DESMOPRESSIN 40 MCG/10 ML VIAL
For 10 mL
Pharmacies pay
$191.48 filed
10 × $19.14792 per ML
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23, 2026-10-07 · as of 2026-10-14 · retrieved 2026-10-17
Medicare Part B pays
$139.00 derived
10 × $13.90 per ML, Part B limit
Medicare's price is not your price.
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)
The spread
0.73× estimated
Medicare pays 27% less than pharmacies pay.
9 labelers share HCPCS J2597 on the CMS crosswalk, so its payment limit is an average across all their products billed under that code, not this NDC’s own price.
OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · 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)
Cost-plus estimate
$225.20 estimated
$191.48 + $28.72 (15%) + $5.00 fee per fill = $225.20
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, 2026-10-07 (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
DESMOPRESSIN 40 MCG/10 ML VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as desmopressin acetate.
FDA gives its dosage form as “injection, solution” and “solution” and its route as “intravenous; subcutaneous” and “intravenous”.
FDA lists 8 labelers (the companies named on the label) for its NDCs, among them Sagent Pharmaceuticals, XGen Pharmaceuticals DJB, Inc. and Dr. Reddy's Laboratories Inc.
FDA lists it under 2 Established Pharmacologic Classes: Factor VIII Activator and Vasopressin Analog.
The NADAC file of 2026-10-14 prices it under 10 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 $191.48 for 10 mL (10 × $19.14792 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; those prices took effect between 2026-09-23 and 2026-10-07. 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.
What NADAC measures · NADAC explanation codes
The 8 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| Nordic Pharma, Inc. | 3 | $19.14792 per ML filed |
| Armas Pharmaceuticals Inc. | 1 | $19.14792 per ML filed |
| Avenacy, LLC | 1 | $19.14792 per ML filed |
| Dr. Reddy's Laboratories Inc. | 1 | $19.14792 per ML filed |
| Fresenius Kabi USA, LLC | 1 | $19.14792 per ML filed |
| Sagent Pharmaceuticals | 1 | $19.14792 per ML filed |
| Sun Pharmaceutical Industries, Inc. | 1 | $19.14792 per ML filed |
| XGen Pharmaceuticals DJB, Inc. | 1 | $19.14792 per ML filed |
When these prices took effect
- 2026-10-07 · 1 NDC · $19.14792 per ML filed
- 2026-09-23 · 9 NDCs · $19.14792 per ML filed
All 10 NDCs, with labeler and price
- 25021-0461-10 · Sagent Pharmaceuticals · $19.14792 per ML · eff. 2026-09-23 filed
- 39822-6250-01 · XGen Pharmaceuticals DJB, Inc. · $19.14792 per ML · eff. 2026-09-23 filed
- 43598-0053-11 · Dr. Reddy's Laboratories Inc. · $19.14792 per ML · eff. 2026-09-23 filed
- 65219-0295-10 · Fresenius Kabi USA, LLC · $19.14792 per ML · eff. 2026-09-23 filed
- 69918-0901-10 · Nordic Pharma, Inc. · $19.14792 per ML · eff. 2026-09-23 filed
- 69918-0901-11 · Nordic Pharma, Inc. · $19.14792 per ML · eff. 2026-09-23 filed
- 69918-0901-12 · Nordic Pharma, Inc. · $19.14792 per ML · eff. 2026-09-23 filed
- 70095-0031-01 · Sun Pharmaceutical Industries, Inc. · $19.14792 per ML · eff. 2026-09-23 filed
- 72485-0524-01 · Armas Pharmaceuticals Inc. · $19.14792 per ML · eff. 2026-10-07 filed
- 83634-0451-10 · Avenacy, LLC · $19.14792 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
4 other products in the NADAC file share the FDA nonproprietary name desmopressin acetate with DESMOPRESSIN 40 MCG/10 ML VIAL.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| DESMOPRESSIN 10 MCG/0.1 ML SPR | $10.11078 per ML filed | We don’t know yet |
| DESMOPRESSIN 40 MCG/10 ML VIAL this page | $19.14792 per ML filed | $13.90 per ML derived |
| DESMOPRESSIN AC 4 MCG/ML VIAL | $19.14792 per ML filed | $13.90 per ML derived |
| DESMOPRESSIN ACETATE 0.1 MG TB | $0.24294 per EA filed | We don’t know yet |
| DESMOPRESSIN ACETATE 0.2 MG TB | $0.37257 per EA filed | We don’t know yet |
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23, 2026-10-07 · 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)
What Medicare paid
Medicare Part B’s payment limit for HCPCS J2597, for 2026-10-01 to 2026-12-31, comes to $139.00 for 10 mL, or $13.90 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 $0.695 per 1 MCG.
9 of the product’s 10 NDCs have this Medicare figure; the other 1 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 10 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 10 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.
Questions
- Why does this page start at 10 mL?
- NADAC prices this product per ML. The FDA NDC Directory’s package description gives 10 mL in one package for all 10 NDCs of this product (“1 VIAL in 1 CARTON (25021-461-10) / 10 mL in 1 VIAL”), so the card starts at one package: 10 ML. Change it to match your prescription.