Duloxetine
Also known as: Cymbalta, Drizalma, Drizalma Sprinkle, Irenka.
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 | Class |
|---|---|---|---|
| 20 MG | Capsule | $7.98 / unit | Brand |
| 20 MG | Capsule DR | $0.123 / unit | Generic |
| 30 MG | Capsule DR | $0.101 / unit | Generic |
| 40 MG | Capsule DR | $1.18 / unit | Generic |
| 60 MG | Capsule DR | $0.130 / unit | Generic |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. Brand list prices fall after confidential rebates.
NADAC week of 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $65,044,488 gross for Duloxetine across 4,363,016 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$308,828,614 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