Key takeaways:
Gabapentin (Neurontin, Gralise, Horizant) is an FDA-approved medication used to treat seizures and nerve pain from shingles. It’s also prescribed off-label for various conditions, such as fibromyalgia.
Without insurance, 90 tablets (a typical 30-day supply) of generic Neurontin 600 mg can cost around $93.37. The exact price you pay will depend on factors such as your location, pharmacy, and dosage.
You can save on the cost of gabapentin by using a GoodRx coupon or manufacturer copay savings cards. You can also use GoodRx to access brand-name Neurontin at an exclusive cash price.
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Gabapentin (Neurontin, Gralise, Horizant) is a prescription medication that’s FDA approved to treat nerve pain from shingles and certain types of seizures. It may also be prescribed off-label for a variety of conditions, such as fibromyalgia and nerve pain related to diabetes.
Your out-of-pocket costs for gabapentin will depend on factors such as your insurance coverage, dosage, and pharmacy. Neurontin and Gralise are brand names for gabapentin that have generic versions. But Horizant is brand-name-only. So it’s good to know how you can save money when getting your prescription filled.
How much does gabapentin cost without insurance?
The cost of gabapentin varies widely. Without insurance, the retail price of 90 tablets of generic Neurontin 600 mg (a typical 30-day supply) is $93.37 on average. But you may pay more or less than this, depending on your prescribed dose, dosage form, and quantity.
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Gabapentin has a broad dosing range, and finding the right dose can take time. A healthcare professional will likely start you on a once-daily dose and gradually raise it. So the price of your prescription may change over time.
Gabapentin comes in a few dosage forms, including tablets, capsules, and an oral liquid. It also comes in two extended-release versions: Gralise and Horizant. Gralise is approved for the treatment of postherpetic neuralgia (nerve pain from shingles). Horizant is approved for postherpetic neuralgia and restless leg syndrome.
The table below highlights the average retail prices for various doses and dosage forms of brand-name and generic versions of gabapentin.
Medication and dose | Quantity and dosage form | Average retail price |
|---|---|---|
Gabapentin 100 mg (generic for Neurontin) | 90 capsules | |
Gabapentin 200 mg (generic for Neurontin) | 90 capsules | |
Gabapentin 300 mg (generic for Neurontin) | 90 capsules | |
Gabapentin 400 mg (generic for Neurontin) | 90 capsules | |
Gabapentin 600 mg (generic for Neurontin) | 90 tablets | |
Gabapentin 800 mg (generic for Neurontin) | 90 tablets | |
Gabapentin 250 mg/5 mL (generic for Neurontin) | 60 mL | |
Brand-name Neurontin 100 mg | 90 capsules | |
Brand-name Neurontin 300 mg | 90 capsules | |
Brand-name Neurontin 400 mg | 90 capsules | |
Brand-name Neurontin 600 mg | 90 tablets | |
Brand-name Neurontin 800 mg | 90 tablets | |
Brand-name Neurontin 250 mg/5 mL | 60 mL | |
Gabapentin 300 mg (generic for Gralise) | 35 tablets (a common quantity prescribed for the first 2 weeks of treatment) | |
Gabapentin 450 mg (generic for Gralise) | 30 tablets | |
Gabapentin 600 mg (generic for Gralise) | 30 tablets | |
Gabapentin 750 mg (generic for Gralise) | 30 tablets | |
Gabapentin 900 mg (generic for Gralise) | 60 tablets (standard maintenance dose) | |
Brand-name Gralise 300 mg | 35 tablets (a common quantity prescribed for the first 2 weeks of treatment) | |
Brand-name Gralise 450 mg | 30 tablets | |
Brand-name Gralise 600 mg | 30 tablets | |
Brand-name Gralise 750 mg | 30 tablets | |
Brand-name Gralise 900 mg | 60 tablets (standard maintenance dose) | |
Brand-name Horizant 300 mg | 30 tablets | |
Brand-name Horizant 600 mg | 30 tablets |
What factors affect the cost of gabapentin?
The cost of gabapentin depends on several factors:
Brand vs. generic: If you’re prescribed generic gabapentin, you’ll pay less than you would for the brand-name version. Brand-name medications have a higher price tag than generics. But keep in mind that Horizant doesn’t have a generic available.
