Phentermine/Topiramate XR (Qsymia) costs $200-$290/month cash. Learn how to save with coupons, discount cards, and the $98 home delivery program.
If your doctor prescribed Phentermine/Topiramate XR (brand name Qsymia), one of the first things you probably noticed is the price. Without insurance, this medication can cost $200 to $290 per month at retail pharmacies.
That's a lot — especially for a medication you may take long-term. But here's the good news: there are real ways to bring that cost down significantly. In this guide, we'll break down exactly what Phentermine/Topiramate XR costs in 2026 and every option you have to save money.
Let's start with the numbers. The average retail cash price for a 30-day supply of Qsymia is approximately:
These prices vary by pharmacy and location. There is no generic version of Phentermine/Topiramate XR available as of 2026, which means you're paying for the brand-name product regardless.
Prescription discount cards can significantly reduce what you pay out of pocket. These work even if you don't have insurance — and sometimes save you more than your insurance copay.
Price: As low as ~$63/month for 30 capsules of 7.5 mg/46 mg
SingleCare is one of the most consistently affordable options for Qsymia. The card is free, and you can use it at participating pharmacies. Visit singlecare.com to get your coupon and check prices at pharmacies near you.
GoodRx also offers discount pricing for Qsymia, though availability may vary depending on the REMS-certified pharmacy. Check goodrx.com/qsymia for current pricing.
The manufacturer offers a copay savings card for patients with commercial insurance. This card can reduce your copay cost. Visit SaveOnQsymia.com for eligibility details. Note: This card is for patients who already have insurance coverage — it doesn't help if you're paying cash without insurance.
You can also check pricing through:
Prices vary by pharmacy and strength, so it's worth comparing across multiple services.
One of the best savings options is the Qsymia Engage program. Here's how it works:
At $98/month, this program saves you $100 to $190 per month compared to retail cash prices. It also solves the access problem since you don't need to find a local REMS-certified pharmacy.
Visit QsymiaEngage.com to learn more.
If you have health insurance, your plan may cover Phentermine/Topiramate XR — but coverage is not guaranteed.
Many private insurance plans do cover Qsymia, but most require prior authorization. Your doctor will need to submit documentation showing:
If your plan covers it, your copay could be as low as $30 to $75 per month, especially with the manufacturer's copay card on top.
Medicare Part D generally does not cover weight loss medications, including Qsymia. If you're on Medicare, you'll likely need to pay out of pocket using the Qsymia Engage program or a discount card.
Medicaid coverage for Qsymia varies by state. Some state Medicaid programs do cover it; others don't. Check with your state's Medicaid program or your pharmacy to find out.
Unlike some brand-name medications, the manufacturer of Qsymia (Vivus/Currax Pharmaceuticals) does not offer a traditional patient assistance program (PAP) for uninsured or low-income patients. However, you may be able to find help through:
These organizations may help you find state or local programs that can offset the cost of your medication.
If cost is a major barrier, talk to your doctor about prescribing generic Phentermine and generic Topiramate as separate medications. This approach:
However, the dosing and release profile are different from the combination product, so your doctor needs to manage this carefully. This is considered an off-label approach.
Prices can vary significantly between pharmacies — even for the same medication in the same city. Use Medfinder to find pharmacies that stock Phentermine/Topiramate XR, then compare prices using discount card websites.
If cost remains prohibitive, cheaper alternatives exist. Generic Phentermine costs $10 to $30 per month, and over-the-counter Orlistat (Alli) runs about $40 to $60 per month. See our full guide on alternatives to Phentermine/Topiramate XR.
Phentermine/Topiramate XR doesn't have to break the bank. Between the Qsymia Engage program at $98/month, discount cards that can bring the price below $65/month, and the option of separate generics for as little as $15/month, there are real paths to affordability.
Start by checking your options: use Medfinder to find a pharmacy, compare discount card prices, and talk to your doctor about what works best for your budget and health goals.
For more information about this medication, see our posts on what Phentermine/Topiramate XR is and Phentermine/Topiramate XR side effects.
You focus on staying healthy. We'll handle the rest.
Try Medfinder Concierge FreeMedfinder's mission is to ensure every patient gets access to the medications they need. We believe this begins with trustworthy information. Our core values guide everything we do, including the standards that shape the accuracy, transparency, and quality of our content. We’re committed to delivering information that’s evidence-based, regularly updated, and easy to understand. For more details on our editorial process, see here.
%2C%20Color%3DOriginal.png)
