Vitamin B12

Also known as: Cyanocobalamin, Dodex, Nascobal.

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
500 MCGSpray$102.15 / unitGeneric
1000 MCG/MLVial$1.49 / mL†Generic
10000 MCG/10 ML(unspecified)$1.97 / mLGeneric
30000 MCG/30 ML(unspecified)$0.761 / mLGeneric
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. Liquids, creams, and sprays are priced per mL or gram; a typical package may be a bottle or tube (size not set yet).
NADAC week of 2026-07-01 · updated weekly · source CMS

Medicaid & Medicare spending · 2024

In 2024, Medicaid paid $20,604,542 gross for Vitamin B12 across 1,153,144 prescriptions (measured, national).

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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