OpenBilldrug price receipt

NADAC week of 2026-10-14

FLUPHENAZINE DEC 125 MG/5 ML

For 5 mL

Pharmacies pay

$54.22 filed

5 × $10.84399 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 Part D paid

$98.52 filed

5 × $19.7039 per ML, 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

1.8× estimated

Medicare paid 1.8× what pharmacies pay.

Part D averages every strength and form sold under “Fluphenazine Decanoate” 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

$67.35 estimated

$54.22 + $8.13 (15%) + $5.00 fee per fill = $67.35

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

FLUPHENAZINE DEC 125 MG/5 ML is how the CMS NADAC file names this product. The FDA NDC Directory lists it as fluphenazine decanoate.

FDA gives its dosage form as “injection” and “injection, solution” and its route as intramuscular; subcutaneous.

FDA lists 7 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Sagent Pharmaceuticals and Par Health USA, LLC.

FDA’s Established Pharmacologic Class for it is Phenothiazine.

The NADAC file of 2026-10-14 prices it under 8 NDCs (National Drug Codes).

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 $54.22 for 5 mL (5 × $10.84399 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 7 labelers

LabelerNDCsPharmacies pay per unit
Par Health USA, LLC2$10.84399 per ML filed
Eugia US LLC1$10.84399 per ML filed
Fresenius Kabi USA, LLC1$10.84399 per ML filed
Hikma Pharmaceuticals USA Inc.1$10.84399 per ML filed
Mylan Institutional LLC1$10.84399 per ML filed
Novadoz Pharmaceuticals LLC1$10.84399 per ML filed
Sagent Pharmaceuticals1$10.84399 per ML filed
All 8 NDCs, with labeler and price
  • 00143-9529-01 · Hikma Pharmaceuticals USA Inc. · $10.84399 per ML · eff. 2026-09-23 filed
  • 25021-0838-05 · Sagent Pharmaceuticals · $10.84399 per ML · eff. 2026-09-23 filed
  • 42023-0129-01 · Par Health USA, LLC · $10.84399 per ML · eff. 2026-09-23 filed
  • 42023-0129-89 · Par Health USA, LLC · $10.84399 per ML · eff. 2026-09-23 filed
  • 55150-0267-05 · Eugia US LLC · $10.84399 per ML · eff. 2026-09-23 filed
  • 63323-0272-05 · Fresenius Kabi USA, LLC · $10.84399 per ML · eff. 2026-09-23 filed
  • 67457-0359-59 · Mylan Institutional LLC · $10.84399 per ML · eff. 2026-09-23 filed
  • 72205-0100-01 · Novadoz Pharmaceuticals LLC · $10.84399 per ML · eff. 2026-09-23 filed

Compared with its class

The middle of its 8 NDCs’ NADAC prices is $10.84399 per ML filed.

Of the 8 other products in FDA’s Phenothiazine class priced per ML, 0 have a higher middle NADAC price and 8 a lower one. The one in the middle is PROMETHAZINE 6.25 MG/5 ML SYRP, at $0.04198 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

Medicare Part D paid $98.52 for 5 mL, at an average of $19.7039 per ML in 2024 (2024-01-01 to 2024-12-31) for “Fluphenazine Decanoate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 79,338 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 FLUPHENAZINE DEC 125 MG/5 ML 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 Fluphenazine Decanoate / Fluphenazine Decanoate: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on generic name.
Why does this page start at 5 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 5 mL in one package for all 8 NDCs of this product (“1 VIAL, MULTI-DOSE in 1 BOX (0143-9529-01) / 5 mL in 1 VIAL, MULTI-DOSE”), so the card starts at one package: 5 ML. Change it to match your prescription.