How do you pay?

How to pay the least

From

$797.28 for 30 capsules delivered ($792.03 plus $5.25 shipping)

Generic nitisinone from Cost Plus Drugs, by mail. Pick the strength on your label above for its own price.

  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 nitisinone. It comes by mail.

Need it today? From $5,077.53 for 30 capsules with the free Team Cuban Card, at pharmacies that take it. Get the free card and show it there.

See the price and get the card 

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

Compare every option

Question
Brand nameOrfadin
Authorized genericnitisinone
Regular genericnitisinone
What you’d pay
Cash priceAsk the pharmacyUsually the highest price
Not soldThere isn’t one
From$797.28for 30 capsules at Cost Plus Drugs, with shipping
Same as Orfadin?
The original
–
Same active ingredientFillers and dyes can differ

Brand nameThe maker’s card

Orfadin4U Copay Program

Savings card from Sobi (Swedish Orphan Biovitrum)

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $0 a fill

The card takes up to $10,000 a year off your co-pay.

Sign up on orfadin.com 

In the maker’s words

“As little as $0 co-pay for eligible patients…”

From the maker’s offer on orfadin.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 Orfadin 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 nitisinone, lowest first.

Pick up in storeDelivered

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 genericMakers and their savings cards

3 companies sell a generic of Orfadin that the FDA rates a substitute. A pharmacy fills whichever one it stocks. One of them has its own savings card, listed first. It works only with that maker’s version. 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.

  • Eton Pharmaceuticals2 mg, 5 mg, 10 mg, 20 mg

    Has lactose

    Eton Cares (Nitisinone)

    With commercial insurance as little as $0

    Sign up on nitisinoneus.com

    In the maker’s words

    “Eton Cares can help eligible, commercially insured patients get their medication for as little as $0 per month.”

    How it looks, what’s in it, NDCs

    2 mg White opaque cap filled with white to off-white powder, capsule, 3 mm

    PackageNDC
    Carton of 6071863-119-60

    5 mg White opaque cap filled with white to off-white powder, capsule, 3 mm

    PackageNDC
    Carton of 6071863-120-60

    10 mg White opaque cap filled with white to off-white powder, capsule, 3 mm

    PackageNDC
    Carton of 6071863-121-60

    20 mg White opaque cap filled with white to off-white powder, capsule, 3 mm

    PackageNDC
    Carton of 6071863-122-60

    Inactive ingredients: stearic acid, anhydrous lactose

    FDA label

  • Analog Pharma2 mg, 5 mg, 10 mg, 20 mg

    Has a dye: FD&C Blue No. 2--aluminum lake · Made by Medunik Canada

    How it looks, what’s in it, NDCs

    2 mg White, capsule, 16 mm, marked “2 / logo”

    PackageNDC
    Carton of 6070505-202-60

    5 mg White, capsule, 16 mm, marked “5 / logo”

    PackageNDC
    Carton of 6070505-205-60

    10 mg White, capsule, 18 mm, marked “10 / logo”

    PackageNDC
    Carton of 6070505-210-60

    20 mg White, capsule, 18 mm, marked “20 / logo”

    PackageNDC
    Carton of 6070505-220-60

    Inactive ingredients: modified corn starch (1-octenyl succinic anhydride), gelatin, stearic acid, titanium dioxide, FD&C Blue No. 2--aluminum lake, shellac, propylene glycol, ammonia

    FDA label

  • Par Health2 mg, 5 mg, 10 mg

    Made by Novitium Pharma

    How it looks, what’s in it, NDCs

    2 mg White, capsule, 16 mm, marked “008 / Novitium2mg”

    PackageNDC
    Carton of 600254-3020-02

    5 mg White, capsule, 16 mm, marked “009 / Novitium5mg”

    PackageNDC
    Carton of 600254-3021-02

    10 mg White, capsule, 16 mm, marked “010 / Novitium10mg”

    PackageNDC
    Carton of 600254-3022-02

    Inactive ingredients: anhydrous citric acid, propylene glycol, ammonia, hypromellose 2910 (5 mpa.s), mannitol, stearic acid, gelatin, sodium lauryl sulfate, titanium dioxide, ferrosoferric oxide, potassium hydroxide

    FDA label

Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

What to say at the pharmacy

“Before you fill my Orfadin, 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

ORFADIN is a hydroxy-phenylpyruvate dioxygenase inhibitor indicated for the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine.

Source: the FDA label for Orfadin (SWEDISH ORPHAN BIOVITRUM AB (PUBL)), November 30, 2021. Full label on DailyMed 

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