{
  "name": "What a pharmacy pays for GLP-1 drugs, from CMS NADAC",
  "description": "The national average drug acquisition cost CMS publishes for each GLP-1 product. Each row works the pricing unit through to a package and a month, with the date it took effect.",
  "author": "HealthspanLedger",
  "edition": "2026.08",
  "version": "68bddefe4742",
  "page": "https://healthspanledger.com/cost",
  "citeAs": "HealthspanLedger. What a pharmacy pays for GLP-1 drugs, from CMS NADAC. Edition 2026.08 (version 68bddefe4742). Derived from CMS NADAC (National Average Drug Acquisition Cost) 2026, Medicaid.gov, retrieved 2026-08-13. Licensed CC BY 4.0. https://healthspanledger.com/cost",
  "license": {
    "url": "https://creativecommons.org/licenses/by/4.0/",
    "name": "Creative Commons Attribution 4.0 International (CC BY 4.0)"
  },
  "source": {
    "name": "CMS NADAC (National Average Drug Acquisition Cost) 2026, Medicaid.gov",
    "url": "https://data.medicaid.gov/dataset/fbb83258-11c7-47f5-8b18-5f8e79f7e704",
    "retrieved": "2026-08-13",
    "publisherLastUpdated": "2026-08-11",
    "license": "https://www.usa.gov/publicdomain/label/1.0/",
    "licenseName": "US Government work, public domain"
  },
  "arrangement": "The underlying records are United States government work and carry no copyright. How this table selects, joins, labels and bounds them is ours, and that work is licensed CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/): reuse it, including commercially, and credit HealthspanLedger with a link to the page it came from.",
  "temporalCoverage": "2026-06-17/2026-08-12",
  "measurementTechnique": "One query per brand against CMS’s datastore, filtered on the product description because that field carries the brand rather than the molecule. Only rows from the newest weekly file are kept, and several NDCs sharing one description are collapsed to a single row after checking they carry the same figure.",
  "readThisFirst": [
    "This is what a pharmacy pays to buy the drug. It is not a patient price, not an offer and not what anyone was charged.",
    "CMS averages it from its own survey of chain and independent pharmacies. It is a survey result, not a list price.",
    "Every row carries its own effective date because they differ. Read the date beside the figure, never the file date alone.",
    "carried_forward_not_resurveyed=true means CMS repeated an earlier figure rather than surveying again."
  ],
  "rows": [
    {
      "brand": "Liraglutide, generic",
      "product_description_cms": "LIRAGLUTIDE 2-PAK 18 MG/3 ML",
      "representative_ndc": "00143914402",
      "ndcs_sharing_this_figure": 7,
      "nadac_per_unit": 35.71234,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 107.14,
      "cost_per_month": 214.27,
      "month_covers": "30 days at 1.2 mg a day, which empties one 18 mg pen every 15 days",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "G",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Liraglutide, generic",
      "product_description_cms": "LIRAGLUTIDE 3-PAK 18 MG/3 ML",
      "representative_ndc": "00143914403",
      "ndcs_sharing_this_figure": 7,
      "nadac_per_unit": 32.02202,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 96.07,
      "cost_per_month": 288.2,
      "month_covers": "30 days at 1.8 mg a day, which empties one 18 mg pen every 10 days",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "G",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Liraglutide, generic",
      "product_description_cms": "LIRAGLUTIDE 5-PAK 18 MG/3 ML",
      "representative_ndc": "00480725046",
      "ndcs_sharing_this_figure": 3,
      "nadac_per_unit": 55.17226,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 165.52,
      "cost_per_month": 827.58,
      "month_covers": "30 days at 3 mg a day, which empties one 18 mg pen every 6 days",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "G",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Mounjaro",
      "product_description_cms": "MOUNJARO 10 MG/0.5 ML PEN",
      "representative_ndc": "00002147180",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 538.60429,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 269.3,
      "cost_per_month": 1077.21,
      "month_covers": "four single-dose pens, one a week, because the label doses Mounjaro once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Mounjaro",
      "product_description_cms": "MOUNJARO 12.5 MG/0.5 ML PEN",
      "representative_ndc": "00002146080",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 538.45143,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 269.23,
      "cost_per_month": 1076.9,
      "month_covers": "four single-dose pens, one a week, because the label doses Mounjaro once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Mounjaro",
