0.66282 per EA · eff. 2026-09-23 filed
  • 00406-8020-03 · SpecGx LLC · $0.66282 per EA · eff. 2026-09-23 filed
  • 00904-7010-06 · Major Pharmaceuticals · $0.66282 per EA · eff. 2026-09-23 filed
  • 16729-0550-10 · Accord Healthcare, Inc · $0.66282 per EA · eff. 2026-09-23 filed
  • 42858-0602-03 · Rhodes Pharmaceuticals LLC · $0.66282 per EA · eff. 2026-09-23 filed
  • 50268-0145-11 · not listed as a package in the FDA directory · $0.66282 per EA · eff. 2026-09-23 filed
  • 50268-0145-15 · AvPAK · $0.66282 per EA · eff. 2026-09-23 filed
  • 60687-0637-11 · not listed as a package in the FDA directory · $0.66282 per EA · eff. 2026-09-23 filed
  • 60687-0637-65 · American Health Packaging · $0.66282 per EA · eff. 2026-09-23 filed
  • 62175-0458-32 · Lannett Company, Inc. · $0.66282 per EA · eff. 2026-09-23 filed
  • 62756-0970-83 · Sun Pharmaceutical Industries, Inc. · $0.66282 per EA · eff. 2026-09-23 filed
  • 65162-0415-03 · Amneal Pharmaceuticals LLC · $0.66282 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

11 other products in the NADAC file share an FDA nonproprietary name with BUPRENORPHINE-NALOXONE 8-2 MG SL TABLET.

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 this page
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
generic · film / film, soluble
$4.48557 per EA filed
eff. 2026-09-23
$2.62528 per EA filed
Part D 2024 average
ZUBSOLV 0.7-0.18 MG TABLET SL
brand · tablet, orally disintegrating
$5.26141 per EA filed
eff. 2026-09-23
$11.14749 per EA filed
Part D 2024 average
ZUBSOLV 1.4-0.36 MG TABLET SL
brand · tablet, orally disintegrating
$5.2646 per EA filed
eff. 2026-09-23
$11.14749 per EA filed
Part D 2024 average
ZUBSOLV 2.9-0.71 MG TABLET SL
brand · tablet, orally disintegrating
$10.51861 per EA filed
eff. 2026-09-23
$11.14749 per EA filed
Part D 2024 average
ZUBSOLV 5.7-1.4 MG TABLET SL
brand · tablet, orally disintegrating
$10.54312 per EA filed
eff. 2026-09-23
$11.14749 per EA filed
Part D 2024 average
ZUBSOLV 8.6-2.1 MG TABLET SL
brand · tablet, orally disintegrating
$15.80954 per EA filed
eff. 2026-09-23
$11.14749 per EA filed
Part D 2024 average
ZUBSOLV 11.4-2.9 MG TABLET SL
brand · tablet, orally disintegrating
$21.04792 per EA filed
eff. 2026-09-23
$11.14749 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 14 NDCs’ NADAC prices is $0.66282 per EA filed.

Of the 30 other products in FDA’s Opioid Antagonist class priced per EA, 29 have a higher middle NADAC price and 1 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, 31 have a higher middle NADAC price and 3 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 tablets, 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 8-2 MG SL TABLET 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 tablets?
NADAC prices this product per EA, and the FDA NDC Directory lists 12 of its 14 NDCs (it does not list the other 2) as a tablet taken under the tongue (dosage form “TABLET”, route “SUBLINGUAL”), so one EA is one tablet. 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 tablets, a common one-month supply of a once-a-day medicine; change it to match your prescription.