Brand-name prescription

Elfabrio

pegunigalsidase alfa

Compare your options

Elfabrio is given by a doctor or nurse and billed by the clinic, not a pharmacy. Your care team and your insurance decide which product you get, so ask them what you’d pay.

Compare	ElfabrioBrand name	Authorized genericWithout the Elfabrio name	Regular genericpegunigalsidase alfa
What pharmacies pay	Price not listed	Not sold	Not sold
Same as Elfabrio?	The original	–	–
Ways to save	Maker’s cardas little as $0 a prescriptionwith commercial insurance	–	–
With insurance	Your plan’s brand co-pay	–	–

No authorized generic: There isn’t one.

No regular generic: Elfabrio is a biologic. Biologics don’t have generics, but some have biosimilars or an unbranded version from the same maker. Ask your pharmacist or prescriber whether one is sold.

Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

The maker’s savings card

Rx Maker’s savings card Chiesi

Elfabrio Copay Programs (Chiesi Total Care)

With commercial insurance

as little as $0 a prescription

No insurance

This card needs commercial insurance. The maker doesn’t list a cash price on this page.

Get it on chiesitotalcare.com

In the maker’s words

“You may pay as little as $0 for your Elfabrio prescription.”

From the maker’s offer on chiesitotalcare.com, checked September 25, 2026. What you pay depends on your plan. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Good to know

There’s no authorized generic of Elfabrio.
“Commercial insurance” means a plan from a job, from the marketplace, or one you buy yourself. A retiree plan that’s part of Medicare counts as Medicare. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.
Most cards need a sign-up on the maker’s site, and many work only if your plan covers the drug. Then give the card’s details to the clinic’s billing office.
Don’t stop or change a medicine without talking to your pharmacist or prescriber.