Skip to main content
Print Save

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.

The cost for Ampyra oral tablet, extended release 10 mg is around $4,085 for a supply of 60 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

A generic version of Ampyra is available. See dalfampridine prices (from $137.26 for 60 tablets).

Ampyra prices

Oral Tablet, Extended Release

Quantity Per unit Price
60 $68.08 $4,084.52

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.

Ampyra Coupons, Copay Cards and Rebates

Ampyra offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional.

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

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 Co-Pay Program

Eligible commercially insured patients may pay as little as $10 per monthly prescription with a savings up to $1000 per fill; 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

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:
Ampyra
Number of uses:
One-time offer

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

Patient Assistance & Copay Programs for Ampyra

Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: Rx Outreach Medications

Eligibility requirements:
  1. May have insurance
  2. Determined case by case
  3. Not required
  4. The patient must also be residing in the US.
  5. 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: 314-222-0472   or 888-796-1234   Visit Website