OpenBilldrug price receipt

NADAC week of 2026-10-14

COBENFY 125 MG-30 MG CAPSULE

FDA nonproprietary name: xanomeline and trospium chloride

For 30 capsules

Pharmacies pay

$906.91 filed

30 × $30.2302 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

$932.81 filed

30 × $31.09382 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

1.0× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Cobenfy” / “Xanomeline Tart/Trospium Chlor” 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

$1,047.95 estimated

$906.91 + $136.04 (15%) + $5.00 fee per fill = $1,047.95

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

COBENFY 125 MG-30 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as xanomeline and trospium chloride, under the trade name “Cobenfy”.

FDA gives its dosage form as capsule, coated pellets and its route as oral.

The labeler, the company named on the label, is E.R. Squibb & Sons, L.L.C.

FDA lists it under 2 Established Pharmacologic Classes: Cholinergic Muscarinic Agonist and Cholinergic Muscarinic Antagonist.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

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 $906.91 for 30 capsules (30 × $30.2302 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

3 other products in the NADAC file share the FDA nonproprietary name xanomeline and trospium chloride with COBENFY 125 MG-30 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
COBENFY 50 MG-20 MG CAPSULE
brand · capsule, coated pellets
$30.2312 per EA filed
eff. 2026-09-23
$31.09382 per EA filed
Part D 2024 average
COBENFY 100 MG-20 MG CAPSULE
brand · capsule, coated pellets
$30.13193 per EA filed
eff. 2026-09-23
$31.09382 per EA filed
Part D 2024 average
COBENFY 125 MG-30 MG CAPSULE this page
brand · capsule, coated pellets
$30.2302 per EA filed
eff. 2026-09-23
$31.09382 per EA filed
Part D 2024 average
COBENFY STARTER PACK
brand · kit
$30.07068 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 $30.2302 per EA filed.

Of the 6 other products in FDA’s Cholinergic Muscarinic Agonist class priced per EA, 1 has a higher middle NADAC price and 5 a lower one. The one in the middle is BETHANECHOL 25 MG TABLET, at $0.18782 per EA filed (eff. 2026-09-23).

Of the 25 other products in FDA’s Cholinergic Muscarinic Antagonist class priced per EA, 2 have a higher middle NADAC price and 23 a lower one. The one in the middle is TOLTERODINE TARTRATE 2 MG TAB, at $0.26393 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 $932.81 for 30 capsules, at an average of $31.09382 per EA in 2024 (2024-01-01 to 2024-12-31) for “Cobenfy” and “Xanomeline Tart/Trospium Chlor”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,539 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 COBENFY 125 MG-30 MG CAPSULE 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 Cobenfy / Xanomeline Tart/Trospium Chlor: 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.