Quick answer: A 30tablet supply of generic azathioprine (50mg) typically runs $27$30 when you use a free discount card; brandname versions like Imuran can be two to three times that price.
Why it matters: Your outofpocket bill can swing wildly depending on insurance, pharmacy type, and whether you tap into coupons or assistance programs. Below you'll find the latest price tables, coupon links, and practical tips to shrink the bill without compromising safety.
Why Prices Vary
Insurance vs. cashpay impact
If you're covered, the copay is often a flat amount set by your plan's formulary tier. Cashpay patients, on the other hand, see the "list price" the number the pharmacy posts which can be dramatically higher.
Genericvs. brandname differences
Both generic azathioprine and Imuran contain the same active ingredient, but manufacturers set different wholesale prices. In 2025 the generic usually costs under $1 per tablet, while Imuran hovers around $2$4 per tablet.
Dosage strength and form matter
Higherstrength tablets (75mg, 100mg) cost more per pill, and the IV powder is a whole other price tier, often exceeding $200 per vial.
Pharmacy type and location
Bigchain pharmacies (CVS, Walgreens) often have contracts that lower the price, whereas independent or regional chains may charge more. Geographic factors matter, too prices in rural areas can differ from urban markets.
Sample price table (2025)
| Source | Form | Strength | 30tablet cost | Cost per tablet |
|---|---|---|---|---|
| Drugs.com | Oral tablet | 50mg | $26.69 | $0.89 |
| Drugs.com | Oral tablet | 100mg | $206.70 | $6.89 |
| PharmacyChecker | Oral tablet | 50mg (bulk) | $38.00 (90 tablets) | $0.42 |
| CostPlusDrugs | IV powder | 100mg vial | $219.25 | $219.25 |
Current Price Snapshot
Oral tablets50mg, 75mg, 100mg
For most patients the 50mg tablet is the workhorse. In March 2025 the average cashpay price on Drugs.com sits at $26$28 for a 30tablet bottle. If you need a higher dose, expect the price to rise roughly proportionally: 75mg tablets are about $0.70 each, and 100mg tablets climb to $6$7 per pill.
IV powder pricing
The intravenous formulation is usually reserved for severe cases or when oral absorption is an issue. A single 100mg vial can cost $219$225, and because hospitals often purchase in bulk, the perpatient cost can fluctuate.
International & bulk discounts
Online pharmacies that ship from Canada or Europe sometimes list the 90tablet bulk price at $38, translating to just $0.43 per tablet. Always verify legitimacy, shipping policies, and whether your insurance will reimburse foreign purchases.
Save With Coupons
Free discount cards
The Drugs.com discount card has been a lifesaver for many. Print it or add it to your phone, and you'll see up to an 80% reduction at participating pharmacies sometimes dropping the $27 price tag to under $6.
Why manufacturer coupons are rare
Azathioprine is an older, offpatent drug, so manufacturers rarely offer coupons. That's why the free discount card and pharmacyspecific savings programs are your best bet.
Patient assistance programs (PAPs)
Organizations like NeedyMeds list eligibility criteria for assistance programs that can provide azathioprine at no cost for qualifying patients. Income thresholds, lack of insurance, or high copays usually trigger eligibility.
Mailorder & 90day supplies
Most insurers allow a 90day refill for maintenance meds. Pair that with a discount card and you could pay under $15 for three months of therapy. Just ask your pharmacy about the "90day supply" option and confirm that your plan covers it.
Stepbystep checklist for saving
- Print or download the free discount card.
- Call your pharmacy to ask about 90day refills.
- Check your insurance formulary for tier placement.
- If you're uninsured, explore PAPs on NeedyMeds.
- Compare cashpay prices on Drugs.com vs. PharmacyChecker.
Insurance & Medicare
Typical copays vs. cashpay
For a patient with a standard private plan, the copay for a 30tablet generic supply averages $10$15. Medicare PartD can be higher or lower depending on your plan's "donut hole" status, but many plans place azathioprine in a lowertier to keep costs manageable.
