OpenBilldrug price receipt

NADAC week of 2026-10-14

BUTRANS 7.5 MCG/HR PATCH

FDA nonproprietary name: buprenorphine

For 1 patch

Pharmacies pay

$68.82 filed

1 × $68.82197 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

$102.43 filed

1 × $102.43317 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

1.5× estimated

Medicare paid 1.5× what pharmacies pay.

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

$84.14 estimated

$68.82 + $10.32 (15%) + $5.00 fee per fill = $84.14

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

BUTRANS 7.5 MCG/HR PATCH is how the CMS NADAC file names this product. The FDA NDC Directory lists it as buprenorphine, under the trade name “Butrans”.

FDA gives its dosage form as patch, extended release and its route as transdermal.

The labeler, the company named on the label, is Knoa Pharma LLC.

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

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 59011-0757-04.

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 $68.82 for 1 patch (1 × $68.82197 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $37.67882 per EA filed.

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

The NDC

Other strengths, forms and brands

11 other products in the NADAC file share the FDA nonproprietary name buprenorphine with BUTRANS 7.5 MCG/HR PATCH.

ProductPharmacies pay per unitMedicare per unit
BUPRENORPHINE 2 MG TABLET SL
generic · tablet
$0.27676 per EA filed
eff. 2026-09-23
We don’t know yet
BUPRENORPHINE 5 MCG/HR PATCH
generic · patch, extended release / patch
$23.44849 per EA filed
eff. 2026-09-23
$61.65324 per EA filed
Part D 2024 average
BUPRENORPHINE 7.5 MCG/HR PATCH
generic · patch, extended release / patch
$37.67882 per EA filed
eff. 2026-09-23
$61.65324 per EA filed
Part D 2024 average
BUPRENORPHINE 8 MG TABLET SL
generic · tablet
$0.57141 per EA filed
eff. 2026-09-23
We don’t know yet
BUPRENORPHINE 10 MCG/HR PATCH
generic · patch, extended release / patch
$32.52934 per EA filed
eff. 2026-09-23
$61.65324 per EA filed
Part D 2024 average
BUPRENORPHINE 15 MCG/HR PATCH
generic · patch, extended release / patch
$53.7821 per EA filed
eff. 2026-09-23
$61.65324 per EA filed
Part D 2024 average
BUPRENORPHINE 20 MCG/HR PATCH
generic · patch, extended release / patch
$58.8288 per EA filed
eff. 2026-09-23
$61.65324 per EA filed
Part D 2024 average
BUTRANS 5 MCG/HR PATCH
brand · patch, extended release
$48.86594 per EA filed
eff. 2026-09-23
$102.43317 per EA filed
Part D 2024 average
BUTRANS 7.5 MCG/HR PATCH this page
brand · patch, extended release
$68.82197 per EA filed
eff. 2026-09-23
$102.43317 per EA filed
Part D 2024 average
BUTRANS 10 MCG/HR PATCH
brand · patch, extended release
$73.60023 per EA filed
eff. 2026-09-23
$102.43317 per EA filed
Part D 2024 average
BUTRANS 15 MCG/HR PATCH
brand · patch, extended release
$124.62313 per EA filed
eff. 2026-09-23
$102.43317 per EA filed
Part D 2024 average
BUTRANS 20 MCG/HR PATCH
brand · patch, extended release
$131.09389 per EA filed
eff. 2026-09-23
$102.43317 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

Its NADAC price is $68.82197 per EA filed.

Of the 34 other products in FDA’s Partial Opioid Agonist class priced per EA, 3 have a higher middle NADAC price and 31 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 $102.43 for 1 patch, at an average of $102.43317 per EA in 2024 (2024-01-01 to 2024-12-31) for “Butrans” and “Buprenorphine”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 25,786 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 BUTRANS 7.5 MCG/HR PATCH 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 Butrans / Buprenorphine: 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 1 patch?
NADAC prices this product per EA, and the FDA NDC Directory lists its NDC as dosage form “PATCH, EXTENDED RELEASE” with route “TRANSDERMAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. So the card starts at 1 patch, priced per patch, rather than guess how many make up a fill; change it to match your prescription.