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Medicine prices in the United States

Phenytoin Price in the United States (2026)

Compiled by the TrustClinix data team · Medical review pending2 official sourcesPrices last checked 31 October 2026How we get our data
Lowest NADAC pharmacy acquisition cost per tablet
$0.23

Average pharmacy cost for generic phenytoin 50 mg tablet, across 1 product codes (NDCs). CMS NADAC file, Oct 2026.

≈ $0.23 per tablet
$6.95
30 tablets (pharmacy cost)
$20.84
90 tablets (pharmacy cost)
4
strengths and forms
NADAC
price type (CMS)
Cash price

Phenytoin cost without insurance

The figures here are what US retail pharmacies pay for generic phenytoin: about $0.23 per tablet (50 mg tablet), so $6.95 for a 30-day supply at one a day. If you pay cash, the pharmacy adds a dispensing fee and its margin, so expect to pay more than this, and prices differ between pharmacies for the same prescription.

With insurance or Medicare Part D you usually pay a fixed co-pay or co-insurance instead. Ask for the generic rather than the brand, compare a few pharmacies, and check discount programs: for cheap generics a cash price can be lower than your co-pay.

4 products

One product name across 3 strengths are on the official list.

South Africa

has the lowest listed price per tablet for the same strength: $0.15 vs $0.23 here (different price types; see below).

Interactive

How much will Phenytoin 50 mg tablet cost you?

tablets per day: 1 a day

Your doctor decides how many tablets you need. This is a cost estimate only, using $0.232 per tablet.

Estimated cost
$6.95
For a full year$84.53
Every listed product

All 4 phenytoin products in the United States

Phenytoin official prices in the United States
Generic (NADAC description)StrengthFormPer unit30 units
phenytoin 50 mg infatab chew50 mgtablet$0.23$6.95
phenytoin 50 mg tablet chew50 mgtablet$0.23$6.95
phenytoin sod ext 100 mg cap100 mgcapsule$0.14$4.31
phenytoin 125 mg/5 mL susp125 mgoral liquid$0.074$2.23
Generic$0.23
Phenytoin 50 mg tablet: price per tablet by product (USD)
Same medicine, other countries

Phenytoin 50 mg tablet: the United States vs 3 other countries

South Africa$0.15
Australia$0.17
United States (this page)$0.23
United Arab Emirates$1.82
Lowest listed price per tablet (USD)
By country
CountryPrice typePer tablet (local)Per unit (USD)
South AfricaSingle Exit Price (SEP)R2.50$0.15
AustraliaPBS approved ex-manufacturer priceA$0.24$0.17
United Arab EmiratesAbu Dhabi DoH public priceAED 6.67$1.82

Countries publish different kinds of price (manufacturer, reimbursement or retail), so differences are partly due to what is measured. Converted at official US dollar pegs (AED, SAR) and ECB reference rates of 23 October 2026.

What this price means

How NADAC prices work in the United States

Prices on this page are the National Average Drug Acquisition Cost (NADAC): the average price US retail pharmacies pay wholesalers for the drug, per tablet, capsule, mL or gram, from a monthly survey run for the Centers for Medicare & Medicaid Services (CMS). It is not the price on your receipt. Pharmacies add a dispensing fee and a margin, so the cash price without insurance is higher, often much higher, while your co-pay with insurance depends on your plan. Discount programs and low-cost pharmacies often sell common generics close to this cost plus a fee.

Read the full guide to medicine prices in the United States.

Strengths and forms

Every strength and form of phenytoin in the United States

Strengths and forms
Strength and formProductsCheapest packCheapest per unit
50 mg tablet2$0.23$0.23
100 mg capsule1$0.14$0.14
125 mg oral liquid1$0.074—

Different strengths and forms (for example slow-release or dissolving tablets) are not interchangeable without your doctor's advice.

A–Z

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Quick answers

Frequently asked questions

How much does phenytoin cost in the United States?
Official NADAC prices for phenytoin in the United States range from $0.23 to $0.23 per pack across 4 listed products. The cheapest 50 mg tablet works out at $0.23 each (about $0.23).
What kind of price is this?
It is the National Average Drug Acquisition Cost (NADAC): the average price US retail pharmacies pay wholesalers for the drug, per tablet, capsule, mL or gram, from a monthly survey run for the Centers for Medicare & Medicaid Services (CMS). It is not the price on your receipt. Pharmacies add a dispensing fee and a margin, so the cash price without insurance is higher, often much higher, while your co-pay with insurance depends on your plan. Discount programs and low-cost pharmacies often sell common generics close to this cost plus a fee.
What is the cheapest phenytoin 50 mg tablet in the United States?
Generic at $0.23 for 1 tablet, or $0.23 per tablet. 1 other product has the same strength.
How much does phenytoin cost without insurance?
US pharmacies pay about $0.23 per tablet for 50 mg tablet, or $6.95 for 30 (NADAC, Oct 2026). Without insurance you pay that cost plus the pharmacy's dispensing fee and margin, so cash prices are higher and vary a lot between pharmacies. Asking for the generic, comparing pharmacies and using a discount program usually brings the price closest to this cost.
Is NADAC the retail price of phenytoin?
No. NADAC is what pharmacies pay to buy the drug. It is the closest public benchmark for the real cost of a generic, which is why Medicaid uses it to pay pharmacies, but the price at the counter includes fees on top.
Is phenytoin cheaper in other countries?
For 50 mg tablet, the lowest listed price per tablet is $0.15 in South Africa, $0.17 in Australia and $1.82 in the UAE, compared with $0.23 in the United States. Each country publishes a different type of price, so treat this as a rough guide.
Evidence

Sources

  1. Centers for Medicare & Medicaid Services (CMS). NADAC (National Average Drug Acquisition Cost) 2026, weekly file as of 28 October 2026 (generic prescription drugs). data.medicaid.gov/dataset/fbb83258-11c7-47f5-8b18-5f8e79f7e704. Retrieved 31 October 2026.
  2. European Central Bank. Euro foreign exchange reference rates (2026-10-23). www.ecb.europa.eu/stats/eurofxref/eurofxref-daily.xml. Retrieved 25 October 2026.

Important: These are published reference prices and estimates, not a quote, and not medical advice. Actual costs depend on the hospital, your health, the exact treatment and your insurance. Always confirm the price with the provider before treatment. Read our disclaimer · Report an error