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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 $3,364 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 Drugs.com discount card which is accepted at most U.S. pharmacies.

Oral Tablet, Extended Release

Drugs.com Printable Discount Card

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.

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 month with savings of up to $1000 per prescription; annual maximum savings of $12,000; for additional information contact the program at 888-881-1918.

Applies to:
Ampyra
Number of uses:
per prescription per year

More information please phone: 888-881-1918 Visit Website

Ampyra Free Trial Program: Receive a 60-day FREE trial prescription; for additional information contact the program at 888-881-1918.

Applies to:
Ampyra
Number of uses:
One-time offer

More information please phone: 888-881-1918 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

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:
  • Ampyra (dalfampridine) Tablet; Extended Release

More information please phone: 866-316-7263 Visit Website