FORTEO 560 MCG/2.24 ML PEN INJ
FDA nonproprietary name: teriparatide
For 2.24 mL
Pharmacies pay
$4,124.46 filed
2.24 × $1,841.27488 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
We don’t know yet
No Medicare reference price. Part D: The Part D file flags this drug’s average spending per dosage unit as an outlier, so OpenBill does not use it as a reference price. 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
$4,748.13 estimated
$4,124.46 + $618.67 (15%) + $5.00 fee per fill = $4,748.13
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
FORTEO 560 MCG/2.24 ML PEN INJ is how the CMS NADAC file names this product. The FDA NDC Directory lists it as teriparatide, under the trade name “Forteo”.
FDA gives its dosage form as injection, solution and its route as subcutaneous.
The labeler, the company named on the label, is Eli Lilly and Company.
FDA’s Established Pharmacologic Class for it is Parathyroid Hormone Analog.
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 $4,124.46 for 2.24 mL (2.24 × $1,841.27488 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.
NADAC also lists, on the row of its brand NDCs, what pharmacies pay for the generic equivalent, a different product: $479.95105 per ML filed.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
What NADAC measures · NADAC explanation codes
All 2 NDCs
- 00002-8400-01 · Eli Lilly and Company · $1,841.27488 per ML · eff. 2026-09-23 filed
- 00002-9678-01 · Eli Lilly and Company · $1,841.27488 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
2 other products in the NADAC file share the FDA nonproprietary name teriparatide with FORTEO 560 MCG/2.24 ML PEN INJ.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| BONSITY 560 MCG/2.24 ML PEN | $479.95105 per ML filed | $962.4375 per ML filed |
| FORTEO 560 MCG/2.24 ML PEN INJ this page | $1,841.27488 per ML filed | We don’t know yet |
| TERIPARATIDE 560 MCG/2.24 ML PEN | $479.95105 per ML filed | $962.4375 per ML 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
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 2.24 mL? Is it lower than what I would pay through my insurance?
- Is a generic version available, and would it suit me? NADAC lists a generic with the same ingredient, strength and dosage form by FDA: BONSITY 560 MCG/2.24 ML PEN. Ask your pharmacist or prescriber; do not switch on your own.
- How much is in the package I am getting? This page uses 2.24 mL; your package may hold a different amount.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why does this page start at 2.24 mL?
- NADAC prices this product per ML. The FDA NDC Directory’s package description gives 2.24 mL in one package for all 2 NDCs of this product (“1 SYRINGE in 1 CARTON (0002-8400-01) / 2.24 mL in 1 SYRINGE”), so the card starts at one package: 2.24 ML. Change it to match your prescription.