Xtandi cost in 2026
Xtandi costs about $14,625 to $15,005 per month without insurance in 2026, at retail cash prices.
What moves the price
- The pack and strength. Prices here are for 120 capsules or tablets of 40 mg (or 60 tablets of 80 mg), about 30 days.
- Your coverage. Commercial insurance, Medicare and cash pay all get very different prices.
- The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
- Whether a generic or biosimilar is on sale. No generic on sale in the US now. Drugs.com says a generic has been approved by the FDA but is not commercially available, and GoodRx says there are currently no generic alternatives.
What is included
The prices on this page are what a pharmacy charges for 120 capsules or tablets of 40 mg (or 60 tablets of 80 mg), about 30 days, before any insurance. Your own cost depends on your plan, your deductible and any savings card. Ask your pharmacist for the cash price and your insured price, and pay the lower one.
Ways to pay for Xtandi
| How you pay | What it costs |
|---|---|
| Maker list price | $15,353 per month |
| Cash price without insurance | $14,625 to $15,005 per month (SingleCare (low) and Drugs.com (high)) |
| With the maker's savings card | Commercially insured patients may pay as little as $0 per monthly prescription with the Xtandi Patient Savings Program, with savings up to $7,000 per calendar year. Not for government insurance or cash payers. |
| Medicare | Medicare negotiated price of $7,004 for a 30 day supply from Jan 1 2027. |
| Free drug program | Astellas Patient Assistance Program (called Astellas Access on GoodRx): free drug for up to one year for most uninsured or underinsured people with limited income. |
| Generic or biosimilar | No generic on sale in the US now. Drugs.com says a generic has been approved by the FDA but is not commercially available, and GoodRx says there are currently no generic alternatives. |
Average prices in US dollars. Source: Pfizer.
Ways to pay less
- Commercially insured patients may pay as little as $0 per monthly prescription with the Xtandi Patient Savings Program, with savings up to $7,000 per calendar year. Not for government insurance or cash payers.
- Astellas Patient Assistance Program (called Astellas Access on GoodRx): free drug for up to one year for most uninsured or underinsured people with limited income.
- Compare cash prices at several pharmacies with a free discount card before you pay.
- Ask your doctor if a generic or a lower cost drug would work for you.
What price guides say
We checked 6 price guides and read every number on their pages. They do not all measure the same thing, so the ranges on this page come from putting them side by side.
- Pfizer: Xtandi Colorado price disclosure, March 10 2026
- Drugs.com: Xtandi Prices, Coupons and Patient Assistance
- SingleCare: Xtandi Coupons & Prices
- GoodRx: Xtandi
- GoodRx: How much does Xtandi cost without insurance
- Ritter Insurance Marketing: The Latest Maximum Fair Prices for Medicare Negotiated Drugs
Common questions
How much does this cost in 2026?
Xtandi costs about $14,625 to $15,005 per month without insurance in 2026, at retail cash prices. Most people pay about $14,815 per month. The low end is $14,625 and the high end is $15,005.
What changes the price the most?
The biggest factors are: The pack and strength. Prices here are for 120 capsules or tablets of 40 mg (or 60 tablets of 80 mg), about 30 days; Your coverage. Commercial insurance, Medicare and cash pay all get very different prices; The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
How can I pay less?
Commercially insured patients may pay as little as $0 per monthly prescription with the Xtandi Patient Savings Program, with savings up to $7,000 per calendar year. Not for government insurance or cash payers. Astellas Patient Assistance Program (called Astellas Access on GoodRx): free drug for up to one year for most uninsured or underinsured people with limited income. Compare cash prices at several pharmacies with a free discount card before you pay.
Where do these numbers come from?
From 6 named price guides: Pfizer, Drugs.com, SingleCare, GoodRx, GoodRx, Ritter Insurance Marketing. Each one is linked on this page with the date we read it.
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