Fentanyl
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 |
|---|---|---|---|---|
| 12 MCG | Patch | $9.63 / unit | — | Generic |
| 25 MCG | Patch | $5.72 / unit | — | Generic |
| 37.5 MCG | Patch | $34.42 / unit | — | Generic |
| 50 MCG | Patch | $9.20 / unit | — | Generic |
| 75 MCG | Patch | $14.34 / unit | — | Generic |
| 100 MCG/2 ML | Vial | $1.42 / mL† | — | Generic |
| 100 MCG | Patch | $18.51 / unit | — | Generic |
| 250 MCG/5 ML | Vial | $1.42 / mL† | — | Generic |
| 2500 MCG/50 ML | Vial | $1.42 / 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 $82,444,574 gross for Fentanyl across 475,966 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$93,327,227 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