OpenBilldrug price receipt

NADAC week of 2026-10-14

INVEGA HAFYERA 1,560 MG/5 ML

FDA nonproprietary name: paliperidone palmitate

For 5 mL

Pharmacies pay

$21,167.01 filed

5 × $4,233.40151 per ML

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-02 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$20,718.05 filed

5 × $4,143.61081 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

0.98× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Invega Hafyera” / “Paliperidone Palmitate” 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. 2026-01-02 (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

$24,347.06 estimated

$21,167.01 + $3,175.05 (15%) + $5.00 fee per fill = $24,347.06

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. 2026-01-02 (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

INVEGA HAFYERA 1,560 MG/5 ML is how the CMS NADAC file names this product. The FDA NDC Directory lists it as paliperidone palmitate, under the trade name “INVEGA HAFYERA”.

FDA gives its dosage form as injection, suspension, extended release and its route as intramuscular.

The labeler, the company named on the label, is Janssen Pharmaceuticals, Inc.

FDA’s Established Pharmacologic Class for it is Atypical Antipsychotic.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 50458-0612-01.

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 $21,167.01 for 5 mL (5 × $4,233.40151 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-02. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-01-02. The file is new; the price is not.

The NDC

Other strengths, forms and brands

10 other products in the NADAC file share the FDA nonproprietary name paliperidone palmitate with INVEGA HAFYERA 1,560 MG/5 ML.

ProductPharmacies pay per unitMedicare per unit
INVEGA HAFYERA 1,092 MG/3.5 ML
brand · injection, suspension, extended release
$4,047.70905 per ML filed
eff. 2026-09-23
$4,143.61081 per ML filed
Part D 2024 average
INVEGA HAFYERA 1,560 MG/5 ML this page
brand · injection, suspension, extended release
$4,233.40151 per ML filed
eff. 2026-01-02
$4,143.61081 per ML filed
Part D 2024 average
INVEGA SUSTENNA 39 MG/0.25 ML
brand · injection
$2,338.748 per ML filed
eff. 2026-09-23
$2,352.6638 per ML filed
Part D 2024 average
INVEGA SUSTENNA 78 MG/0.5 ML
brand · injection
$2,337.04833 per ML filed
eff. 2026-09-23
$2,352.6638 per ML filed
Part D 2024 average
INVEGA SUSTENNA 117 MG/0.75 ML
brand · injection
$2,339.66855 per ML filed
eff. 2026-09-23
$2,352.6638 per ML filed
Part D 2024 average
INVEGA SUSTENNA 156 MG/ML SYRG
brand · injection
$2,337.70833 per ML filed
eff. 2026-09-23
$2,352.6638 per ML filed
Part D 2024 average
INVEGA SUSTENNA 234 MG/1.5 ML
brand · injection
$2,338.47458 per ML filed
eff. 2026-09-23
$2,352.6638 per ML filed
Part D 2024 average
INVEGA TRINZA 273 MG/0.88 ML
brand · injection, suspension, extended release
$3,950.94887 per ML filed
eff. 2026-09-23
$3,985.20601 per ML filed
Part D 2024 average
INVEGA TRINZA 410 MG/1.32 ML
brand · injection, suspension, extended release
$3,959.46212 per ML filed
eff. 2026-09-23
$3,985.20601 per ML filed
Part D 2024 average
INVEGA TRINZA 546 MG/1.75 ML
brand · injection, suspension, extended release
$3,993.63408 per ML filed
eff. 2026-09-23
$3,985.20601 per ML filed
Part D 2024 average
INVEGA TRINZA 819 MG/2.63 ML
brand · injection, suspension, extended release
$3,997.97064 per ML filed
eff. 2026-09-23
$3,985.20601 per ML filed
Part D 2024 average

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 $4,233.40151 per ML filed.

Of the 25 other products in FDA’s Atypical Antipsychotic class priced per ML, 5 have a higher middle NADAC price and 20 a lower one. The one in the middle is INVEGA SUSTENNA 234 MG/1.5 ML, at $2,338.47458 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. 2026-01-02, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $20,718.05 for 5 mL, at an average of $4,143.61081 per ML in 2024 (2024-01-01 to 2024-12-31) for “Invega Hafyera” and “Paliperidone Palmitate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 5,856 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 INVEGA HAFYERA 1,560 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 Invega Hafyera / Paliperidone Palmitate: 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 brand 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 this product’s NDC (“1 SYRINGE in 1 CARTON (50458-612-01) / 5 mL in 1 SYRINGE”), so the card starts at one package: 5 ML. Change it to match your prescription.