OpenBilldrug price receipt

NADAC week of 2026-10-14

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.

The 8 labelers

LabelerNDCsPharmacies pay per unit
Nordic Pharma, Inc.3$19.14792 per ML filed
Armas Pharmaceuticals Inc.1$19.14792 per ML filed
Avenacy, LLC1$19.14792 per ML filed
Dr. Reddy's Laboratories Inc.1$19.14792 per ML filed
Fresenius Kabi USA, LLC1$19.14792 per ML filed
Sagent Pharmaceuticals1$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

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.

ProductPharmacies pay per unitMedicare per unit
DESMOPRESSIN 10 MCG/0.1 ML SPR
generic · spray
$10.11078 per ML filed
eff. 2026-09-23
We don’t know yet
DESMOPRESSIN 40 MCG/10 ML VIAL this page
generic · injection, solution / solution
$19.14792 per ML filed
eff. 2026-09-23 to 2026-10-07
$13.90 per ML derived
Part B limit 2026 Q4
DESMOPRESSIN AC 4 MCG/ML VIAL
generic · injection, solution
$19.14792 per ML filed
eff. 2026-09-23
$13.90 per ML derived
Part B limit 2026 Q4
DESMOPRESSIN ACETATE 0.1 MG TB
generic · tablet
$0.24294 per EA filed
eff. 2026-09-23
We don’t know yet
DESMOPRESSIN ACETATE 0.2 MG TB
generic · tablet
$0.37257 per EA filed
eff. 2026-09-23
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 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 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.