NALTREXONE 50 MG TABLET
For 30 tablets
Pharmacies pay
$34.12 filed
30 × $1.13746 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
$37.56 filed
30 × $1.2521 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
1.1× estimated
Medicare paid 1.1× what pharmacies pay.
Part D averages every strength and form sold under “Naltrexone 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
$44.24 estimated
$34.12 + $5.12 (15%) + $5.00 fee per fill = $44.24
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
NALTREXONE 50 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as naltrexone hydrochloride.
FDA gives its dosage form as tablet, film coated and its route as oral.
FDA lists 9 labelers (the companies named on the label) for its NDCs, among them SpecGx LLC, Major Pharmaceuticals and Accord Healthcare, Inc.
FDA’s Established Pharmacologic Class for it is Opioid Antagonist.
The NADAC file of 2026-10-14 prices it under 21 NDCs (National Drug Codes); the FDA directory lists 19 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 $34.12 for 30 tablets (30 × $1.13746 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
The 9 labelers
| Labeler | NDCs | Pharmacies pay per unit |
|---|---|---|
| Precision Dose Inc. | 4 | $1.13746 per EA filed |
| Chartwell RX, LLC | 3 | $1.13746 per EA filed |
| Accord Healthcare, Inc. | 2 | $1.13746 per EA filed |
| Elite Laboratories, Inc. | 2 | $1.13746 per EA filed |
| Heritage Pharmaceuticals Inc d/b/a Avet Pharmaceuticals Inc | 2 | $1.13746 per EA filed |
| SpecGx LLC | 2 | $1.13746 per EA filed |
| Sun Pharmaceutical Industries, Inc. | 2 | $1.13746 per EA filed |
| American Health Packaging | 1 | $1.13746 per EA filed |
| Major Pharmaceuticals | 1 | $1.13746 per EA filed |
| Not listed as a package in the FDA directory | 2 | $1.13746 per EA filed |
All 21 NDCs, with labeler and price
- 00406-1170-01 · SpecGx LLC · $1.13746 per EA · eff. 2026-09-23 filed
- 00406-1170-03 · SpecGx LLC · $1.13746 per EA · eff. 2026-09-23 filed
- 00904-7036-04 · Major Pharmaceuticals · $1.13746 per EA · eff. 2026-09-23 filed
- 16729-0081-01 · Accord Healthcare, Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 16729-0081-10 · Accord Healthcare, Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 23155-0886-01 · Heritage Pharmaceuticals Inc d/b/a Avet Pharmaceuticals Inc · $1.13746 per EA · eff. 2026-09-23 filed
- 23155-0886-03 · Heritage Pharmaceuticals Inc d/b/a Avet Pharmaceuticals Inc · $1.13746 per EA · eff. 2026-09-23 filed
- 47335-0326-83 · Sun Pharmaceutical Industries, Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 47335-0326-88 · Sun Pharmaceutical Industries, Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 62135-0242-30 · Chartwell RX, LLC · $1.13746 per EA · eff. 2026-09-23 filed
- 62135-0242-60 · Chartwell RX, LLC · $1.13746 per EA · eff. 2026-09-23 filed
- 62135-0242-90 · Chartwell RX, LLC · $1.13746 per EA · eff. 2026-09-23 filed
- 64850-0300-01 · Elite Laboratories, Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 64850-0300-30 · Elite Laboratories, Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 68084-0291-11 · not listed as a package in the FDA directory · $1.13746 per EA · eff. 2026-09-23 filed
- 68084-0291-21 · American Health Packaging · $1.13746 per EA · eff. 2026-09-23 filed
- 68094-0853-59 · not listed as a package in the FDA directory · $1.13746 per EA · eff. 2026-09-23 filed
- 68094-0853-61 · Precision Dose Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 68094-0853-66 · Precision Dose Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 68094-0909-30 · Precision Dose Inc. · $1.13746 per EA · eff. 2026-09-23 filed
- 68094-0909-50 · Precision Dose Inc. · $1.13746 per EA · eff. 2026-09-23 filed
Compared with its class
The middle of its 21 NDCs’ NADAC prices is $1.13746 per EA filed.
Of the 30 other products in FDA’s Opioid Antagonist class priced per EA, 28 have a higher middle NADAC price and 2 a lower one. The one in the middle is MOVANTIK 12.5 MG TABLET, at $14.59872 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 $37.56 for 30 tablets, at an average of $1.2521 per EA in 2024 (2024-01-01 to 2024-12-31) for “Naltrexone HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 466,006 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 NALTREXONE 50 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 Naltrexone HCl / Naltrexone 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
- BUPRENORPHINE-NALOXONE 12-3 MG SL FILM
- NALOXONE 0.4 MG/ML VIAL
- MOVANTIK 12.5 MG TABLET
- SUBOXONE 12 MG-3 MG SL FILM
- LYBALVI 10-10 MG TABLET