DrugDashboards

Emend

aprepitant · APREPITANT 80 mg/1 · Capsule · Oral · Merck Sharp & Dohme LLC

NDC 00006-0461-02 · 2 CAPSULE in 1 DOSE PACK · NDA · View full market →

The short version

7 companies supply this market — a reasonable cushion if one runs into trouble. The price has held steady around $208.98 per unit over the past year. A Class II recall hit this product in the past year (Merck Sharp & Dohme LLC). Put together: this looks like a healthy supply — the boring kind, which is exactly what you want.

The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.

One drug, every price

The same NDC has different prices depending on who is paying. Units differ between rungs — compare within a rung over time, not rung against rung, unless the units match.

ⓘ How this was built
Data sources
  • CMS NADAC (pharmacy acquisition, weekly)
  • CMS Part B ASP quarterly payment limits
  • CMS Maximum Fair Prices (IRA negotiated, NDC-level)
  • Medicare Part D Spending by Drug (data.cms.gov, name-matched)
  • VA FSS / Big4 federal contract prices (va.gov, twice monthly)
  • ACA Federal Upper Limits + weighted AMP (data.medicaid.gov, monthly)
  • California SB-17 WAC filings (list price, per package)
Method

Each rung is the newest figure for this NDC from one federal price system, shown with its own unit. Part D is matched by drug name because CMS publishes no NDCs there; it is gross spending, before confidential rebates.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

  • Pharmacies pay (NADAC)$208.98per EAinvoice-surveyed acquisition cost · Jan 22, 2025
  • Medicare Part B pays (ASP+6%)$3.07per billing unit (5 MG)HCPCS J8501 · Jul 1, 2026
  • Part D plans paid (avg)$253.51per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$215.26per unitnegotiated price across 2 plans — before rebates · Apr 1, 2026
  • Federal ceiling (Big4)$160.04per unitMerck Sharp & Dohme LLC · Jan 1, 202677% of what pharmacies pay — a deeper discount than 62% of drugs with this benchmark
  • Medicaid generic ceiling (FUL)$87.55per CAPweighted avg manufacturer price $50.0310 · Dec 1, 202342% of what pharmacies pay — a deeper discount than 95% of drugs with this benchmark

Medicare Part D

All Part D pricing →
ⓘ How this was built
Data sources
  • CMS quarterly Prescription Drug Plan Formulary & Pricing files (SPUF)
Method

Negotiated 30-day point-of-sale unit prices and formulary terms aggregated across every unsuppressed Part D and MA-PD plan for the quarter shown. Point of sale means gross of confidential rebates. CMS publishes one representative NDC per drug concept (RxCUI) rather than every package, so these figures come from CMS's representative package for the same drug — matched on generic name, strength, and dosage form. Estimated from MedPAC's program-wide rebate aggregates (June 2023: DIR = 29% of gross Part D spending; brand rebates ≈ 25–40% of gross, generics minimal). Actual rebates are confidential and vary widely by drug — this is a range, not a fact about this drug.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

Plans pay at point of sale
$215.26per unit
middle half $215.26$215.26 · 2 plans · Apr 1, 2026
Est. net of rebates
$129.16–$161.44
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
0%of plans cover it
tier 1 · prior auth 100% · step therapy 0% · qty limit 0%

*No drug-level rebate is public — the estimate applies MedPAC's program-wide brand rebate range to this drug's gross price. Tracked here for 10 quarters since 2024.

NADAC price per unit

$0$100.00$200.00$300.00Sep 2013Jan 2025$208.98
13 price points · per EA · last surveyed Invalid Date · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

#30 count
$6269.49
#90 count
$18808.47

Estimates: latest NADAC unit price × quantity. Pharmacy acquisition cost only — excludes dispensing fees, markup, and insurance terms.

Medicare Part B (ASP)

Payment limit per 5 MG
$3.069
HCPCS J8501 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$404,826
162 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

15Low risk

Some pressure is visible, but not much — here’s everything the score found to count.

