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Ampyra Prices, Coupons and Patient Assistance Programs

Ampyra (dalfampridine) is a member of the miscellaneous central nervous system agents drug class and is commonly used for Multiple Sclerosis.

Ampyra prices

The cost for Ampyra oral tablet, extended release 10 mg is around $3,714 for a supply of 60 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 Ampyra is available, see dalfampridine prices.

This Ampyra price guide is based on using the discount card which is accepted at most U.S. pharmacies.

Oral Tablet, Extended Release Printable Discount Card

The free 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.

Print Free Discount Card

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.

Ampyra Coupons and Rebates

Ampyra 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.

Ampyra Co-Pay Program: Eligible commercially insured patients may pay as little as $10 per monthly prescription with a savings of up to $1000 per fill; annual maximum savings of $12,000; for additional information contact the program at 888-881-1918.

Applies to:
Number of uses:
per prescription per year

Form more information phone: 888-881-1918 or Visit website

Ampyra Free Trial Program: Eligible patients may receive a 60-day FREE trial prescription; patients who have received a prescription within the last 12 months are not eligible; for additional information contact the program at 888-881-1918.

Applies to:
Number of uses:
One-time offer

Form more information phone: 888-881-1918 or Visit website

Patient Assistance Programs for Ampyra

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:
  • Ampyra (dalfampridine) Tablet; Extended Release

More information please phone: 888-796-1234 Visit Website