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Cash-pay, insurance, and compounded pricing across 12 states. Cheapest cash-pay observed: $1,141 in Texas.
National baseline: $1,349/month
Local prices vary by pharmacy chain, state regulation, and insurance plan. Below shows observed ranges per state.
| State | Cash range | Insured median |
|---|---|---|
| California | $1,265–$1,418 | $50 |
| Florida | $1,203–$1,348 | $54 |
| Georgia | $1,178–$1,321 | $52 |
| Illinois | $1,240–$1,390 | $53 |
| Massachusetts | $1,314–$1,473 | $52 |
| New Jersey | $1,290–$1,446 | $54 |
| New York | $1,302–$1,460 | $55 |
| North Carolina | $1,190–$1,334 | $52 |
| Ohio | $1,153–$1,293 | $51 |
| Pennsylvania | $1,215–$1,362 | $52 |
| Texas | $1,141–$1,279 | $52 |
| Washington | $1,252–$1,404 | $53 |
Cash and insured prices reflect sample observations from major pharmacy chains and plan formularies. Your specific pharmacy, plan, and pharmacy benefits manager may price differently. Compounded prices reflect major telehealth providers.
The price spread in the table is not random. Each pharmacy chain sets its own cash price, and which chains dominate varies by state. Insurance out-of-pocket depends on which pharmacy benefit managers run the big local plans and what rebates they negotiated. And the compounded column depends on state pharmacy and telehealth rules. Same molecule, different supply chain.
Three things move the price: which pharmacy chains dominate the state (each sets its own cash price), which pharmacy benefit managers (PBMs) run the big local insurance plans (they negotiate different rebates and copay tiers), and state rules on pharmacies and telehealth compounding. The drug itself is the same everywhere — the supply chain around it is not.
Cash is what you pay walking in with no insurance — the list-price range at retail pharmacies. The insured median is the typical out-of-pocket for plans that cover the drug (if yours does not, you are effectively a cash payer). Compounded refers to pharmacy-made versions of the active ingredient sold via telehealth — usually the cheapest route, but not FDA-approved products, which is a real trade-off worth understanding before choosing on price alone.
In order of typical savings: check whether your insurance covers it with a prior authorization (the biggest discount when it works); use the manufacturer's savings program if you are commercially insured; compare cash prices across chains — the spread within one state is often hundreds of dollars; and price the compounded route only after reading up on what compounded actually means. Our cheapest-route guide ranks every legal option by price.