Nascobal

Generic name: cyanocobalamin

Used for: Vitamin B12 deficiency · Pernicious anemia, after B12 shots · 1 more

How do you pay?

How to pay the least

Ask for the cash price

Generic cyanocobalamin

No pharmacy we check posts a price for it.

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

Compare every option

Question
Brand nameNascobal
Authorized genericcyanocobalamin
Regular genericcyanocobalamin
What you’d pay
Cash priceAsk the pharmacyUsually the highest price
Not soldThere isn’t one
Cash priceAsk the pharmacyUsually the lowest
Same as Nascobal?
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 Nascobal’s maker. Ask the pharmacy for Nascobal’s cash price. With insurance, ask what your plan charges.

Authorized genericNot sold

There isn’t one. An authorized generic is Nascobal 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

2 companies sell a generic of Nascobal 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.

  • Lupin Pharmaceuticals500 mcg
    How it looks, what’s in it, NDCs

    500 mcg

    PackageNDC
    Blister pack of 443386-237-60

    Inactive ingredients: sodium citrate, citric acid monohydrate, glycerin, benzalkonium chloride, water

    FDA label

  • Padagis500 mcg

    Product page on padagis.com

    How it looks, what’s in it, NDCs

    500 mcg

    PackageNDC
    Carton of 445802-491-84

    Inactive ingredients: sodium citrate form, citric acid monohydrate, glycerin, benzalkonium chloride, water

    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 Nascobal, 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

NASCOBAL is a vitamin B12 indicated for:

  • Vitamin B12 maintenance therapy in adult patients with pernicious anemia who are in remission following intramuscular vitamin B12 therapy and who have no nervous system involvement
  • Treatment of adult patients with dietary, drug-induced, or malabsorption-related vitamin B12 deficiency not due to pernicious anemia
  • Prevention of vitamin B12 deficiency in adult patients with vitamin B12 requirements in excess of normal

Limitations of Use:

  • Should not be used for the vitamin B12 absorption test (Schilling test).
  • In patients with correctible or temporary causes of vitamin B12 deficiency the benefit of continued long-term use following correction of vitamin B12 deficiency and underlying disease has not been established.
  • In patients with active symptoms of nasal congestion, allergic rhinitis or upper respiratory infection effectiveness has not been established.

Source: the FDA label for Nascobal (Par Health USA, LLC), March 1, 2024. Full label on DailyMed 

Good to know

Prices change: confirm with the pharmacy before you fill. drugalt.com/drug/nascobal/