Key takeaways:
Ingrezza (valbenazine) is a brand-name medication that can help manage tardive dyskinesia and Huntington’s disease. The average retail price of Ingrezza without insurance is $9985.18 per month.
Factors such as where you live and the dose you take can affect your out-of-pocket costs for Ingrezza.
If you have commercial insurance, you may be able to pay as little as $0 for Ingrezza with a manufacturer copay savings card. A free trial and patient assistance programs are also available.
Save on related medications
Ingrezza (valbenazine) is a treatment option for a movement disorder called tardive dyskinesia. It can also help manage certain symptoms of Huntington’s disease.
Ingrezza is a specialty medication. This means that only certain pharmacies can fill prescriptions for it. Specialty medications also typically have higher costs. But this doesn’t mean there aren’t ways to make Ingrezza more affordable. You might even be able to get it for free.
Below are details on how much Ingrezza costs without insurance — plus, ways to save on your prescription.
How much does Ingrezza cost without insurance?
Ingrezza comes as an oral capsule that you take once a day. It’s also available as a sprinkle capsule you can open to help make doses easier to swallow.
As of April 2026, the manufacturer’s list price for Ingrezza was about $10,000 per month. But the retail price is usually higher than the list price because of pharmacy and wholesaler markups. The average retail price of Ingrezza without insurance is $9985.18 per month. If you’re using insurance or applying discounts, the out-of-pocket cost will generally be lower than this.
What factors affect the cost of Ingrezza?
Several factors affect the cost of Ingrezza. Some raise the price, and others lower it.
Brand-name vs. generic availability
Generic medications help lower costs without sacrificing quality. So opting for generic versions when they’re available is one of the best ways to save money on prescriptions.
Ingrezza doesn’t have a generic version available yet. There likely won’t be one available until at least 2038. But once generics do come to market, costs will likely go down.
Prescribed dose
Different doses of Ingrezza may have different costs. In many cases, higher doses tend to cost more than lower doses. So if your prescriber recently increased your Ingrezza dosage, you may notice you’re paying more at the pharmacy.
Location
Where you live may also affect the cost of Ingrezza. For instance, people living in Milwaukee tend to pay more overall for prescription medications than people living in Atlanta.
Pharmacy
With many medications, you can compare prices between pharmacies to find the best deal. But that’s not as easy to do with Ingrezza.
Ingrezza is a specialty medication. So you’ll have to get it from a specialty pharmacy. If you have insurance, your plan will likely determine which pharmacy you use. And even if you don’t have insurance, Ingrezza’s manufacturer partners only with certain specialty pharmacies to dispense the medication.
Insurance coverage and discounts
Using insurance or applying discounts can help lower the cost of Ingrezza. Your specialty pharmacy team can help identify what savings opportunities are available to you.
If you have insurance, it’s a good idea to review your plan’s summary of benefits and coverage and formulary (list of covered medications). This can help you determine if your plan covers Ingrezza and what it might cost. If you’re unsure, you can call the member services phone number on your prescription insurance card.
What to do if Ingrezza isn’t covered by your insurance
If your insurance doesn’t cover Ingrezza, try these options:
Check to see if you’re eligible for Ingrezza’s patient assistance program (discussed below).
Request a formulary exception from your insurance company. If your request is denied, you have the right to appeal the decision to seek coverage.
Discuss alternative medications for your condition with your prescriber. Other medications may be preferred by your insurance provider. For instance, your plan may offer better coverage for Austedo (deutetrabenazine) for tardive dyskinesia.
When it’s time for open enrollment, compare different health insurance plans to find one that provides better coverage for the medications you need.
Ways to save on Ingrezza
Regardless of insurance status, there are ways to save on Ingrezza. Consider the seven strategies below. Your specialty pharmacy team can help determine if these options are available to you.
1. Ask your prescriber about a 30-day free trial
If you’re taking Ingrezza for the first time, you may be able to get your first month of medication free. Ingrezza’s manufacturer, Neurocrine Biosciences, offers a 30-day free trial program. Your prescriber must fill out a form for you to apply for the program. Once the form is processed, your free trial of Ingrezza will be shipped directly to you.
