OpenBilldrug price receipt

NADAC week of 2026-10-14

ZEGALOGUE 0.6 MG/0.6 ML SYRING

FDA nonproprietary name: dasiglucagon

For 1 mL

Pharmacies pay

$494.05 – $495.02 filed

1 × $494.05208 to $495.0225 per ML (the 2 NDCs differ)

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

Medicare

We don’t know yet

No Medicare reference price. Part D: The Part D file flags this drug’s average spending per dosage unit as an outlier, so OpenBill does not use it as a reference price. Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.


The spread

We don’t know yet

There is no Medicare figure to compare with, so there is no spread.

Cost-plus estimate

$573.16 – $574.27 estimated

NADAC for the pack + 15% + $5.00 fee per fill

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

ZEGALOGUE 0.6 MG/0.6 ML SYRING is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dasiglucagon, under the trade name “Zegalogue”.

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

The labeler, the company named on the label, is Novo Nordisk.

FDA’s Established Pharmacologic Class for it is Antihypoglycemic Agent.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

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 $494.05 – $495.02 for 1 mL, depending on the NDC ($494.05208 to $495.0225 per ML), 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 codes for it: 4, carried forward from the previous file; 5, calculated based on package size.

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

1 other product in the NADAC file shares the FDA nonproprietary name dasiglucagon with ZEGALOGUE 0.6 MG/0.6 ML SYRING.

ProductPharmacies pay per unitMedicare per unit
ZEGALOGUE 0.6 MG/0.6 ML AUTOINJ
brand · injection, solution
$492.83148 to $493.89598 per ML filed
eff. 2026-01-21
$494.76578 per ML filed
Part D 2024 average
ZEGALOGUE 0.6 MG/0.6 ML SYRING this page
brand · injection, solution
$494.05208 to $495.0225 per ML filed
eff. 2026-01-21
We don’t know yet

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. 2026-01-21 · 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 $494.05208 per ML filed.

Of the 7 other products in FDA’s Antihypoglycemic Agent class priced per ML, 6 have a higher middle NADAC price and 1 a lower one. The one in the middle is GVOKE 1 MG/0.2 ML KIT, at $1,600.98636 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. 2026-01-21, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

We don’t know yet; the card above says why.

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?
The FDA package descriptions of this product’s NDCs give different amounts (0.6 mL, 1.2 mL). So the card starts at 1 ML; change it to match your prescription.