How do you pay?

How to pay the least

Lowest posted price

from $210 for a 90-day supply

Qsymia from Vivus, without insurance.

  1. Sign up for Qsymia Engage / LifeLine cash-pay pricing.Sign up on qsymia.com 

Ask for the generic’s price No pharmacy we check posts a cash price for generic phentermine and topiramate ER. Ask yours, to compare.

Ask about the authorized generic Qsymia itself, without the brand name. Ask your pharmacy for its price; its NDC is on this page.

See its NDC

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

Compare every option

Question
Brand nameQsymia
Authorized genericphentermine and topiramate
Regular genericphentermine and topiramate
What you’d pay
From$210for a 90-day supply from the maker
Cash priceAsk the pharmacyUsually among the lowest
Cash priceAsk the pharmacyUsually among the lowest
Same as Qsymia?
The original
Same medicine
Same active ingredientFillers and dyes can differ

Coverage: Medicare and many other plans cover weight-loss drugs only in some cases. Ask your plan.

Brand nameThe maker’s cash price

Qsymia’s maker sells it at its own cash price.

Qsymia Engage / LifeLine cash-pay pricing

Cash price from Vivus

No insurance · from $210 for a 90-day supply

Sign up on qsymia.com 

In the maker’s words

“A 90-day supply costs $210—just $70 per month, or $2.33 per day.”

From the maker’s offer on qsymia.com, checked November 2, 2026. Check the maker’s page for who can use it.

Authorized genericThe NDC to ask for

The same medicine as Qsymia, without the brand name. Give the pharmacy its NDC to get it.

phentermine and topiramate

Sold by
  • Prasco Laboratories

Where to fill it

Only certified pharmacies can fill this, under an FDA safety program. Many are mail-order. Your doctor can send the prescription to one.

Find a certified pharmacy

Your strength
NDC to ask for
  • 3.75 mg / 23 mgextended-release capsule
    • 66993-780-3011-digit: 66993-0780-3030 capsules per bottle
  • 7.5 mg / 46 mgextended-release capsule
    • 66993-781-3011-digit: 66993-0781-3030 capsules per bottle
  • 11.25 mg / 69 mgextended-release capsule
    • 66993-782-3011-digit: 66993-0782-3030 capsules per bottle
  • 15 mg / 92 mgextended-release capsule
    • 66993-783-3011-digit: 66993-0783-3030 capsules per bottle

Source: FDA, updated October 30, 2026

What to say at the pharmacy

“Before you fill my Qsymia, can you tell me what I’d pay for the brand, for the authorized generic from Prasco Laboratories, and for a regular generic?”

Paying cash? Ask for each one’s cash price. With insurance, ask what your plan charges for each.

Brand and authorized generic labels

Official labels and ingredient lists from DailyMed (U.S. National Library of Medicine).

3.75 mg / 23 mg extended-release capsule

Same active and inactive ingredients as Qsymia.

BrandQsymia
Authorized genericPrasco Laboratories
See the ingredients

Active: phentermine hydrochloride 3.75 mg · topiramate 23 mg

Inactive, on both labels:

  • Ethylcellulose
  • FD&C Blue No. 1
  • FD&C Red No. 3
  • Gelatin
  • Microcrystalline cellulose
  • Povidone k30
  • Corn starch
  • Sucrose
  • Talc
  • Titanium dioxide

7.5 mg / 46 mg extended-release capsule

Same active and inactive ingredients as Qsymia.

BrandQsymia
Authorized genericPrasco Laboratories
See the ingredients

Active: phentermine hydrochloride 7.5 mg · topiramate 46 mg

Inactive, on both labels:

  • Ethylcellulose
  • FD&C Blue No. 1
  • FD&C Red No. 3
  • FD&C Yellow No. 5
  • FD&C Yellow No. 6
  • Gelatin
  • Microcrystalline cellulose
  • Povidone k30
  • Corn starch
  • Sucrose
  • Talc
  • Titanium dioxide

11.25 mg / 69 mg extended-release capsule

Same active and inactive ingredients as Qsymia.

BrandQsymia
Authorized genericPrasco Laboratories
See the ingredients

Active: phentermine hydrochloride 11.25 mg · topiramate 69 mg

Inactive, on both labels:

  • Ethylcellulose
  • FD&C Yellow No. 5
  • FD&C Yellow No. 6
  • Gelatin
  • Microcrystalline cellulose
  • Povidone k30
  • Corn starch
  • Sucrose
  • Talc
  • Titanium dioxide

15 mg / 92 mg extended-release capsule

Same active and inactive ingredients as Qsymia.

