Key takeaways
- Topiramate is a generic prescription drug that’s used in adults and some children to help prevent migraine and treat certain seizures related to epilepsy.
- The price of topiramate can vary. It may depend on your treatment plan, your insurance coverage, and the pharmacy you use.
- If you take topiramate long term, you may be able to lower your costs by getting a 90-day supply of the drug if approved by your insurance company.
The price you pay for topiramate can vary. Your cost may depend on:
- whether you have insurance coverage
- your treatment plan
- the form you’re prescribed
- the pharmacy you use
To find out how much you’ll pay for topiramate, talk with your doctor, pharmacist, or insurance provider.
Coupons and savings
To save money on your topiramate prescription, explore these Optum Perks coupons.
Below are answers to some commonly asked questions about topiramate and cost.
How much does topiramate cost with and without insurance?
The cost of topiramate with insurance versus without it depends on several factors, such as:
- the pharmacy you use
- the form of the drug you’re prescribed
- your dosage and treatment plan
- the quantity you’re prescribed, such as a 90-day or 30-day supply
These same factors may affect your price for topiramate if you have insurance. But the price you pay with insurance will also depend on:
- your specific plan benefits
- any prior authorization requirements you have for drug coverage
To learn more about what you’d pay for topiramate with or without insurance, talk with your doctor, pharmacist, or insurance provider (if you have one).
You can also visit Optum Perks for price estimates for this drug when using coupons from their site. However, Optum Perks coupons cannot be used with insurance benefits or copays. (Note:Optum Perks is a sister site of Healthline.)
Does the price of topiramate vary depending on strength (such as 25 mg, 50 mg, and 100 mg)?
Yes, the strength of topiramate that you’re prescribed can affect the price of the drug. But the drug’s cost can also depend on the form of topiramate you take.
Below is a table of the available forms of topiramate and the strengths for each:
| Form | Strength |
|---|---|
| oral tablet | 25 milligrams (mg), 50 mg, 100 mg, 200 mg |
| oral capsule | 15 mg, 25 mg, 50 mg |
| oral extended-release (ER) capsule | 25 mg, 50 mg, 100 mg, 150 mg, 200 mg |
Talk with your doctor or pharmacist to learn more about the price you’ll pay for topiramate.
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Topiramate is a generic drug. This means it’s an exact copy of the active drug in a brand-name medication. A generic is considered to be just as safe and effective as the original drug. And generics generally cost less than brand-name drugs.
Topiramate comes in several brand-name drugs, as shown in the following table:
| Form | Available generic | Available brand | Brand name |
|---|---|---|---|
| oral tablet | ✓ | ✓ | Topamax |
| oral capsule | ✓ | ✓ | Topamax |
| oral ER capsule | ✓ | ✓ | Qudexy XR, Trokendi XR |
Talk with your doctor if they prescribed topiramate for you and you’re interested in a brand-name version instead. They may recommend one version over another. You’ll also need to check with your insurance provider, as it may only cover one version or the other. To find out how the cost of topiramate and its brand-name version compare, talk with your doctor, pharmacist, or insurance provider.
If you take topiramate long term, you may be able to lower your costs in the following ways:
- Look into getting a 90-day supply of your medication: You may be able to get a 90-day supply of topiramate if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of topiramate. If you’re interested in getting a 90-day supply of this drug, talk with your doctor or insurance provider.
- Use a mail-order pharmacy to get your medication: Using a mail-order pharmacy might help lower your cost for topiramate. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.
If you need financial support to pay for topiramate or help understanding your insurance coverage, help is available. For example:
- Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.