OpenBilldrug price receipt

NADAC week of 2026-10-14

CAVERJECT IMPULSE 10 MCG KIT

FDA nonproprietary name: alprostadil

For 1 unit (EA)

Pharmacies pay

$82.49 filed

1 × $82.49054 per EA

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

Medicare

We don’t know yet

No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.


The spread

We don’t know yet

There is no Medicare figure to compare with, so there is no spread.

Cost-plus estimate

$99.86 estimated

$82.49 + $12.37 (15%) + $5.00 fee per fill = $99.86

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. 2026-01-01 (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

CAVERJECT IMPULSE 10 MCG KIT is how the CMS NADAC file names this product. The FDA NDC Directory lists it as alprostadil, under the trade name “Caverject Impulse”.

FDA gives its dosage form as injection, powder, lyophilized, for solution and its route as intracavernous.

The labeler, the company named on the label, is Pharmacia & Upjohn Company LLC.

FDA lists it under 2 Established Pharmacologic Classes: Prostaglandin Analog and Prostaglandin E1 Agonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00009-5181-01.

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 $82.49 for 1 unit (EA) (1 × $82.49054 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 4, carried forward from the previous file.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-01-01. The file is new; the price is not.

The NDC

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name alprostadil with CAVERJECT IMPULSE 10 MCG KIT.

ProductPharmacies pay per unitMedicare per unit
CAVERJECT IMPULSE 10 MCG KIT this page
brand · injection, powder, lyophilized, for solution
$82.49054 per EA filed
eff. 2026-01-01
We don’t know yet
CAVERJECT IMPULSE 20 MCG KIT
brand · injection, powder, lyophilized, for solution
$106.23769 per EA filed
eff. 2026-09-23
We don’t know yet
EDEX 10 MCG CARTRIDGE 2-PK KIT
brand · injection, powder, lyophilized, for solution
$182.91666 per EA filed
eff. 2026-02-18
We don’t know yet
EDEX 20 MCG CARTRIDGE 2-PK KIT
brand · injection, powder, lyophilized, for solution
$237.372 per EA filed
eff. 2026-09-23
We don’t know yet

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-01, 2026-02-18, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Compared with its class

Its NADAC price is $82.49054 per EA filed.

Of the 5 other products in FDA’s Prostaglandin Analog class priced per EA, 3 have a higher middle NADAC price and 2 a lower one. The one in the middle is CAVERJECT IMPULSE 20 MCG KIT, at $106.23769 per EA filed (eff. 2026-09-23).

Of the 3 other products in FDA’s Prostaglandin E1 Agonist class priced per EA, 3 have a higher middle NADAC price and 0 a lower one. The one in the middle is EDEX 10 MCG CARTRIDGE 2-PK KIT, at $182.91666 per EA filed (eff. 2026-02-18).

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. 2026-01-01, 2026-02-18, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

We don’t know yet; the card above says why.

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 1 unit (EA)?
NADAC prices this product per EA, and the FDA NDC Directory lists its NDC as dosage form “INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION” with route “INTRACAVERNOUS”. 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. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.