OpenBilldrug price receipt

NADAC week of 2026-10-14

NUPLAZID 34 MG CAPSULE

FDA nonproprietary name: pimavanserin tartrate

For 30 capsules

Pharmacies pay

$5,114.88 filed

30 × $170.496 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-03-18 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$4,967.04 filed

30 × $165.56805 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

0.97× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Nuplazid” / “Pimavanserin Tartrate” 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. 2026-03-18 (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

$5,887.11 estimated

$5,114.88 + $767.23 (15%) + $5.00 fee per fill = $5,887.11

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. 2026-03-18 (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

NUPLAZID 34 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as pimavanserin tartrate, under the trade name “NUPLAZID”.

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

The labeler, the company named on the label, is Acadia 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), 63090-0340-30.

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 $5,114.88 for 30 capsules (30 × $170.496 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-03-18. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 4, carried forward from the previous file.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-03-18. The file is new; the price is not.

The NDC

Compared with its class

Its NADAC price is $170.496 per EA filed.

Of the 130 other products in FDA’s Atypical Antipsychotic class priced per EA, 0 have a higher middle NADAC price and 130 a lower one. The one in the middle is OLANZAPINE-FLUOXETINE 6-25 MG, at $4.05968 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. 2026-03-18, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $4,967.04 for 30 capsules, at an average of $165.56805 per EA in 2024 (2024-01-01 to 2024-12-31) for “Nuplazid” and “Pimavanserin Tartrate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 143,328 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 NUPLAZID 34 MG CAPSULE 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 Nuplazid / Pimavanserin Tartrate: 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.