Key takeaways:
Jublia (efinaconazole) is a prescription medication that’s FDA approved to treat fungal infections of the toenails. A 4 mL bottle of Jublia costs around $976.19 without insurance or discounts.
Your actual Jublia cost may depend on where you live, the pharmacy you choose, and whether you have insurance coverage.
Jublia’s manufacturer offers a savings card and a patient assistance program that can help lower your Jublia cost, whether or not you have insurance coverage. You can also use a health savings account to help lower your out-of-pocket cost.
Jublia (efinaconazole) is a topical prescription medication used to treat toenail fungus. It’s applied directly to the toenails once daily for 48 weeks (about 11 months).
Insurance may not cover Jublia since it’s often considered a cosmetic treatment. Knowing how much Jublia costs and ways to save on your prescription can help you avoid sticker shock at the pharmacy.
How much does Jublia cost without insurance?
A 4 mL bottle of Jublia typically costs around $976.19 without insurance or discounts. The average cash price is around $1938.06 for an 8 mL bottle.
What factors affect the cost of Jublia?
Factors that can affect the cost of Jublia include:
Brand vs. generic availability: Jublia is available only as a brand-name medication. This means a lower-cost generic version isn’t an option. Based on current patent information, a Jublia generic may not be available before 2030.
Quantity: You’ll likely pay more for an 8 mL bottle of Jublia than for a 4 mL bottle. Keep in mind that how long a bottle lasts depends on how many toenails you’re treating. Since you need to use Jublia for 48 weeks, the larger bottle may help you save on the overall cost of treatment in some cases.
Location: Medication prices can vary depending on where you live. According to GoodRx research, you may pay less for prescription medications if you live in Denver compared with someone living in New Orleans.
Pharmacy: Pharmacies negotiate their own pricing for prescription medications. So the cash price of Jublia can vary among different pharmacies, even if they’re in the same neighborhood. GoodRx can help you compare prices at different pharmacies in your area.
Insurance coverage: Prescription insurance can lower what you pay for Jublia. But even with insurance coverage, you might still have out-of-pocket costs, such as a deductible, a copay, or coinsurance. What you pay can also depend on whether Jublia is on your plan’s formulary (list of covered medications) and what tier it falls under. You can check your coverage details in your plan’s summary of benefits and coverage online or by calling the number on the back of your prescription insurance card.
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 (Medicare Advantage and Part D 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:
Ask your prescriber to submit a letter of medical necessity or request a formulary exception. If that request is denied, you can appeal the decision.
Ask your prescriber about switching to a Jublia alternative, such as ciclopirox (Loprox) or tavaborole, that has a lower-cost generic version.
Look into other savings options, such as a copay card or patient assistance program.
Ways to save on Jublia
Here are three ways to save on Jublia, whether or not you have insurance.
1. See if you qualify for a copay savings card
You may be able to lower your Jublia cost using a savings card from the manufacturer. This program offers several copay tiers based on your insurance status and coverage:
As low as $0 per prescription if you have commercial insurance coverage.
As low as $65 per 4 mL bottle ($130 for an 8 mL bottle) if you have commercial insurance but Jublia isn’t covered.
As low as $75 per 4 mL bottle ($150 for an 8 mL bottle) if you’re paying out-of-pocket without insurance.
This savings offer is available only at certain pharmacies. And it isn’t valid for residents of Massachusetts, Minnesota, or California. You aren’t eligible for these savings if you have government insurance, such as Medicare or Medicaid. You must also be a resident of the U.S., including Puerto Rico and the U.S. Virgin Islands.
You can access the savings card online, or call 1-800-321-4576 for more information.
2. See if you’re eligible for a patient assistance program
You may be able to receive Jublia at no cost through Bausch Health’s patient assistance program.
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
Not have coverage through Medicare Part D Extra Help
Meet household income requirements and be able to show proof of income
You can access the application online or by calling 1-833-862-8727.
3. Tap into your HSA, FSA, or HRA
If you have a health savings account (HSA), a flexible spending account (FSA), or a health reimbursement arrangement (HRA), you can use it to help cover your out-of-pocket costs for Jublia. These tax-advantaged healthcare accounts let you pay for eligible expenses with tax-free dollars.
Pay directly with your HSA or FSA card at the pharmacy, or cover the cost yourself and request reimbursement. The funds in HSAs and some HRAs roll over annually. But you have to use FSA dollars before the plan’s deadline or they’ll expire.
Frequently asked questions
Some people start seeing results after using Jublia for a few months. But it’s recommended to use Jublia daily for 48 weeks (about 11 months) to get the full effect of the medication. Stopping treatment early raises the chance of toenail fungus returning. Keep in mind that even when used as directed, Jublia may not work for everyone. In studies, it cured toenail fungus in over 50% of people using it. But toenails only returned to normal in about 16% of people.
Jublia is FDA approved for toenail fungus only. So there’s limited information on whether it works well for fingernail fungus. But some prescribers may recommend using Jublia off-label for fingernail fungus if other treatments aren’t an option.
Jublia works by blocking the formation of ergosterol — a molecule that helps form fungal cell walls. Fungi cannot grow without ergosterol. So blocking it causes the fungus to die over time.
Some people start seeing results after using Jublia for a few months. But it’s recommended to use Jublia daily for 48 weeks (about 11 months) to get the full effect of the medication. Stopping treatment early raises the chance of toenail fungus returning. Keep in mind that even when used as directed, Jublia may not work for everyone. In studies, it cured toenail fungus in over 50% of people using it. But toenails only returned to normal in about 16% of people.
Jublia is FDA approved for toenail fungus only. So there’s limited information on whether it works well for fingernail fungus. But some prescribers may recommend using Jublia off-label for fingernail fungus if other treatments aren’t an option.
Jublia works by blocking the formation of ergosterol — a molecule that helps form fungal cell walls. Fungi cannot grow without ergosterol. So blocking it causes the fungus to die over time.
The bottom line
A 4 mL bottle of Jublia (efinaconazole) costs around $976.19 without insurance or discounts. Your actual cost may depend on where you live, the pharmacy you choose, and whether you have insurance coverage.
Jublia’s manufacturer offers a savings card and a patient assistance program that can help lower your Jublia cost, whether or not you have insurance coverage. You can also use a health savings account to help lower your out-of-pocket cost.
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.). Need help affording your medication? We’re here for you.
Bausch Health. (n.d.). Terms & conditions.
Bausch Health US. (2025). Jublia- efinaconazole solution [package insert].
Medicaid.gov. (n.d.) Managed care. Centers for Medicare & Medicaid Services.
Miller, R. C., et al. (2022). Treatment of fingernail onychomycosis with efinaconazole. Skin Appendage Disorders.
Ortho Dermatologics Rx Access Program. (n.d.). Pharmacy locator.
Ortho Dermatologics Rx Access Program. (n.d.). Value savings for your prescriptions.
Tatsumi, Y., et al. (2013). Mechanism of action efinaconazole, a novel triazole antifungal agent. Antimicrobial Agents and Chemotherapy.
U.S. Food and Drug Administration. (n.d.). Orange Book: Approved drug products with therapeutic equivalence evaluations.
