OpenBilldrug price receipt

NADAC week of 2026-10-14

FYCOMPA 10 MG TABLET

FDA nonproprietary name: perampanel

For 30 tablets

Pharmacies pay

$1,173.46 filed

30 × $39.11546 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

$1,128.35 filed

30 × $37.61179 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

0.96× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Fycompa” / “Perampanel” 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

$1,354.48 estimated

$1,173.46 + $176.02 (15%) + $5.00 fee per fill = $1,354.48

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

FYCOMPA 10 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as perampanel, under the trade name “Fycompa”.

FDA gives its dosage form as tablet and its route as oral.

Its labelers, the companies named on the label, are Eisai Inc. and Catalyst Pharmaceuticals, Inc.

FDA’s Established Pharmacologic Class for it is Noncompetitive AMPA Glutamate Receptor Antagonist.

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 $1,173.46 for 30 tablets (30 × $39.11546 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.

NADAC also lists, on the row of its brand NDCs, what pharmacies pay for the generic equivalent, a different product: $15.64335 per EA filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

All 2 NDCs

Other strengths, forms and brands

13 other products in the NADAC file share the FDA nonproprietary name perampanel with FYCOMPA 10 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
FYCOMPA 0.5 MG/ML ORAL SUSP
brand · suspension
$4.45662 per ML filed
eff. 2026-09-23
We don’t know yet
FYCOMPA 2 MG TABLET
brand · tablet
$19.75426 per EA filed
eff. 2026-09-23
$37.61179 per EA filed
Part D 2024 average
FYCOMPA 4 MG TABLET
brand · tablet
$39.14028 per EA filed
eff. 2026-09-23
$37.61179 per EA filed
Part D 2024 average
FYCOMPA 6 MG TABLET
brand · tablet
$39.13335 per EA filed
eff. 2026-09-23
$37.61179 per EA filed
Part D 2024 average
FYCOMPA 8 MG TABLET
brand · tablet
$39.08722 per EA filed
eff. 2026-09-23
$37.61179 per EA filed
Part D 2024 average
FYCOMPA 10 MG TABLET this page
brand · tablet
$39.11546 per EA filed
eff. 2026-09-23
$37.61179 per EA filed
Part D 2024 average
FYCOMPA 12 MG TABLET
brand · tablet
$39.10963 per EA filed
eff. 2026-09-23
$37.61179 per EA filed
Part D 2024 average
PERAMPANEL 0.5 MG/ML ORAL SUSP
generic · suspension
$3.94521 per ML filed
eff. 2026-09-23
We don’t know yet
PERAMPANEL 2 MG TABLET
generic · tablet, film coated
$6.43174 per EA filed
eff. 2026-09-23
We don’t know yet
PERAMPANEL 4 MG TABLET
generic · tablet, film coated
$14.43393 per EA filed
eff. 2026-09-23
We don’t know yet
PERAMPANEL 6 MG TABLET
generic · tablet, film coated
$18.30465 per EA filed
eff. 2026-09-23
We don’t know yet
PERAMPANEL 8 MG TABLET
generic · tablet, film coated
$18.37646 per EA filed
eff. 2026-09-23
We don’t know yet
PERAMPANEL 10 MG TABLET
generic · tablet, film coated
$15.64335 per EA filed
eff. 2026-09-23
We don’t know yet
PERAMPANEL 12 MG TABLET
generic · tablet, film coated
$14.39738 per EA filed
eff. 2026-09-23
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. 2026-09-23 · 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 2 NDCs’ NADAC prices is $39.11546 per EA filed.

Of the 11 other products in FDA’s Noncompetitive AMPA Glutamate Receptor Antagonist class priced per EA, 2 have a higher middle NADAC price and 9 a lower one. The one in the middle is PERAMPANEL 8 MG TABLET, at $18.37646 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 $1,128.35 for 30 tablets, at an average of $37.61179 per EA in 2024 (2024-01-01 to 2024-12-31) for “Fycompa” and “Perampanel”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 59,762 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 FYCOMPA 10 MG TABLET 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 Fycompa / Perampanel: 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 brand name. 12 of 13 NADAC NDCs joined to this name are priced per EA (1 per ML): CMS's average mixes those units.