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With the Patient Assistance Program from PAN Foundation, contact the program to see how they can financially help you out.

| Dosage | Quantity | Retail price | GoodRx price |
|---|---|---|---|
| 60 ampules of 20mg/ 2ml | 2 cartons | $670.99 | $134.07 |
| 96 ampules of 100mg/ 5ml | 1 carton | $262.23 | $138.20 |
| 60 vials of 20mg/ 2ml | 1 carton | $357.04 | $80.94 |
| 120 vials of 20mg/ 2ml | 1 carton | N/A | $145.76 |
| Dosage | Quantity | Retail price | GoodRx price |
|---|---|---|---|
| 5ml of 100mg/ 5ml | 1 ampule | $7.68 | $5.95 |
| Dosage | Quantity | Retail price | GoodRx price |
|---|---|---|---|
| 10ml of 4% | 1 eye dropper | $38.19 | $12.10 |
| Dosage | Quantity | Retail price | GoodRx price |
|---|---|---|---|
| 2ml of 20mg/ 2ml | 1 vial | N/A | $6.04 |
GoodRx coupon prices last updated on 03/05/26.
Sales tax may apply and is not included.