HYDROMORPHONE HCL ER 12 MG TAB
For 30 tablets
Pharmacies pay
$312.64 filed
30 × $10.42125 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
$240.75 filed
30 × $8.02501 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
0.77× estimated
Medicare paid 23% less than pharmacies pay.
Part D averages every strength and form sold under “Hydromorphone ER” / “Hydromorphone HCl” 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
$364.54 estimated
$312.64 + $46.90 (15%) + $5.00 fee per fill = $364.54
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
HYDROMORPHONE HCL ER 12 MG TAB is how the CMS NADAC file names this product. The FDA NDC Directory lists it as hydromorphone hydrochloride.
FDA gives its dosage form as tablet, extended release and its route as oral.
Its labelers, the companies named on the label, are Padagis US LLC, Trigen Laboratories, LLC and Camber Pharmaceuticals, Inc.
FDA’s Established Pharmacologic Class for it is Opioid Agonist.
The NADAC file of 2026-10-14 prices it under 3 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 $312.64 for 30 tablets (30 × $10.42125 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 tablets · NADAC explanation codes
All 3 NDCs
- 00574-0294-01 · Padagis US LLC · $10.42125 per EA · eff. 2026-09-23 filed
- 13811-0702-10 · Trigen Laboratories, LLC · $10.42125 per EA · eff. 2026-09-23 filed
- 31722-0120-01 · Camber Pharmaceuticals, Inc. · $10.42125 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
12 other products in the NADAC file share the FDA nonproprietary name hydromorphone hydrochloride with HYDROMORPHONE HCL ER 12 MG TAB.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| HYDROMORPHONE 1 MG/ML SOLUTION | $0.23587 per ML filed | We don’t know yet |
| HYDROMORPHONE 2 MG TABLET | $0.16941 per EA filed | We don’t know yet |
| HYDROMORPHONE 2 MG/ML VIAL | $2.74032 per ML filed | $4.48 per ML derived |
| HYDROMORPHONE 4 MG TABLET | $0.21916 per EA filed | We don’t know yet |
| HYDROMORPHONE 5 MG/5 ML SOLN | $0.23587 per ML filed | We don’t know yet |
| HYDROMORPHONE 8 MG TABLET | $0.56093 per EA filed | We don’t know yet |
| HYDROMORPHONE 10 MG/ML VIAL | $2.56628 per ML filed | $22.40 per ML derived |
| HYDROMORPHONE 50 MG/5 ML VIAL | $2.56628 per ML filed | $22.40 per ML derived |
| HYDROMORPHONE 500 MG/50 ML VIAL | $2.56628 per ML filed | $22.40 per ML derived |
| HYDROMORPHONE 500 MG/50 ML VL | $2.56628 per ML filed | $22.40 per ML derived |
| HYDROMORPHONE HCL ER 8 MG TAB | $5.7288 per EA filed | $8.02501 per EA filed |
| HYDROMORPHONE HCL ER 12 MG TAB this page | $10.42125 per EA filed | $8.02501 per EA filed |
| HYDROMORPHONE HCL ER 16 MG TAB | $12.38018 per EA filed | $8.02501 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. 2026-05-20, 2026-07-22, 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
OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)
Compared with its class
The middle of its 3 NDCs’ NADAC prices is $10.42125 per EA filed.
Of the 108 other products in FDA’s Opioid Agonist class priced per EA, 25 have a higher middle NADAC price and 83 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 $240.75 for 30 tablets, at an average of $8.02501 per EA in 2024 (2024-01-01 to 2024-12-31) for “Hydromorphone ER” and “Hydromorphone HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 14,879 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 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 30 tablets? 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 HYDROMORPHONE HCL ER 12 MG TAB 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 Hydromorphone ER / Hydromorphone HCl: 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.
Related pages
Its pharmacologic class
Related in the same class
- HYDROCODONE-ACETAMINOPHEN 10-300 MG TABLET
- OXYCODONE-ACETAMINOPHEN 10-325 MG TAB
- MORPHINE SULF ER 100 MG TABLET
- LOPERAMIDE 2 MG CAPSULE
- FENTANYL 100 MCG/HR PATCH