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Elmiron Prices, Coupons and Patient Assistance Programs

Elmiron (pentosan polysulfate sodium) is a member of the miscellaneous genitourinary tract agents drug class and is commonly used for Bladder Infection, and Interstitial Cystitis.

The cost for Elmiron oral capsule 100 mg is around $1,199 for a supply of 100 capsules, 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.

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

Elmiron prices

Oral Capsule

Quantity Per unit Price
100 $11.99 $1,199.13

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.

Elmiron Coupons, Copay Cards and Rebates

Elmiron 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.

Elmiron EarlyAssist Savings Card

Eligible commercially insured patients pay $25 per prescription with a maximum savings of $300 per fill; maximum savings of $3,600 per year; offer expires at the end of each calendar year; for additional information contact the program at 800-526-7736.

Applies to:
Elmiron
Number of uses:
Per prescription per calendar year

Form more information phone: 800-526-7736 or Visit website

Elmiron Medicare Part D Extra Help Subsidy

Patients who have Medicare Part D coverage may be eligible to apply for the Part D Extra Help Subsidy and once accepted to the program may receive reduced premiums and lower prescription costs; contact the program directly for questions or to sign-up.

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

Form more information phone: 800-772-1213 or Visit website

Patient Assistance & Copay Programs for Elmiron

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: Johnson & Johnson Patient Assistance Foundation, Inc. Patient Assistance Program

Eligibility requirements:
  1. Contact program for details.
  2. Varies. *See below for details
  3. Medication must be for outpatient use only
  4. The patient must also be permanently residing in the US or US territories.
  5. *Please call (800) 652-6227 or visit Program website for specific FPL income requirements.
Applicable drugs:
  • Elmiron (pentosan polysulfate sodium) Capsule

More information please phone: 800-652-6227 Visit Website

Provider: Janssen CarePath

Eligibility requirements:
  1. Determined case by case
  2. Not applicable
  3. Must be used for on-label diagnosis
  4. The patient must be a US citizen or legal resident.
  5. Patient Support and co-payment assistance available for eligible patients. Call for most recent medications as the list is subject to change.
Applicable drugs:
  • Elmiron (pentosan polysulfate sodium) Capsule

More information please phone: 877-227-3728   or 833-742-0791   Visit Website

Disclaimer: Medication pricing is sourced from a variety of providers. Pricing may vary significantly due to several factors including brand or generic status, insurance coverage, pharmacy choice, location, and manufacturer pricing policies. Prices are subject to change. For the most accurate and up-to-date information, always consult directly with your pharmacy or healthcare provider.