OpenBilldrug price receipt

NADAC week of 2026-10-14

SPRITAM 500 MG TABLET

FDA nonproprietary name: levetiracetam

For 30 tablets

Pharmacies pay

$307.24 filed

30 × $10.2412 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-21 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$314.19 filed

30 × $10.47293 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

1.0× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Spritam” / “Levetiracetam” 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. 2026-01-21 (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

$358.33 estimated

$307.24 + $46.09 (15%) + $5.00 fee per fill = $358.33

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. 2026-01-21 (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

SPRITAM 500 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as levetiracetam, under the trade name “Spritam”.

FDA gives its dosage form as tablet, for suspension and its route as oral.

The labeler, the company named on the label, is Aprecia Pharmaceuticals, LLC.

FDA lists no Established Pharmacologic Class for it.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 of them.

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 $307.24 for 30 tablets (30 × $10.2412 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-21. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 4, carried forward from the previous file.

The NADAC of all 2 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2026-01-21. The file is new; the price is not.

All 2 NDCs

Other strengths, forms and brands

17 other products in the NADAC file share the FDA nonproprietary name levetiracetam with SPRITAM 500 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
KEPPRA 1,000 MG TABLET
brand · tablet, film coated
$19.8712 per EA filed
eff. 2026-09-23
We don’t know yet
KEPPRA 100 MG/ML ORAL SOLN
brand · solution
$1.91893 per ML filed
eff. 2026-09-23
We don’t know yet
KEPPRA 250 MG TABLET
brand · tablet, film coated
$8.07857 per EA filed
eff. 2026-09-23
We don’t know yet
KEPPRA 500 MG TABLET
brand · tablet, film coated
$9.91702 per EA filed
eff. 2026-09-23
We don’t know yet
KEPPRA 750 MG TABLET
brand · tablet, film coated
$13.46136 per EA filed
eff. 2026-09-23
We don’t know yet
KEPPRA XR 500 MG TABLET
brand · tablet, film coated, extended release
$9.0242 per EA filed
eff. 2026-09-23
$10.37505 per EA filed
Part D 2024 average
KEPPRA XR 750 MG TABLET
brand · tablet, film coated, extended release
$13.48131 per EA filed
eff. 2026-09-23
$10.37505 per EA filed
Part D 2024 average
LEVETIRACETAM 1,000 MG TABLET
generic · tablet, film coated / tablet
$0.15968 per EA filed
eff. 2026-09-23
$0.26202 per EA filed
Part D 2024 average
LEVETIRACETAM 100 MG/ML SOLN
generic · solution
$0.03015 per ML filed
eff. 2026-09-23
We don’t know yet
LEVETIRACETAM 250 MG TABLET
generic · tablet, film coated / tablet
$0.05618 per EA filed
eff. 2026-09-23
$0.26202 per EA filed
Part D 2024 average
LEVETIRACETAM 500 MG TABLET
generic · tablet, film coated / tablet
$0.07362 per EA filed
eff. 2026-09-23
$0.26202 per EA filed
Part D 2024 average
LEVETIRACETAM 750 MG TABLET
generic · tablet, film coated / tablet
$0.10924 per EA filed
eff. 2026-09-23
$0.26202 per EA filed
Part D 2024 average
LEVETIRACETAM ER 500 MG TABLET
generic · tablet, film coated, extended release / tablet, extended release
$0.17377 per EA filed
eff. 2026-09-23
$0.52537 per EA filed
Part D 2024 average
LEVETIRACETAM ER 750 MG TABLET
generic · tablet, film coated, extended release / tablet, extended release
$0.22338 per EA filed
eff. 2026-09-23
$0.52537 per EA filed
Part D 2024 average
ROWEEPRA 500 MG TABLET
generic · tablet
$0.07362 per EA filed
eff. 2026-09-23
We don’t know yet
SPRITAM 1,000 MG TABLET
brand · tablet, for suspension
$10.199 per EA filed
eff. 2025-12-17
$10.47293 per EA filed
Part D 2024 average
SPRITAM 250 MG TABLET
brand · tablet, for suspension
$10.27223 per EA filed
eff. 2026-02-18
$10.47293 per EA filed
Part D 2024 average
SPRITAM 500 MG TABLET this page
brand · tablet, for suspension
$10.2412 per EA filed
eff. 2026-01-21
$10.47293 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. between 2025-12-17 and 2026-09-23 (4 dates) · 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

What Medicare paid

Medicare Part D paid $314.19 for 30 tablets, at an average of $10.47293 per EA in 2024 (2024-01-01 to 2024-12-31) for “Spritam” and “Levetiracetam”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 1,498 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 SPRITAM 500 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 Spritam / Levetiracetam: 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.