OpenBilldrug price receipt

NADAC week of 2026-10-14

RETACRIT 2,000 UNIT/ML VIAL

FDA nonproprietary name: epoetin alfa-epbx

For 1 mL

Pharmacies pay

$22.52 filed

1 × $22.52274 per ML

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-07-01 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$205.99 filed

1 × $205.99118 per ML, 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

9.1× estimated

Medicare paid 9.1× what pharmacies pay.

Part D averages every strength and form sold under “Retacrit” / “Epoetin Alfa-Epbx” 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. 2026-07-01 (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

$30.90 estimated

$22.52 + $3.38 (15%) + $5.00 fee per fill = $30.90

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. 2026-07-01 (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

RETACRIT 2,000 UNIT/ML VIAL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as epoetin alfa-epbx, under the trade name “RETACRIT”.

FDA gives its dosage form as injection, solution and its route as intravenous; subcutaneous.

The labeler, the company named on the label, is Pfizer Laboratories Div Pfizer Inc.

FDA’s Established Pharmacologic Class for it is Erythropoiesis-stimulating Agent.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00069-1305-10.

NADAC classes it in its brand rate-setting class B-BIO, and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $22.52 for 1 mL (1 × $22.52274 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-07-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-07-01. The file is new; the price is not.

The NDC

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name epoetin alfa-epbx with RETACRIT 2,000 UNIT/ML VIAL.

ProductPharmacies pay per unitMedicare per unit
RETACRIT 2,000 UNIT/ML VIAL this page
brand · injection, solution
$22.52274 per ML filed
eff. 2026-07-01
$205.99118 per ML filed
Part D 2024 average
RETACRIT 10,000 UNIT/ML VIAL
brand · injection, solution
$112.68282 per ML filed
eff. 2026-07-01
$205.99118 per ML filed
Part D 2024 average
RETACRIT 20,000 UNIT/ML VIAL
brand · injection, solution
$224.78764 per ML filed
eff. 2026-07-01
$205.99118 per ML filed
Part D 2024 average
RETACRIT 40,000 UNIT/ML VIAL
brand · injection, solution
$448.00738 per ML filed
eff. 2026-07-22
$205.99118 per ML 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. 2026-07-01, 2026-07-22 · 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 $22.52274 per ML filed.

Of the 13 other products in FDA’s Erythropoiesis-stimulating Agent class priced per ML, 13 have a higher middle NADAC price and 0 a lower one. The one in the middle is PROCRIT 10,000 UNIT/ML VIAL, at $259.86093 per ML 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. 2026-07-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $205.99 for 1 mL, at an average of $205.99118 per ML in 2024 (2024-01-01 to 2024-12-31) for “Retacrit” and “Epoetin Alfa-Epbx”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 47,809 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 RETACRIT 2,000 UNIT/ML VIAL 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 Retacrit / Epoetin Alfa-Epbx: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's ML. Joined on brand name.
Why does this page start at 1 mL?
NADAC prices this product per ML. In the FDA NDC Directory, NDC 00069-1305-10 (“10 VIAL, SINGLE-DOSE in 1 CARTON (0069-1305-10) / 1 mL in 1 VIAL, SINGLE-DOSE (0069-1305-01)”) is a carton of 10 vials, 10 mL in all: a wholesale pack of identical units, so OpenBill counts one vial of it. So the card starts at one vial: 1 ML. Change it to match your prescription.