FENTANYL 12 MCG/HR PATCH
For 1 patch
Pharmacies pay
$8.99 filed
1 × $8.98903 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
$11.10 filed
1 × $11.1038 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
1.2× estimated
Medicare paid 1.2× what pharmacies pay.
Part D averages every strength and form sold under “Fentanyl” 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
$15.34 estimated
$8.99 + $1.35 (15%) + $5.00 fee per fill = $15.34
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
FENTANYL 12 MCG/HR PATCH is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “fentanyl” and “fentanyl transdermal”, as its NDCs’ listings variously write the nonproprietary name, under the trade name “Fentanyl system”.
FDA gives its dosage form as “patch” and “patch, extended release” and its route as transdermal.
FDA lists 4 labelers (the companies named on the label) for its NDCs, among them Mylan Pharmaceuticals Inc., SpecGx LLC and ALVOGEN.
FDA’s Established Pharmacologic Class for it is Opioid Agonist.
The NADAC file of 2026-10-14 prices it under 7 NDCs (National Drug Codes); the FDA directory lists 4 of them.
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 $8.99 for 1 patch (1 × $8.98903 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.
What NADAC measures · NADAC explanation codes
The 4 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| ALVOGEN | 1 | $8.98903 per EA filed |
| INGENUS PHARMACEUTICALS, LLC | 1 | $8.98903 per EA filed |
| Mylan Pharmaceuticals Inc. | 1 | $8.98903 per EA filed |
| SpecGx LLC | 1 | $8.98903 per EA filed |
| Not listed as a package in the FDA directory | 3 | $8.98903 per EA filed |
All 7 NDCs, with labeler and price
- 00378-9119-16 · not listed as a package in the FDA directory · $8.98903 per EA · eff. 2026-09-23 filed
- 00378-9119-98 · Mylan Pharmaceuticals Inc. · $8.98903 per EA · eff. 2026-09-23 filed
- 00406-9112-76 · SpecGx LLC · $8.98903 per EA · eff. 2026-09-23 filed
- 47781-0423-11 · not listed as a package in the FDA directory · $8.98903 per EA · eff. 2026-09-23 filed
- 47781-0423-47 · ALVOGEN · $8.98903 per EA · eff. 2026-09-23 filed
- 50742-0549-01 · not listed as a package in the FDA directory · $8.98903 per EA · eff. 2026-09-23 filed
- 50742-0549-05 · INGENUS PHARMACEUTICALS, LLC · $8.98903 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
6 other products in the NADAC file share an FDA nonproprietary name with FENTANYL 12 MCG/HR PATCH.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| FENTANYL 12 MCG/HR PATCH this page | $8.98903 per EA filed | $11.1038 per EA filed |
| FENTANYL 25 MCG/HR PATCH | $6.01448 per EA filed | $11.1038 per EA filed |
| FENTANYL 37.5 MCG/HR PATCH | $35.02694 per EA filed | $11.1038 per EA filed |
| FENTANYL 50 MCG/HR PATCH | $9.07 per EA filed | $11.1038 per EA filed |
| FENTANYL 62.5 MCG/HR PATCH | $57.686 per EA filed | $11.1038 per EA filed |
| FENTANYL 75 MCG/HR PATCH | $15.87124 per EA filed | $11.1038 per EA filed |
| FENTANYL 100 MCG/HR PATCH | $18.35787 per EA filed | $11.1038 per EA filed |
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
Compared with its class
The middle of its 7 NDCs’ NADAC prices is $8.98903 per EA filed.
Of the 108 other products in FDA’s Opioid Agonist class priced per EA, 28 have a higher middle NADAC price and 80 a lower one. The one in the middle is BUTALBITAL-ACETAMINOPHEN-CAFFEINE-CODEINE 50-325-40-30 MG CP, at $0.79784 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 $11.10 for 1 patch, at an average of $11.1038 per EA in 2024 (2024-01-01 to 2024-12-31) for “Fentanyl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 821,141 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.
4 of the product’s 7 NDCs have this Medicare figure; the other 3 do not, and the interactive card says why for each.
Medicare's price is not your price.
What Part D spending measures · Which Medicare figure OpenBill compares · 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 1 patch? Is it lower than what I would pay through my insurance?
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for FENTANYL 12 MCG/HR PATCH 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 Fentanyl / Fentanyl: 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 generic name.
- Why does this page start at 1 patch?
- NADAC prices this product per EA, and the FDA NDC Directory lists 4 of its 7 NDCs (it does not list the other 3) as dosage forms “PATCH”, “PATCH, EXTENDED RELEASE” with route “TRANSDERMAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and none of these is one. So the card starts at 1 patch, priced per patch, rather than guess how many make up a fill; change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- HYDROCODONE-ACETAMINOPHEN 10-300 MG TABLET
- TRAMADOL HCL 100 MG TABLET
- OXYCODONE-ACETAMINOPHEN 10-325 MG TAB
- MORPHINE SULF ER 100 MG TABLET
- LOPERAMIDE 2 MG CAPSULE