OpenBilldrug price receipt

NADAC week of 2026-10-14

TRAMADOL HCL ER 200 MG CAPSULE

For 30 capsules

Pharmacies pay

$280.77 filed

30 × $9.35893 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

$64.09 filed

30 × $2.13635 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

0.23× estimated

Medicare paid 77% less than pharmacies pay.

Part D averages every strength and form sold under “Tramadol HCl ER” / “Tramadol 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

$327.89 estimated

$280.77 + $42.12 (15%) + $5.00 fee per fill = $327.89

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

TRAMADOL HCL ER 200 MG CAPSULE is how the CMS NADAC file names this product. The FDA NDC Directory lists it as tramadol hydrochloride, under the trade name “Tramadol Hydrochloride Extended-Release”.

FDA gives its dosage form as capsule and its route as oral.

The labeler, the company named on the label, is Trigen Laboratories, LLC.

FDA’s Established Pharmacologic Class for it is Opioid Agonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 13811-0690-30.

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 $280.77 for 30 capsules (30 × $9.35893 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.

The NDC

Other strengths, forms and brands

7 other products in the NADAC file share the FDA nonproprietary name tramadol hydrochloride with TRAMADOL HCL ER 200 MG CAPSULE.

ProductPharmacies pay per unitMedicare per unit
TRAMADOL HCL 25 MG TABLET
generic · tablet, coated
$3.36652 per EA filed
eff. 2026-09-23
$0.1109 per EA filed
Part D 2024 average
TRAMADOL HCL 50 MG TABLET
generic · tablet, film coated / tablet, coated / tablet
$0.0248 per EA filed
eff. 2026-09-23
$0.1109 per EA filed
Part D 2024 average
TRAMADOL HCL 100 MG TABLET
generic · tablet / tablet, coated
$1.08258 per EA filed
eff. 2026-09-23
$0.1109 per EA filed
Part D 2024 average
TRAMADOL HCL ER 100 MG CAPSULE
generic · capsule
$7.73637 per EA filed
eff. 2026-09-23
$2.13635 per EA filed
Part D 2024 average
TRAMADOL HCL ER 100 MG TABLET
generic · tablet, film coated, extended release / tablet, extended release
$0.89431 per EA filed
eff. 2026-09-23
$2.13635 per EA filed
Part D 2024 average
TRAMADOL HCL ER 200 MG CAPSULE this page
generic · capsule
$9.35893 per EA filed
eff. 2026-09-23
$2.13635 per EA filed
Part D 2024 average
TRAMADOL HCL ER 200 MG TABLET
generic · tablet, film coated, extended release / tablet, extended release
$1.25071 per EA filed
eff. 2026-09-23
$2.13635 per EA filed
Part D 2024 average
TRAMADOL HCL ER 300 MG TABLET
generic · tablet, film coated, extended release / tablet, extended release
$2.16038 per EA filed
eff. 2026-09-23
$2.13635 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 $9.35893 per EA filed.

Of the 108 other products in FDA’s Opioid Agonist class priced per EA, 26 have a higher middle NADAC price and 82 a lower one. The one in the middle is BUTALBITAL-ACETAMINOPHEN-CAFFEINE-CODEINE 50-325-40-30 MG CP, at $0.79784 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 $64.09 for 30 capsules, at an average of $2.13635 per EA in 2024 (2024-01-01 to 2024-12-31) for “Tramadol HCl ER” and “Tramadol HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 223,842 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 TRAMADOL HCL ER 200 MG CAPSULE 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 Tramadol HCl ER / Tramadol 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.