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Aciphex Prices, Coupons and Patient Assistance Programs

Aciphex (rabeprazole) is a member of the proton pump inhibitors drug class and is commonly used for Barrett's Esophagus, Duodenal Ulcer, Duodenal Ulcer Prophylaxis, and others.

Aciphex Prices

This Aciphex price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. The cost for Aciphex oral delayed release tablet 20 mg is around $557 for a supply of 30 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

A generic version of Aciphex is available, see rabeprazole prices.

Oral Delayed Release Tablet

20 mg Aciphex oral delayed release tablet
from $557.29 for 30 delayed release tablet
Quantity Per unit Price
30 $18.58 $557.29

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

Drugs.com Printable Discount Card

Print Now

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Please note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.


Aciphex Coupons and Rebates

Aciphex offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Aciphex Sprinkle Patient Savings Card: Eligible commercially insured patients may pay no more than $10 per prescription with savings of up to $75; for additional information contact the program at 855-488-0752.

Applies to:AcipHex Sprinkle
Number of uses:Per prescription until program expires

Aciphex Monthly Savings Card: Most eligible commercially insured patients may pay $20 per prescription with savings of up to $55 per fill; for additional information contact the program at 800-773-0098.

Applies to:AcipHex
Number of uses:Per prescription until program expires

Aciphex Monthly Savings Card: Most eligible uninsured/cash-paying patients may pay save of up to $55 per fill; for additional information contact the program at 800-773-0098.

Applies to:AcipHex
Number of uses:Per prescription until program expires

Aciphex Sprinkle Patient Savings Card: Eligible uninsured/cash-paying patients pay the first $10 and any amount over the coupon amount of $75 per prescription; for additional information contact the program at 855-488-0752.

Applies to:AcipHex Sprinkle
Number of uses:Per prescription until program expires

Patient Assistance Programs for Aciphex

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: Rx Outreach Medications

Elligibility requirements:

  1. May have insurance
  2. Determined case by case
  3. Not required
  4. The patient must also be residing in the US.
  5. Rx Outreach has expanded the eligibility guidelines beyond 400% FPL to include people affected by COVID-19. Some medications are available for a fee of $20 for up to a 180 day supply. Check the Rx Outreach website for the exact price and most current medication list. Contact Program for Spanish Application(s)/Form(s).

Applicable drugs:

  • AcipHex (rabeprazole sodium) Tablet; Delayed Release

Provider: Patient Access Network Foundation (PAN)

Elligibility requirements:

  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.

Applicable drugs:

  • AcipHex (rabeprazole sodium) Tablet; Delayed Release
  • AcipHex Sprinkle (rabeprazole sodium) Capsule; Delayed Release
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