OpenBilldrug price receipt

NADAC week of 2026-10-14

TREMFYA 100 MG/ML PEN

FDA nonproprietary name: guselkumab

For 1 mL

Pharmacies pay

$14,620.07 filed

1 × $14,620.06917 per ML

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 B pays

$6,699.80 derived

1 × $6,699.80 per ML, Part B limit

Medicare's price is not your price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)


The spread

0.46× derived

Medicare pays 54% less than pharmacies pay.

Derived because only one labeler, Janssen Biotech, Inc., is listed for HCPCS J1628 on the CMS crosswalk, so the payment limit comes from that company’s own products under the code, not an average across companies.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Cost-plus estimate

$16,818.08 estimated

$14,620.07 + $2,193.01 (15%) + $5.00 fee per fill = $16,818.08

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

TREMFYA 100 MG/ML PEN is how the CMS NADAC file names this product. The FDA NDC Directory lists it as guselkumab, under the trade name “TREMFYA”.

FDA gives its dosage form as injection and its route as subcutaneous.

The labeler, the company named on the label, is Janssen Biotech, Inc.

FDA’s Established Pharmacologic Class for it is Interleukin-23 Antagonist.

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 $14,620.07 for 1 mL (1 × $14,620.06917 per ML, 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; 5, calculated based on package size.

All 2 NDCs

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name guselkumab with TREMFYA 100 MG/ML PEN.

ProductPharmacies pay per unitMedicare per unit
TREMFYA 100 MG/ML ONE-PRESS
brand · injection
$14,743.71813 per ML filed
eff. 2026-09-23
$6,699.80 per ML derived
Part B limit 2026 Q4
TREMFYA 100 MG/ML PEN this page
brand · injection
$14,620.06917 per ML filed
eff. 2026-09-23
$6,699.80 per ML derived
Part B limit 2026 Q4
TREMFYA 100 MG/ML SYRINGE
brand · injection
$14,728.90533 per ML filed
eff. 2026-09-23
$6,699.80 per ML derived
Part B limit 2026 Q4
TREMFYA 200 MG/2 ML PEN
brand · injection
$7,321.65571 per ML filed
eff. 2026-09-23
$6,699.80 per ML derived
Part B limit 2026 Q4

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $14,620.06917 per ML filed.

Of the 10 other products in FDA’s Interleukin-23 Antagonist class priced per ML, 6 have a higher middle NADAC price and 4 a lower one. The one in the middle is TREMFYA 100 MG/ML SYRINGE, at $14,728.90533 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. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part B’s payment limit for HCPCS J1628, for 2026-10-01 to 2026-12-31, comes to $6,699.80 for 1 mL, or $6,699.80 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for a drug like this only in specific settings, such as a drug given in a clinic or doctor’s office or used with certain medical equipment; most prescriptions filled at a pharmacy are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $13.3996 per 1 MG.

1 of the product’s 2 NDCs have this Medicare figure; the other 1 do not, and the interactive card says why for each.

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 does this page start at 1 mL?
NADAC prices this product per ML. The FDA NDC Directory’s package description gives 1 mL in one package for the 1 of this product’s 2 NDCs it lists (“1 SYRINGE in 1 CARTON (57894-640-06) / 1 mL in 1 SYRINGE (57894-640-03)”), so the card starts at one package: 1 ML. Change it to match your prescription.