Diastat cost 2025: Prices, Coupons & Insurance Help

In 2025 a single Diastatrectalgel kit (10mg) usually runs between $350and$380 if you pay cash. But with a coupon, insurance, or a patientassistance program, most people end up paying somewhere from $50to$120. Below you'll find exactly how those numbers break down, where you can snag savings, and what you need to know before you fill the prescription.

2025 Diastat Prices

Average cash price (no insurance)

If you walk into a pharmacy and ask for a DiastatAcuDial kit without any coverage, expect to see a sticker price of about $379. That figure comes from data on Drugs.com and aligns with the range reported by MedicalNewsToday. Prices can vary a little by region, but the nationwide average stays in the $350$380 window.

Insuranceadjusted price

Most commercial plans and Medicare PartD formularies cover Diastat, but they usually require a copay. In practice, you'll see copays ranging from $60 to $150, depending on your plan's tier and whether prior authorization is needed. If your plan places Diastat in a higher tier, the copay can creep toward the top of that range.

Generic diazepam vs. brandname Diastat

Generic diazepam (the same active ingredient) is a little cheaperroughly $260$270 for a rectalgel kitbut many neurologists still prefer the brandname formulation for seizurecluster emergencies because of its proven delivery profile.

Product	Cash Price (2025)	Typical Insurance Copay	CouponReduced Price
DiastatAcuDial (10mg)	$350$380	$60$150	$50$120
Generic Diazepam Gel	$260$270	$55$130	$55$130 (rare coupons)

Lowering Your Costs

Official coupons & discount cards

Two of the most reliable free tools are the OptumPerks "Diazepam rectal gel" coupon and the Drugs.com discount card. Both can shave off up to 80% of the cash price when you present the printed or digital coupon at checkout. The Optum Perks coupon is especially popular among Medicare beneficiaries.

PatientAssistance Programs (PAPs)

If you're uninsured or your income meets certain thresholds, the PAN Foundation and NeedyMeds run assistance programs that can provide Diastat for free or at a dramatically reduced cost. The application usually requires a recent prescription, proof of income, and a brief medical justification. It's a little paperwork, but the savings are often worth it.

Mailorder & 90day supply options

Many Medicare Advantage and private plans let you order a 90day supply of Diastat via mailorder pharmacies. This can lower the perkit price by another 510% compared with a singleuse fill at a brickandmortar pharmacy. Just be sure your insurer authorizes the larger quantityotherwise you might get hit with a surprise charge.

Stepbystep worksheet for getting a coupon & filing a PAP

1. Print or save the OptumPerks coupon (Optum Perks site).
2. Ask your prescriber for a written prescription (include "DiastatAcuDial 10mg rectal gel").
3. Call the pharmacy, mention the coupon, and confirm the discounted price before you pick it up.
4. If you need extra help, visit the PAN Foundation portal, fill out the online form, and attach a copy of your prescription.
5. Upload the approved PAP confirmation to the pharmacy's billing desk.

Insurance Coverage Details

Does your plan cover Diastat?

Most Medicare PartD plans, large employerbased PPOs, and many Medicaid programs list Diastat on their formularies. However, coverage can differ:

• Medicare PartD usually covered after a priorauth, copay $60$150.
• Commercial PPO covered in Tier2 or3, copay varies.
• Medicaid coverage often automatic, but state formularies vary.

Priorauthorization requirements

Many insurers ask for a brief note from your neurologist confirming that Diastat is medically necessary for "seizurecluster treatment." The note doesn't have to be a novel research paperjust a clear statement of diagnosis and why the rectal gel is the preferred rescue medication. According to MedicalNewsToday, clearing this step can shave 23 weeks off the waiting period.

What's covered under "seizure clusters treatment"?

Seizure clusters are bursts of multiple seizures occurring in a short windowoften a sign that a patient's baseline medication isn't enough. The FDA specifically approves Diastat for rapid intervention in these scenarios, so a plan that lists "seizurecluster rescue" almost always includes Diastat.

Plan Type	Coverage (Y/N)	Average Copay
Medicare PartD	Yes	$60$150
Commercial PPO	Yes (often Tier2/3)	$70$160
Medicaid (statespecific)	Varies	$0$30

RealWorld Experiences

Patient story #1

Emily, a 34yearold with refractory epilepsy, told me she once paid $380 out of pocket for a single Diastat kit. After discovering the OptumPerks coupon and switching to a 90day mailorder supply, she saved $200 on her next fill. "I felt like I finally had control over a medication that's supposed to protect me," she said. (I interviewed Emily anonymously, respecting her privacy.)

Pharmacist insight

Mike, a certified pharmacist at a large chain, shared that the same prescription can cost as much as $420 at an independent pharmacy but only $350 at a bigbox retailer because of bulk purchasing agreements. "Always ask if they have a discount program," he advises. "Sometimes the cheapest option isn't the first one you see."

Clinician perspective

Dr. Patel, a boardcertified neurologist, explains why many of his patients stay on the brandname Diastat even though generic diazepam is cheaper. "The rectal gel delivers a more predictable dose during an emergency," she says. "In a seizure cluster, every minute counts, and the formulation matters as much as the price."

Safety & Risks

Benefits of Diastat for seizure clusters

Diastat works fasttypically within 510minutesmaking it one of the quickest rescue treatments for seizure clusters. It's FDAapproved for ages 2years and older, so it can be used by both children and adults.

Risks & sideeffects

Because Diastat contains diazepam, you might notice drowsiness, mild respiratory depression, or a "foggy" feeling after use. Rarely, higher doses can lead to dependence, so it's recommended only for acute rescuenot regular daily use. Always keep the kit out of reach of children who don't need it.

When to choose generic diazepam vs. brand

If your insurance copay for generic diazepam is significantly lower and you've already established that the dosage works for you, the generic can be a smart costsaving choice. However, if your neurologist emphasizes rapid absorption and precise dosingespecially for a childbrandname Diastat may be the safer bet.

How to Purchase

1. Ask your prescriber for the exact formulation (DiastatAcuDial 10mg rectal gel).
2. Check prices at three local or online pharmacies using tools like GoodRx or the Drugs.com price guide.
3. Download a coupon (Optum Perks or Drugs.com) and present it at checkout.
4. If uninsured, submit a patientassistance application before you fill the prescription to avoid surprise bills.
5. Consider mailorder for a 90day supply if your plan allowsit can drop the perkit price by another 510%.

Helpful Resources

For the most uptodate details, you can consult the official FDA prescribing information, the latest price listings on Drugs.com, and the patient assistance portals of the PAN Foundation. When you're ready to start saving, the OptumPerks coupon page is a quick click away.

Conclusion

Understanding the Diastat cost2025 landscape empowers you to make smarter, more affordable choices for seizurecluster treatment. While cash prices hover around $350$380, coupons, insurance, and patientassistance programs can bring your outofpocket expense down to $50$120. Check your plan's coverage, secure the right discounts, and don't hesitate to ask your pharmacist or neurologist for help navigating prior authorizations. Grab a free coupon today, share your savings tip in the comments, and let's keep the conversation goingbecause every dollar saved is a little more peace of mind for you and your family.

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.