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Aciphex Sprinkle Prices, Coupons and Patient Assistance Programs

Aciphex Sprinkle (rabeprazole) is commonly used for GERD.

Aciphex Sprinkle Prices

This Aciphex Sprinkle price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. The cost for Aciphex Sprinkle oral delayed release capsule 5 mg is around $600 for a supply of 30 capsules, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Aciphex Sprinkle is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Aciphex Sprinkle availability.

Oral Delayed Release Capsule

5 mg Aciphex Sprinkle oral delayed release capsule
from $599.87 for 30 delayed release capsule
Quantity Per unit Price
30 $20.00 $599.87

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.

10 mg Aciphex Sprinkle oral delayed release capsule
from $639.28 for 30 delayed release capsule
Quantity Per unit Price
30 $21.31 $639.28

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 Sprinkle Coupons and Rebates

Aciphex Sprinkle 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 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 Sprinkle

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: 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 Sprinkle (rabeprazole sodium) Capsule; Delayed Release
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