RIVASTIGMINE 4.6 MG/24HR PATCH

What it is

RIVASTIGMINE 4.6 MG/24HR PATCH is how the CMS NADAC file names this product. The FDA NDC Directory lists it as rivastigmine, under the trade name “Rivastigmine Transdermal System”.

FDA gives its dosage form as “patch” and “patch, extended release” and its route as transdermal.

FDA lists 5 labelers (the companies named on the label) for its NDCs, among them Mylan Pharmaceuticals Inc., Sandoz Inc and Breckenridge Pharmaceutical, Inc.

FDA’s Established Pharmacologic Class for it is Cholinesterase Inhibitor.

The NADAC file of 2026-10-14 prices it under 9 NDCs (National Drug Codes); the FDA directory lists 5 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 $1.75 for 1 patch (1 × $1.75167 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 codes for it: 1, calculated from the most recently completed pharmacy survey; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

What NADAC measures · NADAC explanation codes

The 5 labelers

Other strengths, forms and brands

4 other products in the NADAC file share the FDA nonproprietary name rivastigmine with RIVASTIGMINE 4.6 MG/24HR PATCH.

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. 2026-09-23 · 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 9 NDCs’ NADAC prices is $1.75167 per EA filed.

Of the 28 other products in FDA’s Cholinesterase Inhibitor class priced per EA, 12 have a higher middle NADAC price and 16 a lower one. The one in the middle is GALANTAMINE ER 8 MG CAPSULE, at $0.80235 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

How the class comparison works

What Medicare paid

We don’t know yet; the card above says why.

Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched

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 1 patch? Is it lower than what I would pay through my insurance?
• These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.