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Ravicti Prices, Coupons and Patient Assistance Programs

Ravicti (glycerol phenylbutyrate) is a member of the urea cycle disorder agents drug class and is commonly used for Urea Cycle Disorders.

The cost for Ravicti oral liquid (1.1 g/mL) is around $5,778 for a supply of 25 milliliters, 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 discount card which is accepted at most U.S. pharmacies.

Ravicti is available as a brand name drug only, a generic version is not yet available. View generic Ravicti availability for more details.

Ravicti prices

Oral Liquid

Quantity Per unit Price
25 milliliters $231.12 $5,778.10

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.

Ravicti Coupons, Copay Cards and Rebates

Ravicti 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. 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

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.

Ravicti Horizon Commercial Co-Pay Program

Eligible commercially insured patients may receive financial assistance for their co-pay and co-insurance amounts by enrolling in the program; for additional information contact the program at 877-305-7704.

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

Form more information phone: 877-305-7704 or Visit website

Patient Assistance & Copay Programs for Ravicti

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: HealthWell Foundation Copay Program

Eligibility requirements:
  1. May have insurance
  2. Varies
  3. FDA Approved Diagnosis - See Program Website for Details
  4. The patient must also be residing in the US.
  5. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.
Applicable drugs:
  • Ravicti (glycerol phenylbutyrate) Liquid; Oral

More information please phone: 800-675-8416 Visit Website

Provider: Good Days Program

Eligibility requirements:
  1. Must have insurance
  2. At or below 500% of FPL
  3. FDA-approved diagnosis
  4. The patient must also be a US resident with a Social Security Number.
  5. 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.
Applicable drugs:
  • Ravicti (glycerol phenylbutyrate) Liquid; Oral

More information please phone: 877-968-7233 Visit Website

Provider: Horizon By Your Side: Ravicti

Eligibility requirements:
  1. Determined case by case
  2. Based on FPL
  3. FDA-approved diagnosis
  4. Must be a US resident and treated by a US licensed healthcare provider
  5. Co-payment assistance, reimbursement support, and patient assistance programs are available for eligible patients. Raviciti is indicated for the long term management of Urea Cycle Disorder (UCD) Please visit for more information.
Applicable drugs:
  • Ravicti (glycerol phenylbutyrate) Liquid; Oral

More information please phone: 844-469-4297   or 855-823-7878   Visit Website