  • Class I/II recall in past 12 months+15

The score counts pressure that is already visible — fewer makers, shortages, recalls, falling prices. 0 means none of it; 100 means all of it at once. Recomputed daily · as of Sep 3, 2026

90-day shortage risk (model v2)

0.2%chance of a new FDA shortage posting for aprepitant (oral solid) in the next 90 days

OAI inspection at a producing facility (24 months) · sole-source market · 1 Class I/II recall(s) in 12 months

For scale: the typical drug’s chance is about 0.1% — this one is in ordinary territory.

Backtested statistical model over the whole market, not this package alone. Model details →

Is this a "specialty" drug?

There's no legal definition — it meets 1 of 6 public criteria. Why that matters →

  • Part D specialty tier · median tier 1 across plans
  • Costs ≥ $950/fill · avg $2,508.20 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
NDA021549
TE code
AB
Approval date
Mar 26, 2003
Patents / exclusivity
3 patents, 0 exclusivities
TypeNumber / codeExpires
patent8258132Sep 26, 2027
patent8258132Sep 26, 2027
patent8258132Sep 26, 2027

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

  • Class II · OngoingDec 12, 2025
    Merck Sharp & Dohme LLCPresence of particulate matter: potential presence of metal particulates in the product.

Manufacturers of aprepitant (Capsule)

LabelerStrengthFirst seenLast seen
BluePoint LaboratoriesAPREPITANT 80 mg/1Jul 15, 2026Sep 2, 2026
BluePoint LaboratoriesAPREPITANT 40 mg/1Jul 15, 2026Sep 2, 2026
BluePoint LaboratoriesAPREPITANT 125 mg/1Jul 15, 2026Sep 2, 2026
Glenmark Pharmaceuticals Inc., USAAPREPITANT 125 mg/1Jul 15, 2026Sep 2, 2026
Glenmark Pharmaceuticals Inc., USAAPREPITANT 40 mg/1Jul 15, 2026Sep 2, 2026
Glenmark Pharmaceuticals Inc., USAAPREPITANT 80 mg/1Jul 15, 2026Sep 2, 2026
Golden State Medical Supply, Inc.APREPITANT 80 mg/1Jul 15, 2026Sep 2, 2026
Golden State Medical Supply, Inc.APREPITANT 40 mg/1Jul 15, 2026Sep 2, 2026
Golden State Medical Supply, Inc.APREPITANT 125 mg/1Jul 15, 2026Sep 2, 2026
Merck Sharp & Dohme LLCAPREPITANT 80 mg/1Jul 15, 2026Sep 2, 2026
Novo Nordisk Production Ireland LimitedAPREPITANT 125 mg/1Jul 15, 2026Sep 2, 2026
Novo Nordisk Production Ireland LimitedAPREPITANT 80 mg/1Jul 15, 2026Sep 2, 2026
Sandoz IncAPREPITANT 40 mg/1Jul 15, 2026Sep 2, 2026
Sandoz IncAPREPITANT 125 mg/1Jul 15, 2026Sep 2, 2026
Sandoz IncAPREPITANT 80 mg/1Jul 15, 2026Sep 2, 2026
Torrent Pharmaceuticals LimitedAPREPITANT 125 mg/1Jul 15, 2026Sep 2, 2026
Torrent Pharmaceuticals LimitedAPREPITANT 80 mg/1Jul 15, 2026Sep 2, 2026
Torrent Pharmaceuticals LimitedAPREPITANT 40 mg/1Jul 15, 2026Sep 2, 2026

Roster from daily NDC Directory diffs — first/last seen dates start July 2026.

Cite this page

DrugDashboards, "Emend — NDC 00006-0461-02," retrieved September 3, 2026, https://drugdashboards.com/drug/00006046102.

Free to cite with attribution — see how the data is put together.