BrandQsymia
Authorized genericPrasco Laboratories
See the ingredients

Active: phentermine hydrochloride 15 mg · topiramate 92 mg

Inactive, on both labels:

  • Ethylcellulose
  • FD&C Yellow No. 5
  • FD&C Yellow No. 6
  • Gelatin
  • Microcrystalline cellulose
  • Povidone k30
  • Corn starch
  • Sucrose
  • Talc
  • Titanium dioxide

Regular genericWho makes it

2 companies sell a generic of Qsymia 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.

  • Dr. Reddy’s LaboratoriesCapsule 3.75 mg / 23 mg, 7.5 mg / 46 mg, 11.25 mg / 69 mg, 15 mg / 92 mg

    Has dyes: FD&C Red No. 40, FD&C Yellow No. 6, FD&C Blue No. 1, FD&C Yellow No. 5, D&C Red No. 28

    How it looks, what’s in it, NDCs

    3.75 mg / 23 mg White opaque cap and white opaque body, capsule, 18 mm, marked “DRL / 624”

    PackageNDC
    Bottle of 3043598-624-30

    7.5 mg / 46 mg Red opaque cap and white opaque body, capsule, 19 mm, marked “DRL / 625”

    PackageNDC
    Bottle of 3043598-625-30

    11.25 mg / 69 mg Green opaque cap and white opaque body, capsule, 22 mm, marked “DRL / 626”

    PackageNDC
    Bottle of 3043598-626-30

    15 mg / 92 mg Orange opaque cap and white opaque body, capsule, 23 mm, marked “DRL / 627”

    PackageNDC
    Bottle of 3043598-627-30

    Inactive ingredients: cellulose, microcrystalline, ethylcellulose (10 mpa.s), gelatin, hydroxypropyl cellulose (90000 wamw), hypromellose 2208 (3 mpa.s), talc, titanium dioxide, FD&C Red No. 40, FD&C Yellow No. 6, FD&C Blue No. 1, FD&C Yellow No. 5, D&C Red No. 28

    FDA label

  • Teva PharmaceuticalsER capsule 3.75 mg / 23 mg, 7.5 mg / 46 mg, 11.25 mg / 69 mg, 15 mg / 92 mg

    Has a dye: FD&C Blue No. 2 · Made by Actavis Laboratories FL

    How it looks, what’s in it, NDCs

    3.75 mg / 23 mg White and orange, capsule, 18 mm, marked “WPI / 2196”

    PackageNDC
    Bottle of 300480-3297-56

    7.5 mg / 46 mg White and green, capsule, 19 mm, marked “WPI / 2195”

    PackageNDC
    Bottle of 300480-3296-56

    11.25 mg / 69 mg Light yellow and white, capsule, 22 mm, marked “WPI / 2299”

    PackageNDC
    Bottle of 300480-2299-56

    15 mg / 92 mg White and dark scarlet, capsule, 23 mm, marked “WPI / 2194”

    PackageNDC
    Bottle of 300480-3295-56

    Inactive ingredients: silicon dioxide, copovidone k25-31, ethylcelluloses, gelatin, hypromellose 2910 (5 mpa.s), microcrystalline cellulose, polysorbate 80, povidone k30, sucrose, starch, corn, talc, titanium dioxide, ferric oxide red, ferric oxide yellow, ammonia, ferrosoferric oxide, propylene glycol, shellac, FD&C Blue No. 2

    FDA label

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

QSYMIA is a combination of phentermine, a sympathomimetic amine anorectic, and topiramate, indicated in combination with a reduced-calorie diet and increased physical activity to reduce excess body weight and maintain weight reduction long term in:

  • Adults and pediatric patients aged 12 years and older with obesity.
  • Adults with overweight in the presence of at least one weight-related comorbid condition.

Limitations of Use:

  • The effect of QSYMIA on cardiovascular morbidity and mortality has not been established.
  • The safety and effectiveness of QSYMIA in combination with other products intended for weight loss, including prescription and over-the-counter drugs, and herbal preparations, have not been established.

Source: the FDA label for Qsymia (Vivus LLC), April 22, 2026. Full label on DailyMed 

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