XELSTRYM 13.5 MG/9 HR PATCH
FDA nonproprietary name: dextroamphetamine
For 1 patch
Pharmacies pay
$16.26 filed
1 × $16.25846 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
$15.86 filed
1 × $15.86112 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
0.98× estimated
Medicare paid about what pharmacies pay.
Part D averages every strength and form sold under “Xelstrym” / “Dextroamphetamine” 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
$23.70 estimated
$16.26 + $2.44 (15%) + $5.00 fee per fill = $23.70
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
XELSTRYM 13.5 MG/9 HR PATCH is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dextroamphetamine, under the trade name “XELSTRYM”.
FDA gives its dosage form as patch, extended release and its route as transdermal.
The labeler, the company named on the label, is Noven Therapeutics, LLC.
FDA’s Established Pharmacologic Class for it is Central Nervous System Stimulant.
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 $16.26 for 1 patch (1 × $16.25846 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.
What NADAC measures · NADAC explanation codes
All 2 NDCs
- 68968-0215-01 · not listed as a package in the FDA directory · $16.25846 per EA · eff. 2026-09-23 filed
- 68968-0215-03 · Noven Therapeutics, LLC · $16.25846 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
4 other products in the NADAC file share the FDA nonproprietary name dextroamphetamine with XELSTRYM 13.5 MG/9 HR PATCH.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| DEXTROAMPHETAMINE 5 MG/5 ML | $1.14342 per ML filed | We don’t know yet |
| XELSTRYM 4.5 MG/9 HR PATCH | $16.22856 per EA filed | $15.86112 per EA filed |
| XELSTRYM 9 MG/9 HR PATCH | $16.2602 per EA filed | $15.86112 per EA filed |
| XELSTRYM 13.5 MG/9 HR PATCH this page | $16.25846 per EA filed | $15.86112 per EA filed |
| XELSTRYM 18 MG/9 HR PATCH | $16.22681 per EA filed | $15.86112 per EA filed |
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 2 NDCs’ NADAC prices is $16.25846 per EA filed.
Of the 203 other products in FDA’s Central Nervous System Stimulant class priced per EA, 15 have a higher middle NADAC price and 188 a lower one. The one in the middle is LISDEXAMFETAMINE 20 MG TB CHEW, at $4.33791 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 $15.86 for 1 patch, at an average of $15.86112 per EA in 2024 (2024-01-01 to 2024-12-31) for “Xelstrym” and “Dextroamphetamine”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 417 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 Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out
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?
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for XELSTRYM 13.5 MG/9 HR PATCH 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 Xelstrym / Dextroamphetamine: 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.
- Why does this page start at 1 patch?
- NADAC prices this product per EA, and the FDA NDC Directory lists 1 of its 2 NDCs (it does not list the other one) as dosage form “PATCH, EXTENDED RELEASE” with route “TRANSDERMAL”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. So the card starts at 1 patch, priced per patch, rather than guess how many make up a fill; change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- METHYLPHENIDATE ER 10 MG TAB
- VYVANSE 10 MG CAPSULE
- DEXTROAMPHETAMINE 10 MG TAB
- BUTALBITAL-ASPIRIN-CAFFEINE 50-325-40 MG CAPSULE
- DEXMETHYLPHENIDATE ER 10 MG CP