Geographic location: Prescription medication costs vary across the country. For example, according to GoodRx research, people in Lexington, Kentucky, or Little Rock, Arkansas, tend to pay more for prescriptions overall. Residents of Denver or Houston, however, tend to pay less than the national average.
Pharmacy: Prescription costs can also vary from pharmacy to pharmacy. Even pharmacies in the same neighborhood may charge different amounts.
Insurance: Even if your insurance covers gabapentin, you may have to pay some out-of-pocket costs, such as copays or coinsurance. You may also have to pay an annual deductible, which can cause your costs to be higher at the start of your plan year.
Dose and form: Different doses and dosage forms of gabapentin can have different costs. For instance, 90 capsules of gabapentin 300 mg cost $77.51 on average. And 90 tablets of gabapentin 600 mg have an average retail price of $93.37.
What to do if gabapentin isn’t covered by your insurance
Here are a few steps you can take if gabapentin is not covered by your insurance:
Use a GoodRx coupon to help lower the price of your prescription.
If you’re taking Horizant, use the medication’s cash pay option to lower the out-of-pocket cost to $55. (See more on this and GoodRx savings below.)
Ask your prescriber about switching to a gabapentin alternative. This may be another brand-name medication that costs less with your insurance or another medication that has a generic version available.
Request a formulary exception from your insurance company. If your request is denied, you have the right to file an appeal with your plan.
During open enrollment, compare health plans to find one that helps cover the costs of your medications.
Ways to save on gabapentin
Whether or not you have insurance coverage, here are seven ways you can save on brand-name and generic gabapentin.
1. Use a GoodRx coupon
With a GoodRx coupon, you may be able to lower the price of generic gabapentin. For example, you could pay as little as $12.60 for 90 tablets of generic gabapentin 600 mg at certain pharmacies.
What’s more, anyone with a valid prescription, regardless of insurance status, can use GoodRx to purchase brand-name Neurontin at an exclusive cash price.
The table below highlights the GoodRx prices in your area for different doses and formulations of generic versions of gabapentin.
Medication and dose | Quantity and dosage form | GoodRx price (as low as) |
|---|---|---|
Gabapentin 100 mg (generic for Neurontin) | 90 capsules | |
Gabapentin 200 mg (generic for Neurontin) | 90 capsules | |
Gabapentin 300 mg (generic for Neurontin) | 90 capsules | |
Gabapentin 400 mg (generic for Neurontin) | 90 capsules | |
Gabapentin 600 mg (generic for Neurontin) | 90 tablets | |
Gabapentin 800 mg (generic for Neurontin) | 90 tablets | |
Gabapentin 250 mg/5 mL (generic for Neurontin) | 60 mL | |
Gabapentin 300 mg (generic for Gralise) | 35 tablets (a common quantity prescribed for the first 2 weeks of treatment) | |
Gabapentin 450 mg (generic for Gralise) | 30 tablets | |
Gabapentin 600 mg (generic for Gralise) | 30 tablets | |
Gabapentin 750 mg (generic for Gralise) | 30 tablets | |
Gabapentin 900 mg (generic for Gralise) | 60 tablets (standard maintenance dose) |
Here’s how to get a coupon:
Go to www.goodrx.com or open the GoodRx app on your mobile device.
Type the name of your medication in the search bar.
Click “Start saving,” or tap or click return.
Select the correct dose and quantity, along with your location.
Choose to get your coupon by text or email, or print it out.
If possible, show the coupon at the pharmacy before the staff starts filling your prescription to avoid delays in processing.
Keep in mind: GoodRx savings may vary by pharmacy and geographic location. The GoodRx website and app can help you compare prices in your area.
2. Enroll in GoodRx Companion
You may be able to save even more on generic gabapentin with a GoodRx Companion subscription. Over 250 medications are available for free, with hundreds more for under $10 per month.
The GoodRx Companion program also includes benefits to help you cut your self-pay costs, such as lower prices for online care visits, discounts on dental care, and other health service savings.
3. See if you qualify for a manufacturer copay savings card
If you’re prescribed brand-name Gralise or Horizant, manufacturer copay savings cards may reduce your out-of-pocket costs. You must have commercial insurance to qualify for these cards. People with government-funded insurance, such as Medicare or Medicaid, aren’t eligible for these programs.
With a manufacturer copay savings card, you could pay as little as $20 per month for Gralise. And you could pay as little as $0 per month for up to 60 tablets of Horizant. Eligibility requirements may vary for each card. So be sure to review the details for the one you’re using.