      "product_description_cms": "MOUNJARO 15 MG/0.5 ML PEN",
      "representative_ndc": "00002145780",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 538.45947,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 269.23,
      "cost_per_month": 1076.92,
      "month_covers": "four single-dose pens, one a week, because the label doses Mounjaro once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Mounjaro",
      "product_description_cms": "MOUNJARO 2.5 MG/0.5 ML PEN",
      "representative_ndc": "00002150680",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 538.61101,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 269.31,
      "cost_per_month": 1077.22,
      "month_covers": "four single-dose pens, one a week, because the label doses Mounjaro once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Mounjaro",
      "product_description_cms": "MOUNJARO 5 MG/0.5 ML PEN",
      "representative_ndc": "00002149580",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 538.57666,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 269.29,
      "cost_per_month": 1077.15,
      "month_covers": "four single-dose pens, one a week, because the label doses Mounjaro once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Mounjaro",
      "product_description_cms": "MOUNJARO 7.5 MG/0.5 ML PEN",
      "representative_ndc": "00002148480",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 538.62819,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 269.31,
      "cost_per_month": 1077.26,
      "month_covers": "four single-dose pens, one a week, because the label doses Mounjaro once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Ozempic",
      "product_description_cms": "OZEMPIC 0.25-0.5 MG/DOSE (2 MG/3 ML) PEN",
      "representative_ndc": "00169418103",
      "ndcs_sharing_this_figure": 2,
      "nadac_per_unit": 331.96747,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 995.9,
      "cost_per_month": 995.9,
      "month_covers": "one box holding one pen, which is how Novo Nordisk counts a month for Ozempic",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Ozempic",
      "product_description_cms": "OZEMPIC 1 MG/DOSE (4 MG/3 ML) PEN",
      "representative_ndc": "00169413001",
      "ndcs_sharing_this_figure": 2,
      "nadac_per_unit": 331.89168,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 995.68,
      "cost_per_month": 995.68,
      "month_covers": "one box holding one pen, which is how Novo Nordisk counts a month for Ozempic",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Ozempic",
      "product_description_cms": "OZEMPIC 1.5 MG TABLET",
      "representative_ndc": "00169171530",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 33.09081,
      "pricing_unit": "EA",
      "units_per_package": 1,
      "cost_per_package": null,
      "cost_per_month": 992.72,
      "month_covers": "30 days, one tablet a day, which is the schedule on the label",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Ozempic",
      "product_description_cms": "OZEMPIC 2 MG/DOSE (8 MG/3 ML) PEN",
      "representative_ndc": "00169477211",
      "ndcs_sharing_this_figure": 2,
      "nadac_per_unit": 331.93567,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 995.81,
      "cost_per_month": 995.81,
      "month_covers": "one box holding one pen, which is how Novo Nordisk counts a month for Ozempic",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Ozempic",
      "product_description_cms": "OZEMPIC 4 MG TABLET",
      "representative_ndc": "00169170430",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 33.06527,
      "pricing_unit": "EA",
      "units_per_package": 1,
      "cost_per_package": null,
      "cost_per_month": 991.96,
      "month_covers": "30 days, one tablet a day, which is the schedule on the label",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Rybelsus",
      "product_description_cms": "RYBELSUS 14 MG TABLET",
      "representative_ndc": "00169431430",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 33.16394,
      "pricing_unit": "EA",
      "units_per_package": 1,
      "cost_per_package": null,
      "cost_per_month": 994.92,
      "month_covers": "30 days, one tablet a day, which is the schedule on the label",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Rybelsus",
      "product_description_cms": "RYBELSUS 3 MG TABLET",
      "representative_ndc": "00169430330",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 33.16495,
      "pricing_unit": "EA",
      "units_per_package": 1,
      "cost_per_package": null,
      "cost_per_month": 994.95,
      "month_covers": "30 days, one tablet a day, which is the schedule on the label",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Rybelsus",
      "product_description_cms": "RYBELSUS 7 MG TABLET",
