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Cyanocobalamin (B12): what pharmacies actually pay

Prices below are the National Average Drug Acquisition Cost (NADAC) — the federal government's weekly survey of what pharmacies actually pay their wholesalers, as of 07/22/2026. Your pharmacy's cash price includes their markup and dispensing cost, so it will be higher — but if it's many times this number, that's a signal to shop around.

Form & strengthPharmacy costUnitType
CYANOCOBALAMIN 1,000 MCG/ML VL$1.48per mLGeneric
CYANOCOBALAMIN 10,000 MCG/10 ML$2.54per mLGeneric
CYANOCOBALAMIN 30,000 MCG/30 ML$0.79per mLGeneric
CYANOCOBALAMIN 500 MCG SPRAY$99.37per tablet/unitGeneric

Rough math: a typical 30-day supply of one tablet/day equals 30× the per-unit cost.

This is pricing information, not medical advice. Talk to your doctor or pharmacist before changing any medication.

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