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Medicine prices in the United States

Sirolimus 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
$0.83

Average pharmacy cost for generic sirolimus 0.5 mg tablet, across 7 product codes (NDCs). CMS NADAC file, Oct 2026.

≈ $0.83 per tablet
$24.98
30 tablets (pharmacy cost)
$74.93
90 tablets (pharmacy cost)
4
strengths and forms
NADAC
price type (CMS)
Cash price

Sirolimus cost without insurance

The figures here are what US retail pharmacies pay for generic sirolimus: about $0.83 per tablet (0.5 mg tablet), so $24.98 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.

Interactive

How much will Sirolimus 0.5 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 $0.833 per tablet.

Estimated cost
$24.98
For a full year$304
Every listed product

All 4 sirolimus products in the United States

Sirolimus official prices in the United States
Generic (NADAC description)StrengthFormPer unit30 units
sirolimus 0.5 mg tablet0.5 mgtablet$0.83$24.98
sirolimus 1 mg/mL solution1 mgoral liquid$4.21$126
sirolimus 1 mg tablet1 mgtablet$0.71$21.38
sirolimus 2 mg tablet2 mgtablet$2.36$70.65
Same medicine, other countries

Sirolimus 0.5 mg tablet: the United States vs 2 other countries

United States (this page)$0.83
Australia$2.06
United Arab Emirates$5.03
Lowest listed price per tablet (USD)
By country
CountryPrice typePer tablet (local)Per unit (USD)
AustraliaPBS approved ex-manufacturer priceA$2.94$2.06
United Arab EmiratesAbu Dhabi DoH public priceAED 18.48$5.03

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 sirolimus in the United States

Strengths and forms
Strength and formProductsCheapest packCheapest per unit
0.5 mg tablet1$0.83$0.83
1 mg oral liquid1$4.21—
1 mg tablet1$0.71$0.71
2 mg tablet1$2.36$2.36

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

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Quick answers

Frequently asked questions

How much does sirolimus cost in the United States?
Official NADAC prices for sirolimus in the United States range from $0.83 to $4.21 per pack across 4 listed products. The cheapest 0.5 mg tablet works out at $0.83 each (about $0.83).
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 sirolimus 0.5 mg tablet in the United States?
Generic at $0.83 for 1 tablet, or $0.83 per tablet.
How much does sirolimus cost without insurance?
US pharmacies pay about $0.83 per tablet for 0.5 mg tablet, or $24.98 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 sirolimus?
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 sirolimus cheaper in other countries?
For 0.5 mg tablet, the lowest listed price per tablet is $2.06 in Australia and $5.03 in the UAE, compared with $0.83 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