PRAMIPEXOLE ER 3 MG TABLET
For 30 tablets
Pharmacies pay
$44.38 filed
30 × $1.47943 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
$177.41 filed
30 × $5.91355 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
4.0× estimated
Medicare paid 4.0× what pharmacies pay.
Part D averages every strength and form sold under “Pramipexole ER” / “Pramipexole Di-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
$56.04 estimated
$44.38 + $6.66 (15%) + $5.00 fee per fill = $56.04
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
PRAMIPEXOLE ER 3 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as pramipexole dihydrochloride.
FDA gives its dosage form as tablet, extended release and its route as oral.
FDA lists 5 labelers (the companies named on the label) for its NDCs, among them NorthStar RxLLC, Macleods Pharmaceuticals Limited and Ingenus Pharmaceuticals, LLC.
FDA’s Established Pharmacologic Class for it is Nonergot Dopamine Agonist.
The NADAC file of 2026-10-14 prices it under 5 NDCs (National Drug Codes).
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 $44.38 for 30 tablets (30 × $1.47943 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
All 5 NDCs
- 16714-0920-01 · NorthStar RxLLC · $1.47943 per EA · eff. 2026-09-23 filed
- 33342-0212-07 · Macleods Pharmaceuticals Limited · $1.47943 per EA · eff. 2026-09-23 filed
- 50742-0335-30 · Ingenus Pharmaceuticals, LLC · $1.47943 per EA · eff. 2026-09-23 filed
- 55111-0614-30 · Dr. Reddy's Laboratories Limited · $1.47943 per EA · eff. 2026-09-23 filed
- 62332-0158-30 · Alembic Pharmaceuticals Inc. · $1.47943 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
12 other products in the NADAC file share the FDA nonproprietary name pramipexole dihydrochloride with PRAMIPEXOLE ER 3 MG TABLET.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| PRAMIPEXOLE 0.125 MG TABLET | $0.03943 per EA filed | $0.14611 per EA filed |
| PRAMIPEXOLE 0.25 MG TABLET | $0.04517 per EA filed | $0.14611 per EA filed |
| PRAMIPEXOLE 0.5 MG TABLET | $0.05665 per EA filed | $0.14611 per EA filed |
| PRAMIPEXOLE 0.75 MG TABLET | $0.07211 per EA filed | $0.14611 per EA filed |
| PRAMIPEXOLE 1 MG TABLET | $0.06192 per EA filed | $0.14611 per EA filed |
| PRAMIPEXOLE 1.5 MG TABLET | $0.06049 per EA filed | $0.14611 per EA filed |
| PRAMIPEXOLE ER 0.375 MG TABLET | $0.94832 per EA filed | $5.91355 per EA filed |
| PRAMIPEXOLE ER 0.75 MG TABLET | $0.71785 per EA filed | $5.91355 per EA filed |
| PRAMIPEXOLE ER 1.5 MG TABLET | $1.68274 per EA filed | $5.91355 per EA filed |
| PRAMIPEXOLE ER 2.25 MG TABLET | $1.46337 per EA filed | $5.91355 per EA filed |
| PRAMIPEXOLE ER 3 MG TABLET this page | $1.47943 per EA filed | $5.91355 per EA filed |
| PRAMIPEXOLE ER 3.75 MG TABLET | $2.38933 per EA filed | $5.91355 per EA filed |
| PRAMIPEXOLE ER 4.5 MG TABLET | $1.65977 per EA filed | $5.91355 per EA filed |
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. 2025-10-22, 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
The middle of its 5 NDCs’ NADAC prices is $1.47943 per EA filed.
Of the 30 other products in FDA’s Nonergot Dopamine Agonist class priced per EA, 10 have a higher middle NADAC price and 20 a lower one. The one in the middle is ROPINIROLE HCL ER 4 MG TABLET, at $0.4617 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 $177.41 for 30 tablets, at an average of $5.91355 per EA in 2024 (2024-01-01 to 2024-12-31) for “Pramipexole ER” and “Pramipexole Di-HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 28,008 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 PRAMIPEXOLE ER 3 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 Pramipexole ER / Pramipexole Di-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.