Bupivacaine
Also known as: Marcaine, Sensorcaine.
Wholesale (NADAC) cost for every strength and dosage form — the price pharmacies pay, published weekly by CMS. Not your out-of-pocket price.
Wholesale (NADAC) prices — every strength & form
| Strength | Form | NADAC / unit | Package | Class |
|---|---|---|---|---|
| 0.25% | Vial | $0.048 / mL† | — | Generic |
| 0.5% | Vial | $0.086 / mL† | — | Generic |
| 125 MG/50 ML | Vial | $0.048 / mL† | — | Generic |
| 250 MG/50 ML | Vial | $0.086 / mL† | — | Generic |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. † Package size not curated yet — priced per single unit/mL, not per full pen, inhaler, or vial.
NADAC week of 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $311,368 gross for Bupivacaine across 6,817 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$16,021 gross (retail pharmacy only; excludes Part B).
Gross program spending, before rebates — not what patients pay out of pocket. Brand net cost is materially lower after confidential rebates; generics are close to net.
Source: Medicaid SDUD 2024 · Medicare Part D 2024 · CMS