Key takeaways:
Prozac (fluoxetine) is an antidepressant that treats several mental health conditions. Without insurance, 30 capsules of brand-name Prozac 20 mg costs $639.73 on average.
What you pay for Prozac can vary based on factors like your dose and dosage form, location, and insurance coverage. You may be able to reduce your Prozac cost by using a free GoodRx coupon, asking for a 90-day supply, or switching to the generic version.
Talk to your prescriber or pharmacist for guidance if you’re having trouble accessing Prozac at an affordable cost.
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Prozac (fluoxetine) is a selective serotonin reuptake inhibitor (SSRI). It’s FDA approved to treat mental health conditions such as depression and panic disorder. It’s available as a brand-name medication and a lower-cost generic version (fluoxetine).
The cost of Prozac without insurance can vary based on your dosage and dosage forms. Other factors can also affect how much you’ll pay for your Prozac prescription. In this article, we’ll review how much Prozac costs without insurance, which factors affect the price, and ways you may be able to save on your prescription.
How much does Prozac cost without insurance?
Without insurance, the average cost of 30 brand-name Prozac 20 mg capsules is $639.73.
Search and compare options
The chart below shows the average cash prices for the available forms of brand-name and generic Prozac.
Dose, form, and quantity | Prozac average cash price | Generic fluoxetine average cash price |
|---|---|---|
10 mg capsules, #30 | ||
20 mg capsules, #30 | ||
40 mg capsules, #30 | ||
90 mg once-weekly capsule, #4 | N/A | |
10 mg tablets, #30 | N/A | |
20 mg tablets, #30 | N/A | |
60 mg tablets, #30 | N/A | |
20 mg/5 mL oral solution, 120 mL | N/A |
Which factors affect the cost of Prozac?
As with most prescription medications, Prozac prices may vary based on many factors, such as:
Brand-name versus generic version: Prozac capsules are available as a brand-name medication and a lower-cost generic. Other dosage forms, such as tablets and oral solution (liquid), are available only as generic fluoxetine. Typically, generic forms of Prozac are more affordable than the brand-name version.
Location: Where you live can affect the cost of your prescription medications. For example, according to GoodRx research, people in Little Rock, Arkansas, tend to pay more for prescription medications than people in Houston.
Pharmacy: Pharmacies negotiate their own pricing for prescription medications. So the cost of Prozac can vary between different pharmacies, even if they’re located in the same neighborhood.
Insurance: If you have insurance that covers Prozac, it can help reduce what you pay for your medication. But even with insurance, you may still have out-of-pocket expenses, such as a copay or coinsurance. These expenses are often based on whether Prozac falls in a higher tier on your plan’s formulary.
Dosage and dosage form: A higher dosage of Prozac could increase your monthly costs. For generic fluoxetine, prices can also differ between dosage forms. For example, tablets tend to be more affordable than the oral solution.
Prozac and insurance coverage
Some insurance plans cover brand-name Prozac, but coverage details can vary between plans. How much you’ll pay for Prozac may depend on where it’s placed within your plan’s formulary.
Most insurance plans have tiers, or levels, within their formulary. Typically, lower-tier medications have a lower copay, while higher-tier medications have a higher copay. Your plan’s formulary should be available online, or you can call the number on your prescription insurance card. Checking your plan details ahead of time can help you avoid unexpected costs.
Some plans may prefer generic fluoxetine. In this case, they may require additional steps before covering brand-name Prozac, such as:
Prior authorization, which requires your prescriber to provide information explaining why brand-name Prozac is medically necessary.
Step therapy, which requires you to try a lower-cost alternative or explain why it isn’t an option for you before they’ll cover the brand-name version.
What to do if your insurance doesn’t cover Prozac
If your insurance doesn’t cover Prozac, here are some steps to consider:
If you have a prescription for the brand-name product, see if the generic would be a suitable alternative for you.
Ask your prescriber to submit a letter of medical necessity to your insurance provider. It should explain why Prozac is necessary for your treatment.
Request a formulary exception from your insurance provider. If your request is denied, submit an appeal.
Talk to your prescriber about a different antidepressant that may be covered by your insurance plan.
Look into other savings options (more on that next).
Ways to save on Prozac
There are several ways to save money on your Prozac prescription.
1. Use a GoodRx coupon
A free GoodRx coupon may help you save on the cost of Prozac. For example, you may be able to pay as little as $438.42 for 30 brand-name Prozac 20 mg capsules ($3.00 for the generic version) with a free GoodRx discount.
The table below shows the lowest GoodRx price at certain pharmacies for the different Prozac forms and doses available.
Dose, form, and quantity | Prozac GoodRx price | Generic fluoxetine GoodRx price |
|---|---|---|
10 mg capsules, #30 | ||
20 mg capsules, #30 | ||
40 mg capsules, #30 | ||
90 mg once-weekly capsule, #4 | N/A | |
10 mg tablets, #30 | N/A | |
20 mg tablets, #30 | N/A | |
60 mg tablets, #30 | N/A | |
20 mg/5 mL oral solution, 120 mL | N/A |
To get your free GoodRx coupon:
Go to www.goodrx.com or download the GoodRx app on your phone or tablet.
Enter “Prozac” in the search box. Select “Prozac (brand-name)” or generic fluoxetine.
Click or tap “Start saving.”
Select the correct dose and dosage form.
Indicate if you want to receive your coupon by text or email. Or you can print it out.
Provide the coupon information to your pharmacy staff before picking up your medication. This can help prevent delays at the pick-up counter.
2. Look into a 90-day supply or mail-order discounts
Filling a 90-day supply (instead of a 30-day supply) may help lower your overall costs. The price per pill often goes down the more you buy at one time.
If you have insurance, some plans offer a reduced copay if you fill a 90-day supply. They may also offer discounts for using your plan’s mail-order pharmacy service. Call the number on the back of your prescription insurance card for more details.
3. Shop around at different pharmacies
The cost of a medication can vary from one pharmacy to the next. To find the best deal, compare Prozac prices at different pharmacies in your area on the GoodRx app or at www.goodrx.com.
4. Tap into your HSA, FSA, or HRA funds
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 Prozac. 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.
The bottom line
Prozac (fluoxetine) is an antidepressant that treats several mental health conditions. Without insurance, 30 capsules of brand-name Prozac 20 mg costs $639.73 on average. What you pay for Prozac can vary based on factors like your dose and dosage form, location, and insurance coverage.
You may be able to reduce your Prozac cost by using a free GoodRx coupon, asking for a 90-day supply, or switching to the generic version. Ask your prescriber or pharmacist for guidance if you’re having trouble accessing your medication at an affordable cost.
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References
HealthCare.gov. (n.d.). Getting prescription medications. Centers for Medicare & Medicaid Services.
