OpenBilldrug price receipt

NADAC week of 2026-10-14

PAXIL CR 25 MG TABLET

FDA nonproprietary name: paroxetine hydrochloride

For 30 tablets

Pharmacies pay

$323.95 filed

30 × $10.79833 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-08-19 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$288.16 filed

30 × $9.60543 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

0.89× estimated

Medicare paid 11% less than pharmacies pay.

Part D averages every strength and form sold under “Paxil Cr” / “Paroxetine 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. 2026-08-19 (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

$377.54 estimated

$323.95 + $48.59 (15%) + $5.00 fee per fill = $377.54

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. 2026-08-19 (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

PAXIL CR 25 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as paroxetine hydrochloride, under the trade name “PAXIL CR”.

FDA gives its dosage form as tablet, film coated, extended release and its route as oral.

The labeler, the company named on the label, is Apotex Corp.

FDA’s Established Pharmacologic Class for it is Serotonin Reuptake Inhibitor.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 60505-4378-03.

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 $323.95 for 30 tablets (30 × $10.79833 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-08-19. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 2, the latest survey was within 2% of the current NADAC, so the NADAC was 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 2026-08-19. The file is new; the price is not.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.38562 per EA filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

The NDC

Other strengths, forms and brands

13 other products in the NADAC file share the FDA nonproprietary name paroxetine hydrochloride with PAXIL CR 25 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
PAROXETINE CR 12.5 MG TABLET
generic · tablet, film coated, extended release
$0.52008 per EA filed
eff. 2026-09-23
$1.41071 per EA filed
Part D 2024 average
PAROXETINE CR 25 MG TABLET
generic · tablet, film coated, extended release
$0.38562 per EA filed
eff. 2026-09-23
$1.41071 per EA filed
Part D 2024 average
PAROXETINE CR 37.5 MG TABLET
generic · tablet, film coated, extended release
$0.3974 per EA filed
eff. 2026-09-23
$1.41071 per EA filed
Part D 2024 average
PAROXETINE ER 12.5 MG TABLET
generic · tablet, film coated, extended release
$0.52008 per EA filed
eff. 2026-09-23
$1.24913 per EA filed
Part D 2024 average
PAROXETINE ER 25 MG TABLET
generic · tablet, film coated, extended release
$0.38562 per EA filed
eff. 2026-09-23
$1.24913 per EA filed
Part D 2024 average
PAROXETINE ER 37.5 MG TABLET
generic · tablet, film coated, extended release
$0.3974 per EA filed
eff. 2026-09-23
$1.24913 per EA filed
Part D 2024 average
PAROXETINE HCL 10 MG TABLET
generic · tablet, film coated
$0.06189 per EA filed
eff. 2026-09-23
$0.21271 per EA filed
Part D 2024 average
PAROXETINE HCL 20 MG TABLET
generic · tablet, film coated
$0.06108 per EA filed
eff. 2026-09-23
$0.21271 per EA filed
Part D 2024 average
PAROXETINE HCL 30 MG TABLET
generic · tablet, film coated
$0.09543 per EA filed
eff. 2026-09-23
$0.21271 per EA filed
Part D 2024 average
PAROXETINE HCL 40 MG TABLET
generic · tablet, film coated
$0.09655 per EA filed
eff. 2026-09-23
$0.21271 per EA filed
Part D 2024 average
PAXIL 20 MG TABLET
brand · tablet, film coated
$10.73717 per EA filed
eff. 2026-08-19
$9.40041 per EA filed
Part D 2024 average
PAXIL 30 MG TABLET
brand · tablet, film coated
$10.80717 per EA filed
eff. 2026-08-19
$9.40041 per EA filed
Part D 2024 average
PAXIL 40 MG TABLET
brand · tablet, film coated
$11.50448 per EA filed
eff. 2026-08-19
$9.40041 per EA filed
Part D 2024 average
PAXIL CR 25 MG TABLET this page
brand · tablet, film coated, extended release
$10.79833 per EA filed
eff. 2026-08-19
$9.60543 per EA 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. 2026-08-19, 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 $10.79833 per EA filed.

Of the 58 other products in FDA’s Serotonin Reuptake Inhibitor class priced per EA, 9 have a higher middle NADAC price and 49 a lower one. The one in the middle is PAROXETINE ER 37.5 MG TABLET, at $0.3974 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. 2026-08-19, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $288.16 for 30 tablets, at an average of $9.60543 per EA in 2024 (2024-01-01 to 2024-12-31) for “Paxil Cr” and “Paroxetine HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 3,152 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 PAXIL CR 25 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 Paxil Cr / Paroxetine 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 brand name.