Prialt is given by a doctor or nurse and billed by the clinic, not a pharmacy. Your care team and your insurance decide which product you get, so ask them what you’d pay.

How do you pay?

How to pay the least

Given by your care team

Billed by the clinic

Prialt is given by a doctor or nurse, not picked up at a pharmacy.

  1. Ask your care team or your plan what you’d pay before your visit.

Compare every option

Question
Brand namePrialt
Authorized genericziconotide
Regular genericziconotide
What you’d pay
Cash priceAsk the pharmacy
Not soldThere isn’t one
Not soldNone found
Same as Prialt?
The original
–
–

Brand nameThe maker’s card

ESTEVE Together / PRIALT Co-pay Savings Program

Savings card from Esteve Pharmaceuticals, S.A

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $20 a prescription

Sign up on prialt.com 

In the maker’s words

“Eligible, commercially insured patients may pay as little as $20 for their PRIALT prescription.”

From the maker’s offer on prialt.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Authorized genericNot sold

There isn’t one. An authorized generic is Prialt itself, from the same company, sold without the brand name, and usually for less. For now Prialt is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

We didn’t find one. Generics usually come once the brand’s patents and exclusivity end. Until then, the maker’s savings card is the way to pay less.

See the brand name →

What it’s used for

What the FDA label says

PRIALT (ziconotide) solution, intrathecal infusion is an N-type calcium channel antagonist indicated for the management of severe chronic pain in patients for whom intrathecal therapy is warranted, and who are intolerant of or refractory to other treatment, such as systemic analgesics, adjunctive therapies, or intrathecal morphine.

Source: the FDA label for Prialt (ESTEVE PHARMACEUTICALS, S.A.), September 15, 2026. Full label on DailyMed 

Good to know