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The manufacturers of most epinephrine options offer U.S. savings programs and patient assistance programs.

Epinephrine is the only treatment for a severe allergic reaction known as anaphylaxis [anna-fih-LACK-sis]. It is only available through a prescription by your doctor. Most prescriptions come with 2 doses. Epinephrine is most commonly prescribed in easy-to-use options, such as auto-injectors and nasal spray.

People with food allergies should have epinephrine with them at all times. For children, this might mean that you need extra epinephrine doses. For example, your child may need to keep epinephrine at school, as well as some at after-school care. And you may want epinephrine that stays at home or goes with you when you leave the house.

Here are savings offers for epinephrine options, as well as other ideas that may help you save money on drug costs. Your final copay, if any, may vary depending on your insurance plan and the deductibles for your family. Talk with your doctor about which epinephrine option is right for your family.

Savings Programs for Epinephrine Devices

Other Possible Ways to Save Money

  • Change insurance plans – If you are privately insured through work, think about a different plan during open enrollment. If your family’s income is below a certain level, you might be able to get Medicaid and/or your children might qualify under the Children’s Health Insurance Program (CHIP). This depends on your state. Visit HealthCare.gov or your state’s health insurance site.

  • Switch to the “preferred” device for your plan – If you have prescription benefits, you may save on copays by using the epinephrine option that is on the insurance “preferred” list on your plan’s formulary (list of covered medicines).

  • Use mail order – If you have prescription benefits, look into your plan’s mail order pharmacy options. This may give you a lower price or provide more 2-packs of medicine for the same price. Many mail order prescription plans cover with a 3 month’s supply of medicine for the cost of 2 month’s copay.

  • Talk with your doctor – If you have insurance, talk with your doctor. Sometimes they can write the prescription so you can get more sets of medicine for 1 copay. Typically, a 2-pack of epinephrine auto-injectors is considered a 30-day supply under your prescription plan. A doctor might write the prescription for 6 auto-injectors (3 packs of 2) to be filled at once. This could then be filled through the mail order pharmacy, as described above.

  • Shop around – Call around to different pharmacies. Prices can vary, especially between large chain pharmacies and smaller independent pharmacies. Be aware that the pharmacies at club stores such as Costco and Sam’s Club are generally available to non-members too.

  • Check with your local children’s hospital – This option may work if your child sees doctors at a major children’s hospital. Ask if they have any grants or patient assistance programs that can help pay for your child’s prescription.

  • Talk with your employer – If you have medical insurance through an employer, contact your human resources department. Explain that your insurance will not cover a life-saving medicine for you or your child. If you have a generous employer, they may try to help you.

Get answers about managing your child's food allergies on our online forums.

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Updated January 2025

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Comments (36)

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Im having problems finding an insurance company that will except the epi pens I have a deathly allergy to tomatoes and chocolate and sodium nitrates the Medicare and blue cross I have do not cover the epi pens at all so I'm stuck any advice you guys could give would be an amazing help thank you 

S

This issue should not only take in account those who have a low income. The issue is that the cost of the epi is exorbitantly and greedily marked up by Mylan! It should be ashamed! The strain of paying for epi twin packs is there for everyone who needs it, and especially for families who have more than one member with life-threatening allergies. Moderate income families are always disregarded.

N
That's an issue. She's out until I refill hers. The insurance is more lenient with kids. They know the school requires one with the refill tag on it as does the church, one at home and one on her. I keep her epi that stays home in my towel drawer. So kind of a built in back up.
I couldn't believe when I picked up the recent brand refill, it was $600 before insurance.
Stef


Sent from my Verizon Wireless 4G LTE smartphone
H
The end of last week, my doctor talked to the insurance. He got me brand epi pens back. But I am still only allowed a two pack every 23 days as their prescription plan does for all drugs. Errrr! Thank goodness my daughter and I use the same dose in epi's now. Doctor said to fill it every 23 days until I get three packs. Then replace as needed.

Stef
H
I have idiopathic anaphylaxis. I'm told it's a form of a mast cell disorder. All it means is that I can become anaphylactic to anything at anytime. Example- I just had knee replacement surgery. I had been taking my pain medicine less than recommended for about two weeks. When I took it the next time I needed it, I went into anaphylaxis. Another one is sometimes I walk out the door and I go into anaphylaxis. I do have known food allergies, but I avoid them. So anytime, anywhere. My kids have had to give me the epi pen at least five times when I couldn't myself.

Stef
H

Hi Taric,

Welcome to KFA.  What food allergies do you manage?

A syringe can be an option.  However, in an emergency, it can be difficult to draw up the meds quickly.  I was just talking re that w an er nurse  the other day.  But...still better than not having epinephrine for sure.

Jen

Uh, just use a syringe? It's about twenty bucks, medicine included. Seriously, for a family that can't afford food if they purchase an auto-injector, a syringe takes a bit of training and provides the same medicine. Yes, an auto-injector is nice, but not everybody can afford it.

Taric25
Yes, it would not fire. We tried both pens in the pack and neither would fire. I remembered I had epi pens I refilled in May before insurance made us go generic. I ran and grabbed them. It worked as always. My daughter still has bruises from where we tried to inject the generic pens a week later. I will never trust them again.

Stef
H

Anyone else having issues with the generic epi not working? We are fighting for the brand so we know it works well for our daughter. She was in a panic when the generic epi wouldn't work. She is so afraid of them now. How can I get her brand if I have insurance? Thank goodness we were home to grab an epi pen I had in the kitchen drawer! 

H
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