      "representative_ndc": "00169430730",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 33.19161,
      "pricing_unit": "EA",
      "units_per_package": 1,
      "cost_per_package": null,
      "cost_per_month": 995.75,
      "month_covers": "30 days, one tablet a day, which is the schedule on the label",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Saxenda",
      "product_description_cms": "SAXENDA 18 MG/3 ML PEN",
      "representative_ndc": "00169280015",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 87.16875,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 261.51,
      "cost_per_month": 1307.53,
      "month_covers": "30 days at 3 mg a day, which empties one 18 mg pen every 6 days",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Trulicity",
      "product_description_cms": "TRULICITY 0.75 MG/0.5 ML PEN",
      "representative_ndc": "00002143380",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 487.65321,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 243.83,
      "cost_per_month": 975.31,
      "month_covers": "four single-dose pens, one a week, because the label doses Trulicity once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Trulicity",
      "product_description_cms": "TRULICITY 1.5 MG/0.5 ML PEN",
      "representative_ndc": "00002143480",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 487.52807,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 243.76,
      "cost_per_month": 975.06,
      "month_covers": "four single-dose pens, one a week, because the label doses Trulicity once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Trulicity",
      "product_description_cms": "TRULICITY 3 MG/0.5 ML PEN",
      "representative_ndc": "00002223680",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 487.44939,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 243.72,
      "cost_per_month": 974.9,
      "month_covers": "four single-dose pens, one a week, because the label doses Trulicity once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Trulicity",
      "product_description_cms": "TRULICITY 4.5 MG/0.5 ML PEN",
      "representative_ndc": "00002318280",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 487.39422,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 243.7,
      "cost_per_month": 974.79,
      "month_covers": "four single-dose pens, one a week, because the label doses Trulicity once weekly",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Victoza",
      "product_description_cms": "VICTOZA 2-PAK 18 MG/3 ML PEN",
      "representative_ndc": "00169406012",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 87.74064,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 263.22,
      "cost_per_month": 526.44,
      "month_covers": "30 days at 1.2 mg a day, which empties one 18 mg pen every 15 days",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Victoza",
      "product_description_cms": "VICTOZA 3-PAK 18 MG/3 ML PEN",
      "representative_ndc": "00169406013",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 87.83248,
      "pricing_unit": "ML",
      "units_per_package": 3,
      "cost_per_package": 263.5,
      "cost_per_month": 790.49,
      "month_covers": "30 days at 1.8 mg a day, which empties one 18 mg pen every 10 days",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Wegovy",
      "product_description_cms": "WEGOVY 0.25 MG/0.5 ML PEN",
      "representative_ndc": "00169452514",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 653.38721,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 326.69,
      "cost_per_month": 1306.77,
      "month_covers": "28 days and one box of four single-dose pens, one a week",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Wegovy",
      "product_description_cms": "WEGOVY 0.5 MG/0.5 ML PEN",
      "representative_ndc": "00169450514",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 653.43339,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 326.72,
      "cost_per_month": 1306.87,
      "month_covers": "28 days and one box of four single-dose pens, one a week",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
      "carried_forward_not_resurveyed": false,
      "cms_explanation_codes": "1, 5",
      "brand_or_generic": "B",
      "pharmacy_types_surveyed": "C/I"
    },
    {
      "brand": "Wegovy",
      "product_description_cms": "WEGOVY 1 MG/0.5 ML PEN",
      "representative_ndc": "00169450114",
      "ndcs_sharing_this_figure": 1,
      "nadac_per_unit": 653.41049,
      "pricing_unit": "ML",
      "units_per_package": 0.5,
      "cost_per_package": 326.71,
      "cost_per_month": 1306.82,
      "month_covers": "28 days and one box of four single-dose pens, one a week",
      "effective_date": "2026-07-22",
      "weekly_file_as_of": "2026-08-12",
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