How do you pay?

How to pay the least

Ask for the cash price

Generic topotecan

No pharmacy we check posts a price for it.

  1. Ask your pharmacy for the cash price of generic topotecan.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 Hycamtin, and the FDA requires it to work the same way.

Compare every option

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

Brand nameNo maker’s card

We didn’t find a savings card or cash price from Hycamtin’s maker. Ask the pharmacy for Hycamtin’s cash price. With insurance, ask what your plan charges.

Authorized genericNot sold

There isn’t one. An authorized generic is Hycamtin 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 genericWho makes it

3 companies sell a generic of Hycamtin that the FDA rates a substitute. A pharmacy fills whichever one it stocks. 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.

  • Accord Healthcare4 mg/4 mL

    Product page on accordhealthcare.us

    How it looks, what’s in it, NDCs

    4 mg/4 mL Yellow

    PackageNDC
    Package of 4 mL16729-151-31

    Inactive ingredients: mannitol, tartaric acid, hydrochloric acid, sodium hydroxide

    FDA label

  • Actavis Pharma4 mg/4 mL
    How it looks, what’s in it, NDCs

    4 mg/4 mL

    PackageNDC
    Carton of 4 mL45963-615-56

    Inactive ingredients: mannitol, tartaric acid, hydrochloric acid, sodium hydroxide

    FDA label

  • Fresenius Kabi4 mg/4 mL
    How it looks, what’s in it, NDCs

    4 mg/4 mL

    PackageNDC
    Box of 4 mL63323-762-10

    Inactive ingredients: mannitol, tartaric acid, hydrochloric acid, sodium hydroxide

    FDA label

Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site.

What to say at the pharmacy

“Before you fill my Hycamtin, 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

HYCAMTIN for injection is a topoisomerase inhibitor indicated for treatment of:

  • Patients with metastatic ovarian cancer after disease progression on or after initial or subsequent chemotherapy, as a single agent
  • Patients with small cell lung cancer (SCLC) platinum-sensitive disease who progressed at least 60 days after initiation of first-line chemotherapy, as a single agent
  • Patients with Stage IV-B, recurrent, or persistent cervical cancer which is not amenable to curative treatment, in combination with cisplatin

Source: the FDA label for Hycamtin (Novartis Pharmaceuticals Corporation), July 7, 2022. Full label on DailyMed 

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