How do you pay?

How to pay the least

Lowest price

$67.76 for 30 tablets delivered ($62.51 plus $5.25 shipping)

Generic macitentan 10 mg from Cost Plus Drugs, by mail

  1. Make a free account on costplusdrugs.com. Ask your prescriber to send the prescription there, or Cost Plus Drugs can transfer it.Open Cost Plus Drugs 
  2. Order generic macitentan 10 mg. It comes by mail.

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

Compare every option

Question
Brand nameOpsumit
Authorized genericmacitentan
Regular genericmacitentan
What you’d pay
Cash priceAsk the pharmacyUsually the highest price
Not soldThere isn’t one
Lowest$67.76for 30 tablets at Cost Plus Drugs, with shipping
Same as Opsumit?
The original
–
Same active ingredientFillers and dyes can differ

Brand nameThe maker’s card

J&J withMe Oral PAH Savings Program

Savings card from Johnson & Johnson

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $5 a fill

Sign up on jnjwithme.com 

Or call 1-833-742-0791.

In the maker’s words

“Eligible patients pay $5 per prescription fill.”

From the maker’s offer on jnjwithme.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 Opsumit 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 genericWhere to buy it

Pharmacies’ own cash prices for generic macitentan, lowest first.

Delivered

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

10 companies sell a generic of Opsumit 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.

  • Alembic Pharmaceuticals10 mg

    Has lactose

    How it looks, what’s in it, NDCs

    10 mg White to off white, round, 5 mm, marked “L / 11”

    PackageNDC
    Bottle of 3062332-373-30

    Inactive ingredients: lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, poloxamer 188, povidone, sodium stearyl fumarate, polyvinyl alcohol, titanium dioxide, talc, lecithin, soybean, xanthan gum

    FDA label

  • Apotex10 mg
    How it looks, what’s in it, NDCs

    10 mg White to off white, round, 6 mm, marked “APO / M / 10”

    PackageNDC
    Carton of 3060505-4644-3

    Inactive ingredients: microcrystalline cellulose, magnesium stearate, polyvinyl alcohol, talc, titanium dioxide, polyethylene glycol 8000, croscarmellose sodium

    FDA label

  • Aurobindo Pharma10 mg

    Has lactose

    How it looks, what’s in it, NDCs

    10 mg White to off-white, round, 6 mm, marked “N / 3”

    PackageNDC
    Bottle of 3059651-147-30

    Inactive ingredients: lactose monohydrate, lecithin, soybean, polysorbate 80, polyvinyl alcohol, povidone k30, sodium starch glycolate type a potato, sodium stearyl fumarate, talc, titanium dioxide, xanthan gum

    FDA label

  • Laurus Labs10 mg
    How it looks, what’s in it, NDCs

    10 mg White to off white, round, 6 mm, marked “L1”

    PackageNDC
    Carton of 1542385-907-15
    Bottle of 3042385-907-30

    Inactive ingredients: crospovidone (120 .mu.m), mannitol, magnesium stearate, microcrystalline cellulose, polysorbate 80, povidone k30, polyvinyl alcohol, soybean lecithin, talc, titanium dioxide, xanthan gum

    FDA label

  • Mylan Pharmaceuticals10 mg

    Has lactose

    How it looks, what’s in it, NDCs

    10 mg White, round, 6 mm, marked “M / MC / 10”

    PackageNDC
    Bottle of 300378-0606-93

    Inactive ingredients: glyceryl mono- and dicaprylocaprate, lactose monohydrate, microcrystalline cellulose 101, polysorbate 80, polyvinyl alcohol, povidone k30, sodium lauryl sulfate, sodium starch glycolate type a potato, sodium stearyl fumarate, talc, titanium dioxide

    FDA label

  • Novugen Pharma10 mg

    Made by Lepu Pharmaceutical Technology

    How it looks, what’s in it, NDCs

    10 mg White, round, 6 mm, marked “M”

    PackageNDC
    Carton of 1582293-041-10
    Bottle of 3082293-041-20
    Bottle of 10082293-041-30

    Inactive ingredients: soybean lecithin, magnesium stearate, mannitol, microcrystalline cellulose, povidone, polysorbate 80, polyvinyl alcohol, sodium starch glycolate type a potato, talc, titanium dioxide, xanthan gum

    FDA label

  • Sandoz10 mg

    Has lactose · Made by MSN Laboratories

    How it looks, what’s in it, NDCs

    10 mg White, round, 6 mm, marked “M / 10”

    PackageNDC
    Bottle of 300781-8135-31

    Inactive ingredients: lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone k30, sodium starch glycolate type a potato, sodium lauryl sulfate, polyvinyl alcohol, soybean lecithin, talc, titanium dioxide, xanthan gum

    FDA label

  • Sun Pharmaceutical Industries10 mg
    How it looks, what’s in it, NDCs

    10 mg Off-white, round, 6 mm, marked “M1”

    PackageNDC
    Carton of 1547335-070-15
    Carton of 3047335-070-30

    Inactive ingredients: mannitol, microcrystalline cellulose 101, povidone k30, crospovidone (15 mpa.s at 5%), polysorbate 80, magnesium stearate, polyvinyl alcohol, lecithin, soybean, titanium dioxide, talc, xanthan gum

    FDA label

  • Teva Pharmaceuticals10 mg
    How it looks, what’s in it, NDCs

    10 mg White, round, 5 mm, marked “TV / J7”

    PackageNDC
    Bottle of 300480-0915-56

    Inactive ingredients: microcrystalline cellulose 101, microcrystalline cellulose 102, povidone k30

    FDA label

  • Torrent Pharmaceuticals10 mg
    How it looks, what’s in it, NDCs

    10 mg White to off white colored, round, 6 mm, marked “J5”

    PackageNDC
    Bottle of 3013668-542-30
    Bottle of 9013668-542-90
    Bottle of 50013668-542-05

    Inactive ingredients: microcrystalline cellulose 102, succinimidyl-4-(n-maleimidomethyl)cyclohexane-1-carboxylate, sodium starch glycolate type a potato, povidone k30, polysorbate 80, magnesium stearate, mannitol, titanium dioxide, talc, lecithin, soybean, xanthan gum, polyvinyl alcohol

    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 Opsumit, 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

OPSUMIT is an endothelin receptor antagonist (ERA) indicated for the treatment of pulmonary arterial hypertension (PAH, WHO Group I) in adults to reduce the risks of disease progression and hospitalization for PAH.

Source: the FDA label for Opsumit (Actelion Pharmaceuticals US, Inc.), April 11, 2025. Full label on DailyMed 

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