An authorized generic of Mestinon was sold before, but it isn’t sold now. Ask your pharmacist whether a regular generic (pyridostigmine bromide) is available.
Source: FDA, updated October 30, 2026
How to pay the least
From
$17.43 for 30 tablets
Generic pyridostigmine with the free Team Cuban Card, at pharmacies that take it. Pick the strength on your label above for its own price.
- Get the free Team Cuban Card. It costs nothing to sign up.See the price and get the card
- At a pharmacy that takes it, show the card and ask for generic pyridostigmine.Find a pharmacy that takes it
A regular generic has the same active ingredient as Mestinon, and the FDA requires it to work the same way.
Compare every option
Question
Brand nameMestinon
Authorized genericpyridostigmine
Regular genericpyridostigmine
What you’d pay
Cash priceAsk the pharmacyUsually the highest price
Not soldNo longer sold
Same as Mestinon?
The original
–
Same active ingredientFillers and dyes can differ
Details for each option
Details for
Brand nameNo maker’s card
We didn’t find a savings card or cash price from Mestinon’s maker. Ask the pharmacy for Mestinon’s cash price. With insurance, ask what your plan charges.
Authorized genericNot sold now
Regular genericWhere to buy it
Pharmacies’ own cash prices for generic pyridostigmine, lowest first.
Pick up in storeDelivered
- Pick up in store: Costco from $24.99for 90 tablets60 mg: $24.99 for 90 tablets180 mg: $99.10 for 30 tabletsMembers only · $65 a yearFind the nearest store
- Delivered: Costco from $24.99for 90 tablets60 mg: $24.99 for 90 tablets180 mg: $99.10 for 30 tabletsMembers only · $65 a year · Plus shipping
- Pick up in store: Walgreens + Optum Perks $29.44for 90 tablets60 mgFree Optum Perks coupon · not with insuranceFind the nearest store
- Pick up in store: CVS Pharmacy + Optum Perks $36.58for 90 tablets60 mgFree Optum Perks coupon · not with insuranceFind the nearest store
- Delivered: Optum Perks $38.83for 90 tablets60 mgPlus $5 shipping · Not with insurance
- Pick up in store: Team Cuban Card from $17.43for 30 tablets60 mg $17.43 · 180 mg $151.44Free card · Kroger, Albertsons, Safeway, Meijer and many local pharmaciesFind a pharmacy that takes it
- Pick up in store: Sam's Club See its pricePlus members only · $120 a yearFind the nearest store
From each pharmacy’s own site, read November 2, 2026. Confirm the price before you fill.
About these prices
Prices change, can differ by store and state, and may depend on the strength and how many you take. With insurance, ask what your plan charges; it can be less.
Regular genericWho makes it
9 companies sell a generic of Mestinon 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.
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Acella PharmaceuticalsSolution 60 mg/5 mL
Has dyes: FD&C Blue No. 1, FD&C Red No. 40 · Made by Milla Pharmaceuticals
How it looks, what’s in it, NDCs
60 mg/5 mL
Package NDC Bottle of 473 mL 42192-626-16 Inactive ingredients: alcohol, glycerin, lactic acid, sodium benzoate, sorbitol, sucrose, FD&C Red No. 40, FD&C Blue No. 1, water
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AlvogenER tablet 180 mg
How it looks, what’s in it, NDCs
180 mg Yellow, capsule, 19 mm, marked “335”
Package NDC Bottle of 30 47781-335-30 Inactive ingredients: carnauba wax, zein, calcium phosphate form, silicon dioxide, magnesium stearate
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Amneal PharmaceuticalsTablet 60 mg · Solution 60 mg/5 mL
Has lactose · Has dyes: FD&C Blue No. 1, FD&C Red No. 40 · Made by Impax Laboratories
How it looks, what’s in it, NDCs
60 mg White to off white, round, 10 mm, marked “G3511”
Package NDC Bottle of 100 0115-3511-01 Bottle of 500 0115-3511-02 60 mg/5 mL Clear, pink to red colored
Package NDC Bottle of 473 mL 69238-1731-2 Inactive ingredients: anhydrous lactose, magnesium stearate, silicon dioxide, stearic acid, alcohol, FD&C Red No. 40, FD&C Blue No. 1, glycerin, lactic acid, sodium benzoate, sorbitol, sucrose, water
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ANI PharmaceuticalsTablet 60 mg
Has lactose
Product page on anipharmaceuticals.com
How it looks, what’s in it, NDCs
60 mg White, round, 11 mm, marked “ANI / 470”
Package NDC Bottle of 100 62559-470-01 Inactive ingredients: anhydrous lactose, silicon dioxide, stearic acid
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Novadoz PharmaceuticalsSolution 60 mg/5 mL
Made by MSN Laboratories
Product page on novadozpharma.com
How it looks, what’s in it, NDCs
60 mg/5 mL
Package NDC Bottle of 473 mL 72205-098-72 Inactive ingredients: alcohol, glycerin, lactic acid, sodium benzoate, sorbitol, sucrose, water
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Novitium PharmaSolution 60 mg/5 mL
Has dyes: FD&C Blue No. 1, FD&C Red No. 40
Product page on novitiumpharma.com
How it looks, what’s in it, NDCs
60 mg/5 mL Pink
Package NDC Bottle of 473 mL 70954-148-10 Inactive ingredients: sucrose, glycerin, sodium benzoate, lactic acid, raspberry, sorbitol, alcohol, FD&C Red No. 40, FD&C Blue No. 1
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Rising Pharma HoldingsSolution 60 mg/5 mL · Tablet 180 mg
Has dyes: FD&C Blue No. 1, FD&C Red No. 40 · Sold as Pryidostigmine Bromide
How it looks, what’s in it, NDCs
60 mg/5 mL Purple
Package NDC Bottle of 473 mL 16571-833-16 180 mg Light straw color, capsule, 19 mm, marked “NM180”
Package NDC Bottle of 30 64980-220-03 Inactive ingredients: alcohol, sodium benzoate, sucrose, glycerin, lactic acid, sorbitol, FD&C Red No. 40, FD&C Blue No. 1, raspberry, water, silicon dioxide, carnauba wax, tribasic calcium phosphate, zein, magnesium stearate
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VistaPharmSolution 60 mg/5 mL
Has dyes: FD&C Blue No. 1, FD&C Red No. 40 · Made by Novitium Pharma
How it looks, what’s in it, NDCs
60 mg/5 mL Pink
Package NDC Case of 50 mL 66689-406-10 Inactive ingredients: sucrose, glycerin, sodium benzoate, lactic acid, raspberry, sorbitol, alcohol, FD&C Red No. 40, FD&C Blue No. 1, water
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Zydus LifesciencesTablet 60 mg
Has lactose
How it looks, what’s in it, NDCs
60 mg White to off-white, round, 10 mm, marked “659”
Package NDC Bottle of 30 68382-659-06 Bottle of 90 68382-659-16 Bottle of 100 68382-659-01 Bottle of 500 68382-659-05 Inactive ingredients: anhydrous lactose, hydroxypropyl cellulose, low substituted, silicon dioxide, stearic acid
Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site.
What it’s used for
What the FDA label says
INDICATION:
MESTINON is useful in the treatment of myasthenia gravis.
Source: the FDA label for Mestinon (Bausch Health US, LLC), December 2, 2020. Full label on DailyMed
Prices checked November 2, 2026. Prices change: confirm with the pharmacy before you fill. drugalt.com/drug/mestinon/