Good to know: Some healthcare professionals may have samples of Ingrezza from the manufacturer. Consider asking your prescriber if they do.
2. See if you qualify for a copay savings card
If you have commercial insurance, you may pay as little as $0 per prescription for Ingrezza with a manufacturer copay savings card. If you’re uninsured or your commercial insurance plan doesn’t cover Ingrezza, you’re not eligible to use this card.
To be eligible for the Ingrezza copay savings card, you must:
Have commercial insurance that covers Ingrezza
Not have government-funded insurance, such as Medicare, Medicaid, or Tricare
Have a prescription for Ingrezza for an FDA-approved use
Live in the U.S. or Puerto Rico
You can download the Ingrezza copay savings card online. If you have questions, call 1-844-647-3992.
3. Check if you’re eligible for the manufacturer’s patient assistance program
If you’re uninsured or underinsured, you may be able to access Ingrezza for free through the manufacturer’s patient assistance program. If you meet certain financial requirements, this program may provide the medication to you at no cost.
To qualify for the Ingrezza patient assistance program, you must:
Be uninsured or have insurance that doesn’t cover Ingrezza
Live in the U.S. or one of its territories
Be able to submit proof of income
Your prescriber will have to fill out a form to submit to the manufacturer. If you’re eligible, Ingrezza will be shipped directly to you. For questions about the program, call 1-844-647-3992.
4. Check if you’re eligible for independent patient assistance programs
If you’re ineligible for the manufacturer’s program, consider looking into independent patient assistance programs. These are offered by nonprofit organizations and provide financial assistance for copays and medical expenses related to your condition.
Consider seeing if you qualify for an independent patient assistance program through:
Each program has its own eligibility criteria. If a program isn’t accepting new applicants, you may be able to join a wait list to be notified when enrollment is open again.
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 Ingrezza.
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
Like other items, buying medications in bulk can sometimes save you in the long run. Some pharmacies and insurance plans offer discounts when you fill a 90-day supply of medication (rather than three 30-day supplies). Check to see if this is an option with Ingrezza.
7. Tap into your HSA, FSA, or HRA
Consider using funds from a health savings account (HSA), flexible spending account (FSA), or health reimbursement arrangement (HRA) to purchase Ingrezza. These accounts let you use pretax dollars to pay for copays, coinsurance, and other qualified medical expenses. This can help you reduce your costs through tax savings.
Just be sure to check if the money in your account has to be used before a certain time. FSA dollars have an expiration date. But HSA funds roll over and can be saved for later. HRA funds may or may not expire, depending on your account.
The bottom line
Ingrezza (valbenazine) is a brand-name medication that can help manage tardive dyskinesia and Huntington’s disease. The average retail price of Ingrezza without insurance is $9985.18 per month. Factors such as where you live and the dose you take can affect your out-of-pocket costs.
If you have commercial insurance, you may be able to pay as little as $0 for Ingrezza with a manufacturer copay saving card. A free trial and patient assistance programs are also available. Your specialty pharmacy team can help identify what Ingrezza savings opportunities are available to you.
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References
Neurocrine Access Support for Ingrezza. (n.d.). Choose the right pharmacy to best meet your prescription needs. Neurocrine Biosciences.
Neurocrine Access Support for Ingrezza. (n.d.). Explore available financial options with Neurocrine Access Support. Neurocrine Biosciences.
Neurocrine Access Support for Ingrezza. (2024). Thank you for enrolling in the Ingrezza savings program. Neurocrine Biosciences.
Neurocrine Biosciences. (2023). Neurocrine Biosciences announces settlement of Ingrezza abbreviated new drug application (ANDA) litigation. PR Newswire.
Neurocrine Biosciences. (2026). Information for Vermont prescribers of prescription drugs Ingrezza (valbenazine) and Ingrezza Sprinkle (valbenazine) capsules.
Neurocrine Biosciences. (2026). Ingrezza - valbenazine capsule, Ingrezza - valbenazine kit, Ingrezza Sprinkle - valbenazine capsule [package insert]. DailyMed.
Patient Advocate Foundation Co-Pay Relief. (n.d.). Huntington’s disease.
U.S. Social Security Administration. (n.d.). Apply for Medicare Part D Extra Help program.





