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With the Patient Assistance Program from HealthWell Foundation, contact the program to see how they can financially help you out.

| Dosage | Quantity | Retail price | GoodRx price |
|---|
| Dosage | Quantity | Retail price | GoodRx price |
|---|
| Dosage | Quantity | Retail price | GoodRx price |
|---|
| 15mg/ 5ml | 30 ml | $27.10 | $16.62 |
| 15mg/ 5ml | 473 ml | $106.02 | $76.96 |
| 5mg | 30 tablets | $289.38 | $116.08 |
| 20mg | 30 tablets | $6.60 | $6.60 |
GoodRx coupon prices last updated on 06/14/26.