Priorauthorization requirements
Some insurers ask for a priorauth, especially for the IV form. Have your prescriber ready with a short note explaining why the IV route is medically necessary.
Medicare coverage overview
According to the Medicare drug list, azathioprine is covered under most PartD plans. Use the official Medicare site to confirm your specific plan's coverage and any coinsurance.
Quicklook comparison
| Plan Type | Average OutofPocket (30 tablets) | Notes |
|---|---|---|
| Private PPO | $12$18 | Depends on formulary tier. |
| Medicare PartD | $15$22 | May vary after deductible. |
| CashPay | $27$30 | Before discounts. |
Real World Tips
Patient story $120 saved in three months
Maria, a 42yearold with ulcerative colitis, shared that after printing the free discount card and switching to a 90day mailorder refill, she paid just $9 per month. Over three months she saved $120 compared to her previous $45permonth cashpay habit.
Pharmacist's insider advice
"Always ask the pharmacist to check if there's a cheaper generic version on the shelf," says Jake, a veteran pharmacy technician. "Sometimes the system defaults to the brand name, but a quick generic substitution" request can cut the price in half.
Physician perspective when brand matters
Dr. Lee, a gastroenterologist, notes that while generics are bioequivalent, there are rare cases where a patient's insurance only covers the brand or where insurance priorauth forces the brand. In those situations, he works with the patient to secure a manufacturer couponif one is availableor to apply for a PAP.
Credible sources to cite
- FDA Orange Book confirms bioequivalence of generics.
- Peerreviewed studies on azathioprine efficacy and safety.
- National Institutes of Health (NIH) fact sheets.
Helpful Resources
Printable price comparison
Download a PDF that lists the latest generic and brand prices, discount card instructions, and PAP eligibility criteria. Keeping it on your phone or fridge makes shopping for azathioprine a breeze.
Where to find coupons and assistance
- Drugs.com discount card
- NeedyMeds assistance programs
- FDA Orange Book for generic verification
Disclaimer
Prices fluctuate daily and can differ by pharmacy, location, and insurance plan. Always verify the current cost with your pharmacy and check your insurer's formulary before making a purchase.
Conclusion
The bottom line is that generic azathioprine usually runs $27$30 for a 30tablet supply, but you can push that number lower with a free discount card, bulk ordering, or eligible assistance programs. Brandname versions are considerably pricier, and IV formulations sit in an entirely different price tier. Check your insurance for priorauth needs, explore mailorder options, and don't skip the free coupons they can shave off up to 80% of the cash price. Got more questions? Drop a comment, share your own savings story, or reach out to your pharmacist for a personalized quote. We're all in this together, and every dollar saved adds a little extra peace of mind.
FAQs
What is the typical cash‑pay price for a 30‑tablet supply of generic azathioprine?
The average cash‑pay price for 30 tablets of 50 mg generic azathioprine in 2025 is about $27 – $30 before any discounts.
How much can a free discount card reduce the price?
A free discount card (e.g., Drugs.com) can lower the $27 price to under $6, an 80 % reduction at participating pharmacies.
Does Medicare Part D cover azathioprine?
Most Medicare Part D plans cover azathioprine, usually placing it in a lower‑tier formulary; out‑of‑pocket costs range from $15 to $22 for a 30‑tablet supply.
Are there any manufacturer coupons for azathioprine?
Because azathioprine is off‑patent, manufacturers rarely offer coupons; the best savings come from discount cards, mail‑order 90‑day supplies, or patient assistance programs.
Can I get azathioprine cheaper by buying in bulk or from abroad?
Yes, bulk orders (90 tablets) from reputable online pharmacies can be around $38 total, and some Canadian or European pharmacies list similar low prices, but always verify legitimacy and insurance reimbursement.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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