How Much Does Eohilia Cost?

Let's start with the number everyone wants to know. Without insurance, Eohilia (Budesonide oral suspension) costs approximately $1,930 to $2,524 per 30-day supply. That's for 60 unit-dose packets of 2 mg/10 mL, which covers the standard dose of twice daily for one month.

A full 12-week course of treatment — which is what the FDA approved Eohilia for — would cost roughly $5,790 to $7,572 out of pocket without any assistance.

Those are staggering numbers. But there are several programs and strategies that can dramatically reduce what you actually pay. Here's everything you need to know.

Option 1: Takeda Eohilia Copay Offer

This is the single most valuable program for commercially insured patients. Here's how it works:

• Eligible patients may pay as little as $0 per 30-day supply
• Maximum annual benefit of $2,500 off your copay or out-of-pocket expenses
• Available to patients 18 and older (or for a minor) with commercial insurance
• Not available for patients on government insurance (Medicare, Medicaid, Tricare, VA)
• Cannot be redeemed for cash

To enroll, call 1-866-861-1482 or visit eohilia.com/copay-savings.

For most commercially insured patients, this copay card is the key to making Eohilia affordable. If your insurance covers the medication and you use the copay card, you may pay nothing out of pocket.

Option 2: Takeda Head Start Program

If your insurance hasn't approved Eohilia yet (which is common given prior authorization requirements), the Head Start program can help you start treatment right away:

• One-time 30-day supply at no cost
• Available to commercially insured patients
• Designed to bridge the gap while your insurance processes the prior authorization

This program is especially valuable because the PA process for Eohilia can take 1 to 3 weeks. Without Head Start, you'd have to wait to begin treatment. Ask your doctor to enroll you, or call 1-866-861-1482.

Option 3: Takeda HELP at Hand Patient Assistance Program

If you're uninsured or underinsured and meet income eligibility requirements, Takeda's HELP at Hand program may provide Eohilia at no cost. This is a patient assistance program (PAP) designed for people who genuinely cannot afford their medication.

Eligibility is typically based on household income relative to the federal poverty level. Contact Takeda at 1-866-861-1482 for details and an application.

Option 4: Pharmacy Discount Cards

While Eohilia's specialty distribution limits coupon card availability at retail pharmacies, some discount programs may still help:

• SingleCare: Shows prices as low as $1,927 for a 30-day supply — a savings of about $600 off the list price of $2,524
• GoodRx: May show pricing at select specialty pharmacies

These discounts are most useful for cash-paying patients who don't have insurance coverage for Eohilia. They can't be combined with insurance or the Takeda copay card.

Option 5: Talk to Your Doctor About Cheaper Alternatives

If cost is the main barrier and you cannot access the programs above, there are more affordable treatments for EoE:

• Compounded budesonide slurry: $30 to $100/month — the same active ingredient (Budesonide) mixed into a swallowable slurry at a compounding pharmacy
• Swallowed fluticasone propionate: $30 to $80/month — a generic inhaler used off-label by swallowing the medication
• Proton pump inhibitors (PPIs): $4 to $30/month — generic omeprazole or pantoprazole, often the first treatment tried for EoE

These alternatives are not identical to Eohilia, but they're evidence-based treatments that many EoE patients use successfully. Read more in our alternatives to Eohilia guide.

Tips to Minimize Your Eohilia Costs

Here are some additional strategies:

• Enroll in the copay card before your first fill. Don't wait until you're at the pharmacy counter.
• Start the PA process immediately. The longer you wait, the longer you may be paying more than necessary. See our guide to finding Eohilia for PA tips.
• Appeal insurance denials. Many initial denials are overturned on appeal. Your doctor can help with peer-to-peer reviews.
• Ask about samples. Your gastroenterologist may have Eohilia samples available from Takeda representatives.
• Check with your employer. Some employer-sponsored plans have specialty pharmacy carve-outs with different copay structures. HR can clarify your plan's specifics.
• Use MedFinder to compare pharmacy pricing. Visit MedFinder to check availability and pricing at pharmacies near you.

What About Medicare and Medicaid Patients?

If you're on Medicare or Medicaid, the Takeda copay card is not available to you (this is a legal restriction, not a Takeda decision). However, you may still have options:

• Medicare Part D: Some plans cover Eohilia with prior authorization. Check your plan's formulary.
• Medicare Extra Help (LIS): Low-income Medicare beneficiaries may qualify for reduced copays through the Low-Income Subsidy program.
• Medicaid: Coverage varies by state. Your doctor will need to submit a prior authorization.
• HELP at Hand PAP: May be available if you meet income criteria, even with government insurance — ask Takeda for details.

The Bottom Line on Eohilia Costs

Yes, Eohilia is expensive at its cash price of nearly $2,000 per month. But most patients don't actually pay that amount. Between Takeda's copay card ($0 for many insured patients), the Head Start free supply, patient assistance for the uninsured, and pharmacy discount cards, there are real ways to reduce your cost significantly.

The key is to be proactive: enroll in programs early, work with your doctor on insurance approvals, and don't give up if your first attempt hits a roadblock. For more help finding Eohilia, visit MedFinder.