Key takeaways:
Jublia (efinaconazole) is a prescription medication that’s FDA approved to treat fungal infections of the toenails. Without insurance, a 4 mL bottle of 10% Jublia costs about $920.29.
Insurance coverage for Jublia varies widely by plan type, with Medicaid covering the highest percentage of enrollees.
With a GoodRx discount, you may pay as low as $825.00 for a 4 mL bottle at some pharmacies. If you qualify for the manufacturer’s copay savings card or patient assistance program, you may receive Jublia at no cost.
Jublia (efinaconazole) is a topical prescription medication used to treat toenail fungus infection. It belongs to a class of medications called azole antifungals. Jublia is applied directly to the toenails once daily, and a complete course of treatment takes 48 weeks (about 11 months).
No generic form of Jublia is available, and a bottle of the medication can cost several hundred dollars out of pocket. But you can reduce your cost with a GoodRx discount. If you meet the requirements, you may be able to get the medication for free through the manufacturer’s copay savings card or patient assistance program.
How much does Jublia cost?
Without insurance or discounts, a 4 mL bottle of 10% Jublia costs around $920.29 at some pharmacies. You might pay around $1832.13 for an 8 mL bottle.
How long a bottle lasts depends on how many toenails you’re treating. A 4 mL bottle has about 80 drops. You use 1 drop per affected toenail each day. For the big toenails, you need 2 drops daily.
For example, if you’re treating only one big toe, a 4 mL bottle should last about 40 days. Since a complete course of treatment takes 48 weeks, you’d need about nine bottles to complete the full treatment.
What factors affect the cost of Jublia?
Factors that affect what you’ll pay for Jublia include:
Where you live: Medication prices can vary from city to city. GoodRx research shows that you may pay less for your prescription medications if you live in Denver compared with someone living in New Orleans.
Pharmacy: Pharmacies can charge differently for prescription medications, even those just blocks apart.
Insurance: Even with insurance coverage, you might still have to pay costs like deductibles, copays, or coinsurance for your medications.
Treatment needs: The number of toes being treated will affect how many bottles you’ll need and your total cost.
Discounts: You may be able to pay less for Jublia if you qualify for the manufacturer savings card or use a GoodRx discount at participating pharmacies.
Does insurance cover Jublia?
About 4 in 10 Affordable Care Act (ACA) marketplace plan enrollees have coverage for Jublia. More than three-fourths of people with commercial insurance plans are covered, while Medicare typically covers about 3 in 10 enrollees. Almost everyone enrolled in Medicaid has coverage, though most will need prior authorization.
About 1 in 3 enrollees with ACA and commercial insurance also need prior authorization. Some must try other medications first (a process known as step therapy).
Always check your plan’s formulary or call your insurer to confirm whether Jublia is covered and what requirements you must meet before getting approval.
How different insurance plans cover Jublia
The following table shows the likelihood of insurance coverage, prior authorization, and step therapy requirements for Jublia across various types of insurance plans.
Insurance type | Enrollees covered for Jublia | Enrollees required to get prior authorization | Enrollees required to do step therapy |
|---|---|---|---|
41.0% | 35.7% | 22.6% | |
Commercial plans (excluding ACA plans) | 77.6% | 38.3% | 46.9% |
Medicare (original Medicare and Medicare Advantage plans) | 29.5% | 1.3% | 1.3% |
Medicaid, including state-run and managed care plans | 99.9% | 80.4% | 39.7% |
Source: Managed Markets Insight & Technology, LLC™, as of June 13, 2025. (See methodology below.)
If your insurance doesn’t cover Jublia, try these options:
See if you qualify for financial help through the manufacturer’s copay savings card or patient assistance program (more details below).
Ask your prescriber about switching to an alternative medication, such as ciclopirox or tavaborole, that may be covered by your insurance. These medications may also have lower out-of-pocket costs than Jublia.
Request a formulary exception from your health plan, asking them to cover Jublia in your case. Your prescriber may need to provide documentation and a letter of medical necessity explaining why you need this medication.
If the formulary exception is denied, you can file an appeal.
During the next open enrollment, choose an insurance plan that offers better coverage for your medication needs if possible.
Can you use your health savings account (HSA) to pay for Jublia? Here’s how your HSA can help cover the cost of qualifying medical expenses, including Jublia.
There are ways to save on prescription medications. Here are several tips to help keep your out-of-pocket prescription costs down.
Can you wear nail polish while using Jublia? Pharmacists explain how to apply Jublia and share helpful tips to use the medication effectively.
Ways to save on Jublia
Paying for Jublia out of pocket can mean spending hundreds of dollars each month. But here are six ways to get help paying for Jublia:
1. Use a GoodRx discount
A free GoodRx discount could help lower the cost of your Jublia prescription. The table below shows what you may pay for Jublia with a GoodRx discount at some pharmacies:
Brand-name Jublia quantity and dose | GoodRx price (as low as) |
|---|---|
One 4 mL bottle of 10% | |
One 8 mL bottle of 10% |
To get your discount:
Visit www.goodrx.com or download the app.
