Cost of tofacitinib?

Cost varies a lot by country, dosage form, and whether you have insurance or a savings program. A quick guide:

- Brand-name (Xeljanz) price in the U.S.: typically several thousand dollars per month before any discounts. The exact amount depends on whether you take 5 mg twice daily (60 tablets per month) or 11 mg extended-release once daily (about 30 tablets per month). Without insurance or discounts, you can expect roughly in the range of a few thousand dollars per month.

- With insurance or savings programs: out-of-pocket can be much lower, sometimes from $0 to a few hundred dollars per month, depending on your plan and any manufacturer savings card.

- Generics: once generic tofacitinib is available in your country, the price usually drops substantially, but the timing and extent depend on local approvals and formulary coverage.

- Other countries: prices differ widely due to national pricing, reimbursement, and what portion is covered by public plans or private insurance. In many places the patient’s cost is lower than the cash price, but exact amounts vary.

If you’d like, tell me:
- your country or region
- whether you have insurance and what kind (private, public, or none)
- whether you’re taking the 5 mg tablets (twice daily) or the 11 mg XR (once daily)

I can then give a more specific estimate and point you to current cash prices or reimbursement options (e.g., pharmacy price checks, GoodRx equivalents, manufacturer savings programs).