CYANOCOBALAMIN 1,000 MCG/ML VL

What it is

CYANOCOBALAMIN 1,000 MCG/ML VL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as cyanocobalamin.

FDA gives its dosage form as “injection” and “injection, solution” and its route as “intramuscular; subcutaneous”, “subcutaneous” and “intramuscular”.

FDA lists 11 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., American Regent, Inc. and Sagent Pharmaceuticals.

FDA’s Established Pharmacologic Class for it is Vitamin B12.

The NADAC file of 2026-10-14 prices it under 17 NDCs (National Drug Codes).

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 $1.47 – $2.97 for 1 mL, depending on the NDC ($1.47387 to $2.97018 per ML), 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

What NADAC measures · NADAC explanation codes

The 11 labelers

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name cyanocobalamin with CYANOCOBALAMIN 1,000 MCG/ML VL.

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

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

The middle of its 17 NDCs’ NADAC prices is $1.47387 per ML filed.

Of the 4 other products in FDA’s Vitamin B12 class priced per ML, 1 has a higher middle NADAC price and 3 a lower one. The one in the middle is MULTIVIT-FLUOR 0.25 MG/ML DROP, at $0.17794 per ML 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

How the class comparison works

What Medicare paid

Medicare Part B’s payment limit for HCPCS J3420, for 2026-10-01 to 2026-12-31, comes to $0.65 for 1 mL, or $0.648 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.1296 per 1000 MCG.

15 of the product’s 17 NDCs have this Medicare figure; the other 2 do not, and the interactive card says why for each.

Medicare's price is not your price.

What the Part B payment limit is · Converting it to the NADAC unit · How the spread is worked out

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.

• What is your cash price for 1 mL? Is it lower than what I would pay through my insurance?
• Which NDC (the 11-digit number on the package) is this? Pharmacies pay $1.47387 to $2.97018 per ML for this product, depending on the NDC.
• How much is in the package I am getting? This page uses 1 mL; your package may hold a different amount.
• If you have Medicare Part B: is this drug covered for me in this setting, and what is my share?
• These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.