I’m not able to pull up a real‑time price from a specific pharmacy, but I can give you a general sense of what to expect and how you can find the exact cost for your situation.
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Rough price ranges (by region)
| Region | Typical retail price (per 0.5 mg tablet) |
|--------|----------------------------------------|
| United States (brand Prograf) | $200–$350 (may vary by pharmacy) |
| United States (generic tacrolimus) | $30–$80 (prices have dropped significantly in the past few years) |
| Canada (brand) | $80–$120 |
| United Kingdom (brand) | £60–£90 (approx. $80–$120) |
| Australia (brand) | AUD$120–$180 |
Note: These figures are approximate and can fluctuate due to pharmacy pricing, discounts, or changes in the supply chain. Insurance coverage, co‑payment plans, and pharmacy benefit manager (PBM) agreements can also shift the out‑of‑pocket cost dramatically.
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How to find the exact price for you
1. Check with your pharmacy
Call or log into the online portal of a few local pharmacies. Many now allow you to enter the drug name and dosage, and they’ll give you the current retail price plus any applicable insurance savings.
2. Use drug‑price lookup tools
Websites such as GoodRx, Drugs.com, or the Australian Pharmaceutical Benefits Scheme (PBS) can give up‑to‑date price listings for brand and generic versions.
3. Ask your insurance provider
Your health plan may have preferred pharmacies or specific cost‑sharing tiers for immunosuppressants. The insurer can confirm whether Prograf or a generic is covered and what your co‑pay will be.
4. Consider a specialty pharmacy
Transplant medications are often handled by specialty pharmacies that can negotiate lower wholesale prices and may offer mail‑order services to reduce cost.
5. Explore patient assistance programs
For those with limited coverage, the manufacturer (Astellas) offers a patient assistance program for eligible recipients. Many generic manufacturers also have support programs.
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A quick sanity check
If you’re looking at a single tablet and it’s priced above $200 in the U.S., you’re likely seeing the brand price. For many patients, the generic tacrolimus (often sold under names like Advagraf, Envarsus, or simply generic tacrolimus) offers a significant cost advantage—sometimes down to $30–$80 per tablet, depending on the formulation and pharmacy.
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Bottom line
- Brand Prograf is the most expensive option, typically $200–$350 per tablet in the U.S.
- Generic tacrolimus can bring the price down to roughly $30–$80 per tablet.
- The exact cost will vary by location, insurance, and pharmacy.
If you have a specific country or pharmacy in mind, let me know and I can narrow it down further.