Ways to Help Your Patients Save on Epinephrine

Prescribing adrenaline autoinjectors has become a standard of care for people at risk of anaphylaxis. However, cost is a barrier for many.

The most popular autoinjectors, EpiPen (epinephrine) and EpiPen JR, have a retail price of over $600 for a package of two without insurance. Of course, location, pharmacy, insurance coverage, and brand of medication all determine the price your patients pay. So how can you help?

Here are some ways to help your patients get epinephrine autoinjectors or nasal spray at an affordable price.

Generic

Generic epinephrine autoinjectors are usually much more affordable than the brand options.

For example, you can consider prescribing generic Adrenaclick or an authorized generic version of EpiPen or EpiPen JR. An authorized generic is made by the same manufacturer as the brand-name medication, but it has a generic label on the package. It’s identical to the brand-name medication and doesn’t require approval the way generic medications made by other manufacturers do.

Alternative brands

Another option to consider is prescribing a different brand or form of epinephrine. Alternatives include:

• Auvi-Q

• Symjepi

• Neffy nasal spray

Your patients can check their health plan’s formulary to see if a particular brand is covered. Generally, insurance plans cover at least one medication per class. So while EpiPen may not be preferred, another epinephrine product should be covered.

Manufacturer savings cards

Viatris offers a Savings Card for EpiPen or the authorized generic version. This can help qualified applicants save up to $300 for each EpiPen 2-Pak or EpiPen JR 2-Pak per prescription, or up to $25 off a 2-pack of either the 0.3 mg or 0.15 mg dose of the authorized generic version of EpiPen. The Viatris program is limited to people with commercial insurance.

There are also savings cards from the manufacturers of:

• generic Adrenaclick

• Auvi-Q (including shipping to your home)

• Neffy

• Symjepi

Savings card offers are subject to change, so it’s important to review the manufacturer’s website for the latest savings information.

Good to know: Residents of Massachusetts or California may not be eligible to use certain manufacturer savings cards.

Patient assistance programs

For those without insurance or prescription medication coverage, patient assistance programs may be able to help. For example, eligible patients may be able to get these versions for free:

• Authorized generic EpiPen

• Neffy

• Auvi-Q

Patients must apply and meet certain eligibility requirements to qualify. Requirements for patient assistance programs can include:

• Being a current U.S. resident

• Meeting financial requirements

• Receiving a prescription from a licensed healthcare professional for an FDA-approved use

GoodRx coupons

Anyone can use GoodRx coupons to save on prescriptions, with or without insurance. It’s a great way to save on various brands and forms of epinephrine. Here are some examples of coupon prices for epinephrine:

• Auvi-Q at an exclusive cash price of $289 

• A carton of neffy at an exclusive cash price of $399

• Generic epinephrine for $175.90 

• Adrenaclick for $172.89

• EpiPen for $359.06

Good to know: Use this price tool to compare prices across brands at nearby pharmacies.

To get started, your patient can do the following:

• Go to goodrx.com or the mobile app and search for “epinephrine” or the desired product name.

• Click or tap on the name of the pharmacy where they want to pick up the prescription.

• At the pharmacy, show the pharmacist the digital coupon or a printed copy. It also helps to send the coupon information to the pharmacy ahead of time.

Why trust our experts?

Written by:

Charlene Rhinehart, CPA

Charlene Rhinehart, CPA, was a personal finance editor at GoodRx. She has been a certified public accountant for over a decade.

Edited by:

Mandy Armitage, MD

Mandy Armitage, MD, has combined clinical medicine with her passion for education and content development for many years. She is co-executive director at Nonclinical Physicians Network and has served as medical director for the health technology companies HealthLoop (now Get Well) and Doximity.

Reviewed by:

Christina Aungst, PharmD, MWC

Christina Aungst, PharmD, MWC is a senior pharmacy editor for GoodRx. She began writing for GoodRx Health in 2019.

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