Naloxone

Also known as: Kloxxado, Narcan.

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

StrengthFormNADAC / unitPackageClass
0.4 MG/MLVial$4.41 / mL†Generic
2 MG/2 MLSyringe$13.69 / mL†Generic
4 MGSpray OTC$15.46 / unitGeneric
4 MG(unspecified) OTC$15.46 / unitGeneric
4 MG/10 MLVial$4.41 / mL†Generic
8 MGSpray$59.74 / unitBrand
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. Brand list prices fall after confidential rebates. † 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 $31,148,087 gross for Naloxone across 491,040 prescriptions (measured, national).

Medicare Part D EST spent an estimated ~$44,580,915 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

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