OpenBilldrug price receipt

NADAC week of 2026-10-14

DUPIXENT 200 MG/1.14 ML PEN

FDA nonproprietary name: dupilumab

For 2.28 mL

Pharmacies pay

$4,055.80 filed

2.28 × $1,778.85887 per ML

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · 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

$4,669.17 estimated

$4,055.80 + $608.37 (15%) + $5.00 fee per fill = $4,669.17

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

DUPIXENT 200 MG/1.14 ML PEN is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dupilumab, under the trade name “Dupixent”.

FDA gives its dosage form as injection, solution and its route as subcutaneous.

The labeler, the company named on the label, is Sanofi-Aventis U.S. LLC.

FDA’s Established Pharmacologic Class for it is Interleukin-4 Receptor alpha Antagonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00024-5919-02.

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 $4,055.80 for 2.28 mL (2.28 × $1,778.85887 per ML, 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

The NDC

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name dupilumab with DUPIXENT 200 MG/1.14 ML PEN.

ProductPharmacies pay per unitMedicare per unit
DUPIXENT 200 MG/1.14 ML PEN this page
brand · injection, solution
$1,778.85887 per ML filed
eff. 2026-09-23
We don’t know yet
DUPIXENT 200 MG/1.14 ML SYRING
brand · injection, solution
$1,773.73509 per ML filed
eff. 2026-09-23
We don’t know yet
DUPIXENT 300 MG/2 ML PEN
brand · injection, solution
$1,009.5592 per ML filed
eff. 2026-09-23
We don’t know yet
DUPIXENT 300 MG/2 ML SYRINGE
brand · injection, solution
$1,010.59551 per ML filed
eff. 2026-09-23
We don’t know yet

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

Compared with its class

Its NADAC price is $1,778.85887 per ML filed.

Of the 3 other products in FDA’s Interleukin-4 Receptor alpha Antagonist class priced per ML, 0 have a higher middle NADAC price and 3 a lower one. The one in the middle is DUPIXENT 300 MG/2 ML SYRINGE, at $1,010.59551 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

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 2.28 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 2.28 mL in one package for this product’s NDC (“2 SYRINGE, GLASS in 1 CARTON (0024-5919-02) / 1.14 mL in 1 SYRINGE, GLASS (0024-5919-00)”), so the card starts at one package: 2.28 ML. Change it to match your prescription.