Epinephrine is the first-line treatment for anaphylaxis, a severe allergic reaction. It is available by prescription as either a nasal spray or an auto-injector.
What can you do if you can’t afford epinephrine? If you’re insured, contact your insurance company to find out what epinephrine devices are covered under your plan. If you’re not insured, on government insurance, or your insurance plan does not offer coverage, you have options available to you.
Shop around – at pharmacies and online.
Compare prices at other pharmacies or check prices at the websites GoodRx, BlinkRX, Singlecare, Medical Assistance Tool,Amazon Pharmacy WebMDRx, and Needymeds.
Ask your doctor to prescribe an epinephrine device that is less costly or a generic version.
Sometimes less costly alternatives are available. Generics have the same active ingredients as brand-name drugs, are equally as safe and effective, and cost less. There are multiple generics available for epinephrine auto-injectors.
Contact the manufacturer for patient assistance programs.
Manufacturers may offer coupons, discounts or rebates. Eligibility for some discounts may depend on whether you have insurance coverage. Call the manufacturer’s patient assistance line or visit their websites for specific information.
Contact non-profit organizations that help uninsured and under-insured people
If you are uninsured or under-insured, non-profit organizations and foundations are available to help reduce financial barriers.
Organization that help uninsured people includeNeedyMeds, RX Assist, RX Hope, Accessia Health, andPartnership for Prescription Assistance.
Organizations that help the under-insured include theHealthwell FoundationandPatient Advocate Foundation.
Compare total out-of-pocket cost from one epinephrine device to another as sometimes prices will vary.
Switching to another epinephrine device may save you money. This may depend on whether or not you have insurance coverage for your prescription.
Just remember: if you do switch devices, make sure you learn how to use the new device. They all operate a little bit differently. Read the package instructions and watch the training videos on the manufacturer website. Familiarize yourself with proper use of your epinephrine device.
It’s very important to use your medication as prescribed. Talk with your doctor if you are unable to afford epinephrine. This is a potentially life-saving medication if you are at risk for a severe allergic reaction.
Get a free PDF of Epinephrine Treatments poster
Purchase a print copy of the Epinephrine Treatments poster
Epinephrine Patient Assistance Programs and Savings Cards
AUVI-Q®
Manufacturer: Kaléo
Details: Most people on commercial insurance pay $35 or less for AUVI-Q. People with high-deductible health plans or without AUVI-Q coverage will pay no more than $150 through ASPN Pharmacies. You may be eligible to pay $35 once your prescription deductible is met.
Many government plans cover AUVI-Q with a low co-pay.
Through the Kaléo Patient Assistance Program, patients who do not have insurance coverage and who are experiencing financial difficulties may be able to receive AUVI‑Q at no cost. Download and fill out an eligibility form. To learn more, visit www.auvi-q.com/get-auvi-q.
Phone: 877-30-AUVI-Q (1-877-302-8847)
Epinephrine Injection, USP auto-injector
Manufacturer: Amneal Pharmaceuticals (authorized generic of Adrenaclick®)
Details: Eligible patients with health insurance may pay as little as $0. Cash-paying patients may receive up to $10 off per pack of their out-of-pocket costs. To learn more, visit www.epinephrineautoinject.com/anaphylaxis-resources.
Phone: 800-934-6729
CVS Health also offers this two-pack generic version for $109.99. Learn more at www.cvs.com/content/epipen-alternative.
EpiPen®, EpiPen Jr.® and generic versions
Manufacturer: Viatris
Details: The EpiPen Savings Card may provide up to $300 off per 2-Pak® carton for each prescription fill. It helps eligible patients who have commercial health insurance save on out-of-pocket costs. The EpiPen Savings Card is reusable for up to six EpiPen 2-PAK and/or EpiPen Jr. 2-PAK cartons.
Viatris offers authorized generics of EpiPen® and EpiPen Jr® that includes a savings card for up to $25 in savings. It helps eligible patients who have commercial health insurance save on out-of-pocket costs. The savings card is reusable for up to three 2-packs of the generics.
Present your savings card each time you fill a prescription or drop off a prescription refill. You can also print out the card from your computer or store it on your smartphone, and present it to your pharmacist at the time of purchase.
Viatris also has a Patient Assistance Program that may provide epinephrine auto-injectors for free to people with a demonstrated financial need.
Phone: 800-395-3376
Generic EpiPen®
Manufacturer: TEVA Pharmaceuticals
Details: Eligible patients with commercial health insurance may receive up to $30 per two-pack carton, for a maximum of 3 cartons. To learn more, visit www.tevaepinephrine.com/savings.
Phone: 844-248-7949
neffy® epinephrine nasal spray
Manufacturer: ARS Pharmaceuticals
Details: Eligible patients who have commercial health insurance that covers neffy can pay $25 for each prescription as part of a co-pay savings program.
For people without insurance or who have a health plan that does not cover neffy, or if a patient faces high out-of-pocket costs due to a high-deductible plan, ARS is offering neffy for $199 via BlinkRX, a digital pharmacy. This cash price is also available for people who use GoodRx.
For eligible U.S. residents who are uninsured or underinsured, meet certain eligibility criteria, and have exhausted all other options, the ARS Pharma Patient Assistance Program (PAP) is providing neffy at no cost.
ARS Pharmaceuticals offers patient support programs to help make neffy accessible and affordable to all.
Phone: 877-696-3339
Can’t afford your medication?
The Allergy & Asthma Network has a series on helping to afford medication for asthma, allergies, and related conditions. More will be coming as they become available.