Search for “Jublia,” and click on “Find the lowest prices.”
Select the quantity.
Print your coupon, or have it sent to you via text or email. If you’re using the app, have the coupon ready on your phone’s screen.
Show the coupon before your prescription is filled to get the discounted price and avoid delays at the pharmacy.
2. See if you qualify for the Rx Access Program copay savings card
You may be able to lower your Jublia costs through the Ortho Dermatologics Rx Access Program copay savings card. This program offers several copay tiers based on your insurance status and coverage.
Eligible people with insurance coverage can pay as little as $0 per prescription. Those with insurance but without coverage for Jublia may pay as little as $65 for a 4 mL bottle or $130 for an 8 mL bottle.
If you’re uninsured or paying for Jublia yourself, you may pay as little as $75 for a 4 mL bottle or $150 for an 8 mL bottle. This offer is valid at Walgreens and participating independent pharmacies.
To qualify, you must:
Have commercial insurance (if you don’t have commercial insurance, you may still be eligible if you’re under age 65)
Have a valid prescription for Jublia
Not be enrolled in Medicare, Medicaid, Tricare, or other government health programs
Present the coupon with your prescription at a participating pharmacy
3. Check if you’re eligible for the manufacturer’s patient assistance program
Bausch Health’s Patient Assistance Program can help cover the entire cost of your Jublia prescription if you qualify.
To be eligible, you must:
Be a legal U.S. resident
Be uninsured or have been denied coverage by your commercial insurer
Not have coverage for Jublia through government insurance, like Medicare, Medicaid, Veterans Affairs, or Tricare
Meet household income requirements
If approved, you can receive Jublia for free from the manufacturer for up to 12 months. You’ll need to reapply to the program if you still need assistance after that.
4. Shop around for the best pharmacy prices
The cost of Jublia can vary between pharmacies, even ones close to one another. Before picking up your prescription, check prices at a few pharmacies. You can call around to ask or quickly compare prices online at www.goodrx.com to avoid overpaying.
5. Ask about 90-day supplies
Since Jublia treatment lasts around 11 months, it may be worth asking your prescriber about getting 3-month supplies per prescription. Some insurance plans offer lower copays for larger quantities. Many pharmacies also give discounts when you buy several bottles at once, which can help if you’re paying cash.
Your plan’s mail-order pharmacy might also offer better pricing.
6. Tap into your HSA or FSA
If you have a health savings account (HSA) or a flexible spending account (FSA), you can use those funds to pay for Jublia. These tax-free funds can help offset the cost of prescription medications and many other healthcare expenses. Simply use your card at checkout or submit your receipt for reimbursement.
FSA funds usually expire at the end of the plan year, so use them in time. But HSA funds roll over annually and are available whenever you need them.
The bottom line
Without insurance or discounts, a 4 mL bottle of Jublia (efinaconazole) costs around $920.29. What you pay depends on your pharmacy, where you live, your treatment needs, and your insurance coverage.
If you have commercial insurance, the Rx Access Program may bring your cost down to $0 per fill. If you’re uninsured or underinsured and meet income requirements, the Bausch Health Patient Assistance Program may offer Jublia at no cost.
You can also reduce your Jublia cost by using a free GoodRx discount and comparing prices at different pharmacies. Buying 90-day supplies and using your tax-free funds are other ways to save on Jublia.
Why trust our experts?
Methodology
We obtained national prescription coverage data for each medication from Managed Markets Insight & Technology (MMIT). The data reflects health insurance coverage as of June 2025.
We calculated the percentage of enrollees in plans that cover each medication by dividing the number of enrollees covered for the medication within a specific insurance channel (e.g., ACA, Medicare, Medicaid) by the total number of enrollees in all plans within that channel.
We determined the percentage of enrollees in plans with a prior authorization requirement by calculating the proportion of enrollees in plans that required prior authorization for the medication within each channel.
Finally, we measured the percentage of enrollees in plans with a step therapy requirement by calculating the proportion of enrollees in plans that imposed step therapy requirements for the medication in each channel.
These estimates, derived from national MMIT coverage data, provide insight into health insurance coverage for each medication. They take into account restrictions such as prior authorization, step therapy, and quantity limits. The percentages are expressed relative to the total number of enrollees covered by various insurance channels, including ACA plans, commercial (excluding ACA) plans, Medicare, and Medicaid (both state-run and managed care plans).
References
Bausch Health. (n.d.). Is your product included in the program?
Bausch Health US. (2025). Jublia- efinaconazole solution [package insert]. DailyMed.
HealthCare.gov. (n.d.). Appealing a health plan decision.
Medicaid.gov. (n.d.) Managed care.
Ortho Dermatologics. (n.d.). Ortho Dermatologics Rx access program.