If you have questions, call:
For Gralise: 1-844-889-8686, option 1
For Horizant: 1-855-700-2990
4. Use Horizant’s $55 cash pay option
If you’re uninsured or your insurance doesn’t cover Horizant, you may be able to pay $55 per prescription for the medication through the manufacturer’s cash pay option. Adults ages 18 and older who live in the U.S. may be eligible for this discount.
Horizont’s manufacturer, Azurity Pharmaceuticals, has partnered with an online pharmacy for Horizant’s cash pay option. Your prescriber will need to send your prescription to this pharmacy in order for you to access this discount.
To see if you’re eligible and for questions about Horizant’s cash pay option, call 1-844-289-3981, 10AM to 6PM (ET) Monday through Friday.
5. See if you qualify for Medicare Extra Help
The Medicare Extra Help program helps reduce Medicare Part D costs for people with limited incomes. If you qualify, you will have no monthly premiums, no annual deductibles, and low copays. This includes low copays for gabapentin.
You can apply online for Medicare Extra Help. You can also call 1-800-772-1213 (or 1-800-325-0778 for TTY users) to apply over the phone.
6. Ask about 90-day supplies
Ask your prescriber to order a 90-day supply of gabapentin instead of a 30-day supply. This may help lower your overall costs and limit your trips to the pharmacy, which can also save you time and money. If your insurance covers gabapentin, inquire about discounts that are available through your plan’s mail-order pharmacy.
7. Tap into your HSA, FSA, or HRA
If you have a health savings account (HSA), flexible spending account (FSA), or health reimbursement arrangement (HRA), you can use those funds to pay for gabapentin and other qualifying medical expenses.
Keep in mind that FSA money must be used by the end of your plan year or you’ll lose it, unless your employer provides a grace period or allows you to carry over a portion. HSA funds, however, roll over each year and remain available whenever you need them. HRA funds may or may not expire, depending on the account.
Frequently asked questions
No, gabapentin is not available over the counter. You’ll need to get a prescription from a licensed healthcare professional in order to purchase the medication.
Gabapentin is not an opioid or a narcotic. It’s an antiepileptic medication. It works by acting like a brain chemical called gamma-aminobutyric acid (GABA). This chemical slows down signals in the brain and nerves. This is why it can be helpful for seizures (irregular electrical signals in the brain) and nerve pain (irregular signals in nerves outside the brain).
Gabapentin is a generic medication. There are three brand names for gabapentin: Neurontin, Gralise, and Horizant. Each brand name has different FDA-approved uses and dosages. So the three are not interchangeable. But Neurontin and Gralise have generic versions available, which can be substituted for their brand-name counterparts.
No, gabapentin is not available over the counter. You’ll need to get a prescription from a licensed healthcare professional in order to purchase the medication.
Gabapentin is not an opioid or a narcotic. It’s an antiepileptic medication. It works by acting like a brain chemical called gamma-aminobutyric acid (GABA). This chemical slows down signals in the brain and nerves. This is why it can be helpful for seizures (irregular electrical signals in the brain) and nerve pain (irregular signals in nerves outside the brain).
Gabapentin is a generic medication. There are three brand names for gabapentin: Neurontin, Gralise, and Horizant. Each brand name has different FDA-approved uses and dosages. So the three are not interchangeable. But Neurontin and Gralise have generic versions available, which can be substituted for their brand-name counterparts.
The bottom line
Gabapentin (Neurontin, Gralise, Horizant) is a medication that can manage certain types of seizures and nerve pain. The average retail cost of 90 tablets of generic Neurontin 600 mg is $93.37. How much you’ll pay depends on your location, pharmacy, and dosage.
There are ways to save on gabapentin. For instance, GoodRx could help you access brand-name Neurontin at an exclusive cash price. GoodRx savings are also available on other forms of gabapentin. Using a manufacturer copay savings card and requesting a 90-day supply are other options that can help you save money.
Why trust our experts?
References
Azurity Solutions. (n.d.). For coverage questions, we’ve got you covered. Azurity Pharmaceuticals.
Gralise. (n.d.). Gralise once-daily (gabapentin) tablets. Almatica Pharma.
Horizant. (n.d.). Learn how to save on Horizant. Azurity Pharmaceuticals.
SSA.gov. (n.d.). Apply for Medicare Part D Extra Help program. Social Security Administration.
