If you’re looking at treatment options for prostate cancer, you may want to learn more about Xtandi.

Xtandi is a prescription drug used in adult males* to treat certain kinds of prostate cancer.

Xtandi contains the active ingredient enzalutamide. (An active ingredient is what makes a drug work.) Xtandi comes as a tablet or capsule, which you swallow.

Keep reading for details on Xtandi and cost, and how to save money on prescriptions.

Note: For more details on Xtandi, see this in-depth article.

* In this article, we use the term “male” to refer to someone’s sex assigned at birth. For information about the difference between sex and gender, see this article.

The price you pay for Xtandi can vary. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use.

To learn more about the cost of Xtandi, including what your cost per month may be, talk with your doctor or pharmacist.

Note: If you have insurance, you may need prior authorization before your insurance provider will cover Xtandi. This means your insurer and your doctor will discuss Xtandi in regard to your treatment. Then the insurance company will determine whether the drug is covered. If Xtandi requires prior authorization and you don’t receive it before you start treatment, you could pay the full cost of the drug.

Be sure to ask your insurance company whether Xtandi requires prior authorization.

Below are answers to some frequently asked questions about Xtandi and cost.

Does the cost of Xtandi depend on the strength I take (40 mg or 80 mg)?

No, the cost of Xtandi is generally the same for the 40-milligram (mg) and 80-mg strengths. But the price you pay could vary based on other factors. These may include your treatment plan, your insurance coverage (if you have it), and the pharmacy you use.

To learn more about what you’ll pay for Xtandi, talk with your doctor, pharmacist, or insurance provider.

What’s the cost of Xtandi without insurance vs. with insurance?

In general, Xtandi is more expensive without insurance than with insurance. But even if you have insurance, you’ll need to check that your specific plan covers Xtandi.

To learn more about what you’ll pay for Xtandi, talk with your doctor, pharmacist, or insurance provider.

How much will I pay for Xtandi if I have Medicare coverage?

If you have a Medicare plan with drug coverage, Xtandi will likely be covered. The exact cost may depend on your specific plan’s benefits, whether you’ve met your deductible, or other factors.

To learn more, talk with your doctor, a pharmacist, or a Medicare representative.

Is a manufacturer coupon available for Xtandi?

The manufacturer of Xtandi doesn’t currently offer a coupon, but they do offer a resource called Xtandi Support Solutions. This includes two savings programs:

  • Xtandi Patient Savings Program. This program is available for eligible people with commercial insurance. In some cases, people who quality could pay $0 for a 12-month supply of Xtandi.
  • Astellas Patient Assistance Program. This program is available for certain people without insurance. Those who are eligible may be able to get Xtandi at no cost.

If you have Medicare, you can call Xtandi Support Solutions at 855-898-2634 to ask about other available resources.

If you need help covering the cost of Xtandi or understanding your insurance, check out these websites:

On these sites, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.

If you have questions about paying for your prescription, talk with your doctor or pharmacist.

Xtandi is only available as a brand-name drug. It’s not currently available in a generic version. A generic drug is an exact copy of the active drug in a brand-name medication. Generics tend to cost less than brand-name drugs.

Why is there such a cost difference between brand-name drugs and generics?

Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug for up to 20 years. After that, other drugmakers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.

If you take Xtandi long term, you may be able to lower your costs in the following ways:

  • Look into getting a 90-day supply of your medication. You may be able to get a 90-day supply of Xtandi if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of Xtandi. If you’re interested in getting a 90-day supply of this drug, talk with your doctor, pharmacist, or insurance provider.
  • Use a mail-order pharmacy to get your medication. Using a mail-order pharmacy might help lower your cost for Xtandi. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.

If you still have questions about the cost of Xtandi, talk with your doctor or pharmacist. They may be able to give you a better idea of what you’ll pay for this drug. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Xtandi.

Examples of questions you may want to ask your doctor or insurance provider include:

  • Are there other lower-cost drugs that could treat my condition?
  • What will my out-of-pocket costs be for Xtandi?
  • What are my options if I can’t afford my medication?

Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.