How do you pay?

How to pay the least

Ask for the cash price

Generic carglumic acid

No pharmacy we check posts a price for it.

  1. Ask your pharmacy for the cash price of generic carglumic acid.Find pharmacies near you 
  2. Ask one or two other pharmacies too. Cash prices for the same generic can differ a lot from store to store.

A regular generic has the same active ingredient as Carbaglu, and the FDA requires it to work the same way.

Compare every option

Question
Brand nameCarbaglu
Authorized genericcarglumic acid
Regular genericcarglumic acid
What you’d pay
Cash priceAsk the pharmacyUsually the highest price
Not soldThere isn’t one
Cash priceAsk the pharmacyUsually the lowest
Same as Carbaglu?
The original
–
Same active ingredientFillers and dyes can differ

Brand nameThe maker’s card

Recordati Rare Diseases Copay Assistance Program

Savings card from Recordati Rare Diseases

No insuranceNeeds insuranceNo cash price listed.
Insurance $0 a prescription

Sign up on carbaglu.com 

Or call 1-888-454-8860.

In the maker’s words

“Recordati Rare Diseases, the distributor of CARBAGLU® (carglumic acid) tablets for oral suspension 200mg, is offering a $0 copay for qualified patients with commercial insurance.”

From the maker’s offer on carbaglu.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s card above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

There isn’t one. An authorized generic is Carbaglu itself, from the same company, sold without the brand name, and usually for less. A regular generic is sold, with the same active ingredient: ask the pharmacy for its price.

See the regular generic →

Regular genericMakers and their savings cards

2 companies sell a generic of Carbaglu that the FDA rates a substitute. A pharmacy fills whichever one it stocks. One of them has its own savings card, listed first. It works only with that maker’s version. To get a certain maker, ask for it by name; most pharmacies can order it in a day or two.

It’s mostly filled by specialty pharmacies. Your prescriber’s office or insurer can tell you which one to use.

  • Eton Pharmaceuticals200 mg

    Made by Novitium Pharma

    Eton Cares (Carglumic Acid)

    With commercial insurance as little as $0

    Sign up on carglumicacid.com

    Or call 1-888-991-1330.

    In the maker’s words

    “Eton Cares can help eligible, commercially insured patients get their medication for as little as $0 per month.”

    How it looks, what’s in it, NDCs

    200 mg White to off-white, capsule, 18 mm, marked “N / 120”

    PackageNDC
    Carton of 6071863-114-60

    Inactive ingredients: croscarmellose sodium, cellulose, microcrystalline, silicon dioxide, sodium lauryl sulfate, sodium stearyl fumarate, magnesium stearate, mannitol, povidone k30

    FDA label

  • Burel Pharmaceuticals200 mg

    Made by Navinta

    How it looks, what’s in it, NDCs

    200 mg White, rectangle, 18 mm

    PackageNDC
    Bottle of 6035573-459-60

    Inactive ingredients: microcrystalline cellulose

    FDA label

Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

What to say at the pharmacy

“Before you fill my Carbaglu, can you tell me what I’d pay for the brand and for a generic?”

Paying cash? Ask for each one’s cash price. With insurance, ask what your plan charges for each.

What it’s used for

What the FDA label says

CARBAGLU is a carbamoyl phosphate synthetase 1 (CPS 1) activator indicated in pediatric and adult patients as:

  • Adjunctive therapy to standard of care for the treatment of acute hyperammonemia due to N-acetylglutamate synthase (NAGS) deficiency.
  • Maintenance therapy for the treatment of chronic hyperammonemia due to NAGS deficiency.
  • Adjunctive therapy to standard of care for the treatment of acute hyperammonemia due to propionic acidemia (PA) or methylmalonic acidemia (MMA).

Source: the FDA label for Carbaglu (Recordati Rare Diseases), January 25, 2024. Full label on DailyMed 

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