OpenBilldrug price receipt

NADAC week of 2026-10-14

SAVELLA 12.5 MG TABLET

FDA nonproprietary name: milnacipran hydrochloride

For 30 tablets

Pharmacies pay

$244.92 filed

30 × $8.16401 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

$238.71 filed

30 × $7.95695 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 “Savella” / “Milnacipran 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

$286.66 estimated

$244.92 + $36.74 (15%) + $5.00 fee per fill = $286.66

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

SAVELLA 12.5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as milnacipran hydrochloride, under the trade name “Savella”.

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

The labeler, the company named on the label, is Allergan, Inc.

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

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00456-1512-60.

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 $244.92 for 30 tablets (30 × $8.16401 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.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.78243 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

8 other products in the NADAC file share the FDA nonproprietary name milnacipran hydrochloride with SAVELLA 12.5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
MILNACIPRAN HCL 12.5 MG TABLET
generic · tablet, film coated / tablet
$0.78243 per EA filed
eff. 2026-09-23
We don’t know yet
MILNACIPRAN HCL 25 MG TABLET
generic · tablet, film coated / tablet
$2.52611 per EA filed
eff. 2026-09-23
We don’t know yet
MILNACIPRAN HCL 50 MG TABLET
generic · tablet, film coated / tablet
$2.80179 per EA filed
eff. 2026-09-23
We don’t know yet
MILNACIPRAN HCL 100 MG TABLET
generic · tablet, film coated / tablet
$2.81889 per EA filed
eff. 2026-09-23
We don’t know yet
SAVELLA 12.5 MG TABLET this page
brand · tablet, film coated
$8.16401 per EA filed
eff. 2026-09-23
$7.95695 per EA filed
Part D 2024 average
SAVELLA 25 MG TABLET
brand · tablet, film coated
$8.15605 per EA filed
eff. 2026-09-23
$7.95695 per EA filed
Part D 2024 average
SAVELLA 50 MG TABLET
brand · tablet, film coated
$8.15866 per EA filed
eff. 2026-09-23
$7.95695 per EA filed
Part D 2024 average
SAVELLA 100 MG TABLET
brand · tablet, film coated
$8.15054 per EA filed
eff. 2026-09-23
$7.95695 per EA filed
Part D 2024 average
SAVELLA TITRATION PACK
brand · kit
$8.14138 per EA filed
eff. 2026-09-23
$7.95695 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. 2026-09-23 · 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 $8.16401 per EA filed.

Of the 43 other products in FDA’s Serotonin and Norepinephrine Reuptake Inhibitor class priced per EA, 10 have a higher middle NADAC price and 33 a lower one. The one in the middle is MILNACIPRAN HCL 50 MG TABLET, at $2.80179 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 $238.71 for 30 tablets, at an average of $7.95695 per EA in 2024 (2024-01-01 to 2024-12-31) for “Savella” and “Milnacipran HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 82,321 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 SAVELLA 12.5 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 Savella / Milnacipran 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.