LACOSAMIDE 200 MG/20 ML CUP
For 200 mL
Pharmacies pay
$16.58 filed
200 × $0.08288 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: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). 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
$24.07 estimated
$16.58 + $2.49 (15%) + $5.00 fee per fill = $24.07
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
LACOSAMIDE 200 MG/20 ML CUP is how the CMS NADAC file names this product. The FDA NDC Directory lists it as lacosamide, under the trade name “Lacosamide Oral Solution”.
FDA gives its dosage form as solution and its route as oral.
Its labelers, the companies named on the label, are PAI Holdings, LLC dba PAI Pharma, American Health Packaging and Kesin Pharmaceutical Corporation.
FDA lists no Established Pharmacologic Class for it.
The NADAC file of 2026-10-14 prices it under 4 NDCs (National Drug Codes); the FDA directory lists 3 of them.
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 $16.58 for 200 mL (200 × $0.08288 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.
What NADAC measures · NADAC explanation codes
All 4 NDCs
- 00121-4048-95 · PAI Holdings, LLC dba PAI Pharma · $0.08288 per ML · eff. 2026-09-23 filed
- 60687-0847-53 · not listed as a package in the FDA directory · $0.08288 per ML · eff. 2026-09-23 filed
- 60687-0847-82 · American Health Packaging · $0.08288 per ML · eff. 2026-09-23 filed
- 81033-0427-18 · Kesin Pharmaceutical Corporation · $0.08288 per ML · eff. 2026-09-23 filed
Other strengths, forms and brands
14 other products in the NADAC file share the FDA nonproprietary name lacosamide with LACOSAMIDE 200 MG/20 ML CUP.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| LACOSAMIDE 10 MG/ML SOLUTION | $0.08288 per ML filed | We don’t know yet |
| LACOSAMIDE 50 MG TABLET | $0.11859 per EA filed | We don’t know yet |
| LACOSAMIDE 100 MG TABLET | $0.17426 per EA filed | We don’t know yet |
| LACOSAMIDE 100 MG/10 ML CUP | $0.08288 per ML filed | We don’t know yet |
| LACOSAMIDE 150 MG TABLET | $0.22128 per EA filed | We don’t know yet |
| LACOSAMIDE 200 MG TABLET | $0.24797 per EA filed | We don’t know yet |
| LACOSAMIDE 200 MG/20 ML CUP this page | $0.08288 per ML filed | We don’t know yet |
| MOTPOLY XR 100 MG CAPSULE | $21.43011 per EA filed | $20.10931 per EA filed |
| MOTPOLY XR 150 MG CAPSULE | $21.50185 per EA filed | $20.10931 per EA filed |
| MOTPOLY XR 200 MG CAPSULE | $21.5109 per EA filed | $20.10931 per EA filed |
| VIMPAT 10 MG/ML SOLUTION | $2.29765 per ML filed | We don’t know yet |
| VIMPAT 50 MG TABLET | $11.82165 per EA filed | We don’t know yet |
| VIMPAT 100 MG TABLET | $18.53662 per EA filed | We don’t know yet |
| VIMPAT 150 MG TABLET | $19.64607 per EA filed | We don’t know yet |
| VIMPAT 200 MG TABLET | $19.62683 per EA filed | 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. 2026-07-01, 2026-09-23, 2026-09-30 · 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 200 mL? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 200 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 200 mL?
- NADAC prices this product per ML. The FDA NDC Directory’s package description gives 200 mL in one package for the 3 of this product’s 4 NDCs it lists (“1 TRAY in 1 CASE (0121-4048-95) / 10 CUP, UNIT-DOSE in 1 TRAY / 20 mL in 1 CUP, UNIT-DOSE (0121-4048-74)”), so the card starts at one package: 200 ML. Change it to match your prescription.