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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

  • The ARS Pharma Patient Assistance Program (PAP) may provide neffy at no cost if you:

    • Are a U.S. resident
    • Don’t have enough insurance
    • Don’t have insurance
    • Meet certain eligibility criteria
    • Have tried all other options to help pay for neffy

    If you have any questions, call 1-877-696-3339.

Other Possible Ways to Save Money

  • Change insurance plans – If you are privately insured through work, see if you can shop around during open enrollment. If your family’s income is below a certain level, you might be offered 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 agreeing to use the epinephrine option that is on the insurance “preferred” list.

  • 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 two-packs of medicine for the same price. Many mail order prescription plans provide patients with a three month’s supply of medicine for the cost of two 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 2-packs) 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 their human resources department. Explain that your insurance will not cover a life-saving medicine for you or your child. Sometimes, if you have a generous employer, they will try to help you.

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

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Updated November 2024

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Comments (35)

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FYI, we just filled a prescription for Auvi Q at Walgreens for $139 per 2pack. We didn’t qualify for any of the assistance programs so we decided to pay out of pocket. The pharmacist at Walgreens put their own “coupon” in the system (it may have been a GoodRx coupon but it was cheaper than what is quoted online for GoodRx) and charged us only $139 per 2 pack. That’s cheaper than the Auvi Q price for those not covered by insurance.

ColoradoCarol

The blog post was updated on Dec. 3, 2018, to include the following:

Teva offers a generic version epinephrine auto-injector in limited areas in the U.S. It is available in 0.3 mg for $300 per two-pack. It will be released in larger quantities in the U.S., along with a 0.15 mg version, in 2019.

Kids With Food Allergies

Cynthia, 

No, I haven't called the pharma companies. My pharmacist is great though and he's on top of it. I wanted to see what he came up with first before trying to call pharma companies - that just seems like a runaround waiting to happen! I just found this site though, so I will keep checking back! Thanks!

K
Last edited by KristaB

KristaB, have you tried calling the contact number on the pharma company in question? They may be able to give you a timeline or a coupon that would work.

Also, could you talk to your pharmacist or doctor? They may be able to reach out to their pharmaceutical reps for answers or a coupon, or even samples of some medications.

I know that KFA is awesome about updating all this -- so keep an eye for updates. 

K8sMom2002

You're right - the pharma company websites aren't updated yet for 2018 and the coupons all expired 12/31/17. I'm trying to fill prescriptions now and don't have a valid coupon! How do I get an updated one?

K
The doctor said he did not know about the problem. Keep calling around. Apparently, Epi pens were recalled about three weeks ago. The pharmacies I spoke to will not sell epi pens until the new, post recall, pens have been sent to them. They do not want the liability. If you need an epi at this time, call 911.

Stef
H
I can't get a cost. My CVS says all epi's are recalled. Mine expires in May, but can't get any replacements. I'm told none are available.

Anyone know if the expiration date can be stretched? I can't be without an epi, but can't replace it according to the pharmacy.

Stef

H

My insurance company sent me a letter saying they no longer cover Mylan Epi-pens as of next month, but supposedly they cover the generic.  I looked up their formulary list.  They cover Auvi-Q at 80%, which is worse than paying full price for the Mylan Epis.  They don't cover Adrenaclick.  In theory, they cover the Mylan generic.  I'll have to leave extra time in August when I attempt to pick up the school's epis for pharmacist-allergist phone tag.  GoodRx lists the prices of your various options at pharmacies near your location.

E

Apparently Express Scripts has decided that both the Mylan generic Epi and the Lineage Therapeutics epinepherine injector are "branded" medication rather than generic.  Spoke with multiple customer service folks as well as one of their "pharmacists" and they are telling me no generic epinepherine auto-injectors exist although they are pushing me to the Mylan generic.  The insurance coverage is of course significantly higher for generics but only if they treat a generic as a generic.  Getting the Mylan generic will raise my costs to $75 a two pack from free on the branded version due to co-pay coupons.

Parent2017

Sabine, did you ever talk with your doctor and your insurance company to see if generic epinephrine autoinjectors would be covered? There are two versions of generic autoinjectors -- one company's generic version works exactly like their brand name version, from what I understand.

K8sMom2002
Last edited by K8sMom2002
Sabine - will the cover a different generic epinephrine autoinjector? You
doctor has to specifically write the prescription for the generic ones.
Otherwise, the pharmacy has to dispense the brand name.
Kathy P

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


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H