OpenBilldrug price receipt

NADAC week of 2026-10-14

EFFEXOR XR 75 MG CAPSULE

FDA nonproprietary name: venlafaxine hydrochloride

For 30 capsules

Pharmacies pay

$594.60 filed

30 × $19.81997 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

$565.10 filed

30 × $18.83673 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

0.95× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Effexor XR” / “Venlafaxine HCl” 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

$688.79 estimated

$594.60 + $89.19 (15%) + $5.00 fee per fill = $688.79

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

EFFEXOR XR 75 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as venlafaxine hydrochloride, under the trade name “Effexor XR”.

FDA gives its dosage form as capsule, extended release and its route as oral.

The labeler, the company named on the label, is Viatris Specialty LLC.

FDA’s Established Pharmacologic Class for it is Serotonin and Norepinephrine Reuptake Inhibitor.

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 $594.60 for 30 capsules (30 × $19.81997 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.

NADAC also lists, on the row of its brand NDCs, what pharmacies pay for the generic equivalent, a different product: $0.07989 per EA filed.

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

All 2 NDCs

Other strengths, forms and brands

14 other products in the NADAC file share the FDA nonproprietary name venlafaxine hydrochloride with EFFEXOR XR 75 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
EFFEXOR XR 37.5 MG CAPSULE
brand · capsule, extended release
$17.70418 per EA filed
eff. 2026-09-23
$18.83673 per EA filed
Part D 2024 average
EFFEXOR XR 75 MG CAPSULE this page
brand · capsule, extended release
$19.81997 per EA filed
eff. 2026-09-23
$18.83673 per EA filed
Part D 2024 average
EFFEXOR XR 150 MG CAPSULE
brand · capsule, extended release
$21.62193 per EA filed
eff. 2026-09-23
$18.83673 per EA filed
Part D 2024 average
VENLAFAXINE HCL 25 MG TABLET
generic · tablet
$0.07226 per EA filed
eff. 2026-09-23
$0.27573 per EA filed
Part D 2024 average
VENLAFAXINE HCL 37.5 MG TABLET
generic · tablet
$0.07145 per EA filed
eff. 2026-09-23
$0.27573 per EA filed
Part D 2024 average
VENLAFAXINE HCL 50 MG TABLET
generic · tablet
$0.08941 per EA filed
eff. 2026-09-23
$0.27573 per EA filed
Part D 2024 average
VENLAFAXINE HCL 75 MG TABLET
generic · tablet
$0.08507 per EA filed
eff. 2026-09-23
$0.27573 per EA filed
Part D 2024 average
VENLAFAXINE HCL 100 MG TABLET
generic · tablet
$0.10992 per EA filed
eff. 2026-09-23
$0.27573 per EA filed
Part D 2024 average
VENLAFAXINE HCL ER 37.5 MG CAP
generic · capsule, extended release
$0.07912 per EA filed
eff. 2026-09-23 to 2026-09-30
$0.3469 per EA filed
Part D 2024 average
VENLAFAXINE HCL ER 37.5 MG TAB
generic · tablet, extended release
$0.35811 per EA filed
eff. 2026-09-23
$0.3469 per EA filed
Part D 2024 average
VENLAFAXINE HCL ER 75 MG CAP
generic · capsule, extended release
$0.07989 per EA filed
eff. 2026-09-23 to 2026-09-30
$0.3469 per EA filed
Part D 2024 average
VENLAFAXINE HCL ER 75 MG TAB
generic · tablet, extended release / tablet, coated
$0.28524 per EA filed
eff. 2026-09-23
$0.3469 per EA filed
Part D 2024 average
VENLAFAXINE HCL ER 150 MG CAP
generic · capsule, extended release
$0.11901 per EA filed
eff. 2026-09-23 to 2026-09-30
$0.3469 per EA filed
Part D 2024 average
VENLAFAXINE HCL ER 150 MG TAB
generic · tablet, extended release / tablet / tablet, coated
$0.22771 per EA filed
eff. 2026-09-23
$0.3469 per EA filed
Part D 2024 average
VENLAFAXINE HCL ER 225 MG TAB
generic · tablet, extended release / tablet / tablet, coated
$0.47118 per EA filed
eff. 2026-09-23
$0.3469 per EA filed
Part D 2024 average

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, 2026-09-30 · 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 $19.81997 per EA filed.

Of the 43 other products in FDA’s Serotonin and Norepinephrine Reuptake Inhibitor class priced per EA, 1 has a higher middle NADAC price and 42 a lower one. The one in the middle is MILNACIPRAN HCL 50 MG TABLET, at $2.80179 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 $565.10 for 30 capsules, at an average of $18.83673 per EA in 2024 (2024-01-01 to 2024-12-31) for “Effexor XR” and “Venlafaxine HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 16,997 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 EFFEXOR XR 75 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 Effexor XR / Venlafaxine HCl: 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.