FETZIMA ER 120 MG CAPSULE
FDA nonproprietary name: levomilnacipran hydrochloride
For 30 capsules
Pharmacies pay
$527.61 filed
30 × $17.58708 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
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
$611.75 estimated
$527.61 + $79.14 (15%) + $5.00 fee per fill = $611.75
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
FETZIMA ER 120 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as levomilnacipran hydrochloride, under the trade name “Fetzima”.
FDA gives its dosage form as capsule, extended release and its route as oral.
The labeler, the company named on the label, is Allergan, Inc.
FDA’s Established Pharmacologic Class for it is Serotonin and Norepinephrine Reuptake Inhibitor.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00456-2212-30.
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 $527.61 for 30 capsules (30 × $17.58708 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 · Why 30 capsules · NADAC explanation codes
The NDC
- 00456-2212-30 · Allergan, Inc. · $17.58708 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
4 other products in the NADAC file share the FDA nonproprietary name levomilnacipran hydrochloride with FETZIMA ER 120 MG CAPSULE.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| FETZIMA 20-40 MG TITRATION PAK | $17.60658 per EA filed | $16.4564 per EA filed |
| FETZIMA ER 20 MG CAPSULE | $17.59735 per EA filed | We don’t know yet |
| FETZIMA ER 40 MG CAPSULE | $17.61125 per EA filed | We don’t know yet |
| FETZIMA ER 80 MG CAPSULE | $17.5875 per EA filed | We don’t know yet |
| FETZIMA ER 120 MG CAPSULE this page | $17.58708 per EA filed | We don’t know yet |
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. 2026-01-02, 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
Its NADAC price is $17.58708 per EA filed.
Of the 43 other products in FDA’s Serotonin and Norepinephrine Reuptake Inhibitor class priced per EA, 6 have a higher middle NADAC price and 37 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
We don’t know yet; the card above says why.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
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 30 capsules? Is it lower than what I would pay through my insurance?
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Related pages
Its pharmacologic class
Related in the same class
- DULOXETINE HCL DR 20 MG CAP
- VENLAFAXINE HCL ER 150 MG CAP
- DESVENLAFAXINE SUCCNT ER 100 MG
- SAVELLA 100 MG TABLET