OpenBilldrug price receipt

NADAC week of 2026-10-14

EMEND 125 MG POWDER PACKET

FDA nonproprietary name: aprepitant

For 1 unit (EA)

Pharmacies pay

$327.38 filed

1 × $327.384 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 B pays

$62.78 derived

1 × $62.775 per EA, 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

0.19× estimated

These two figures may not measure the same thing

At 0.19×, the Medicare figure is 0.2 times what pharmacies pay or less. A gap that large means the two figures may not describe the same unit or product, or the price may have changed between their dates; check what each one covers before relying on the multiple.

5 labelers share HCPCS J8501 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

$381.49 estimated

$327.38 + $49.11 (15%) + $5.00 fee per fill = $381.49

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

EMEND 125 MG POWDER PACKET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as aprepitant, under the trade name “EMEND”.

FDA gives its dosage form as powder, for suspension and its route as oral.

The labeler, the company named on the label, is Merck Sharp & Dohme LLC.

FDA’s Established Pharmacologic Class for it is Substance P/Neurokinin-1 Receptor Antagonist.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 of them.

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 $327.38 for 1 unit (EA) (1 × $327.384 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.

All 2 NDCs

Other strengths, forms and brands

4 other products in the NADAC file share the FDA nonproprietary name aprepitant with EMEND 125 MG POWDER PACKET.

ProductPharmacies pay per unitMedicare per unit
APREPITANT 40 MG CAPSULE
generic · capsule
$46.42062 per EA filed
eff. 2026-09-23
$96.14177 per EA filed
Part D 2024 average
APREPITANT 80 MG CAPSULE
generic · capsule
$76.35243 per EA filed
eff. 2026-09-23
$96.14177 per EA filed
Part D 2024 average
APREPITANT 125 MG CAPSULE
generic · capsule
$114.04399 per EA filed
eff. 2026-09-23
$96.14177 per EA filed
Part D 2024 average
APREPITANT 125-80-80 MG PACK
generic · kit
$85.017 per EA filed
eff. 2026-09-23
$96.14177 per EA filed
Part D 2024 average
EMEND 125 MG POWDER PACKET this page
brand · powder, for suspension
$327.384 per EA filed
eff. 2026-09-23
$62.775 per EA derived
Part B limit 2026 Q4

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 · 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

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 2 NDCs’ NADAC prices is $327.384 per EA filed.

Of the 3 other products in FDA’s Substance P/Neurokinin-1 Receptor Antagonist class priced per EA, 0 have a higher middle NADAC price and 3 a lower one. The one in the middle is APREPITANT 80 MG CAPSULE, at $76.35243 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 B’s payment limit for HCPCS J8501, for 2026-10-01 to 2026-12-31, comes to $62.78 for 1 unit (EA), or $62.775 per EA once converted to NADAC’s unit for this product.

Medicare Part B pays for this oral drug at a pharmacy only in specific circumstances CMS sets for this code; most prescriptions are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.5022 per 5 MG.

1 of the product’s 2 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 1 unit (EA)?
NADAC prices this product per EA, and the FDA NDC Directory lists 1 of its 2 NDCs (it does not list the other one) as dosage form “POWDER, FOR SUSPENSION” with route “ORAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. NADAC’s EA for it may be a whole package (such as a kit, pen, syringe, vial or inhaler) or one dose inside it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.