How do you pay?

How to pay the least

From

$165.50 for 30 tablets delivered ($160.25 plus $5.25 shipping)

Generic tolvaptan 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 tolvaptan. It comes by mail.

Need it today? From $203.54 for 30 tablets 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 Samsca, and the FDA requires it to work the same way.

Compare every option

Question
Brand nameSamsca
Authorized generictolvaptan
Regular generictolvaptan
What you’d pay
Cash priceAsk the pharmacyUsually the highest price
Not soldNo longer sold
From$165.50for 30 tablets at Cost Plus Drugs, with shipping
Same as Samsca?
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 Samsca’s maker. Ask the pharmacy for Samsca’s cash price. With insurance, ask what your plan charges.

Authorized genericNot sold now

An authorized generic of Samsca was sold before, but it isn’t sold now. Ask your pharmacist whether a regular generic (tolvaptan) is available.

Source: FDA, updated October 30, 2026

Regular genericWhere to buy it

Pharmacies’ own cash prices for generic tolvaptan, 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 genericWho makes it

6 companies sell a generic of Samsca 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.

  • ApotexAll 2 strengths
    Packages and NDCs

    15 mg

    PackageNDC
    Carton of 1060505-4317-0
    Bottle of 3060505-4317-3

    30 mg

    PackageNDC
    Carton of 1060505-4318-0
  • Ascend LaboratoriesAll 2 strengths

    Has lactose · Has a dye: FD&C Blue No. 2 · Made by Alkem Laboratories

    How it looks, what’s in it, NDCs

    15 mg Light blue to blue, round, 7 mm, marked “TOL / 15”

    PackageNDC
    Bottle of 1067877-635-02
    Carton of 1067877-635-33
    Bottle of 10067877-635-01

    30 mg Light blue to blue, round, 8 mm, marked “TOL / 30”

    PackageNDC
    Bottle of 1067877-636-02
    Carton of 1067877-636-33
    Bottle of 10067877-636-01

    Inactive ingredients: croscarmellose sodium, hypromellose 2910 (5 mpa.s), lactose monohydrate, magnesium stearate, starch, corn, microcrystalline cellulose, FD&C Blue No. 2

    FDA label

  • Camber PharmaceuticalsAll 2 strengths

    Has lactose · Has a dye: FD&C Blue No. 2 · Made by Hetero Labs

    Product page on camberpharma.com

    How it looks, what’s in it, NDCs

    15 mg Off white, triangle, 6 mm, marked “H / T9”

    PackageNDC
    Carton of 1031722-868-03
    Carton of 1031722-868-04
    Carton of 10031722-868-01
    Carton of 10031722-868-02

    30 mg Blue, round, 8 mm, marked “H / T10”

    PackageNDC
    Carton of 1031722-869-03
    Carton of 1031722-869-04
    Carton of 10031722-869-01
    Carton of 10031722-869-02

    Inactive ingredients: starch, corn, croscarmellose sodium, magnesium stearate, methyl alcohol, methylene chloride, microcrystalline cellulose 102, povidone k30, lactose monohydrate, FD&C Blue No. 2

    FDA label

  • NorthStar RxAll 2 strengths

    Has lactose · Has a dye: FD&C Blue No. 2 aluminum lake · Made by MSN Laboratories

    Product page on northstarrxllc.com

    How it looks, what’s in it, NDCs

    15 mg Blue, triangle, 7 mm, marked “MT / 7”

    PackageNDC
    Carton of 1072603-932-01

    30 mg Blue, round, 8 mm, marked “MT / 8”

    PackageNDC
    Carton of 1072603-933-01

    Inactive ingredients: starch, corn, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose 102, FD&C Blue No. 2 aluminum lake

    FDA label

  • Novadoz PharmaceuticalsAll 2 strengths

    Has lactose · Has a dye: FD&C Blue No. 2 aluminum lake · Made by MSN Laboratories

    Product page on novadozpharma.com

    How it looks, what’s in it, NDCs

    15 mg Blue, triangle, 7 mm, marked “MT / 7”

    PackageNDC
    Carton of 1072205-130-11

    30 mg Blue, round, 8 mm, marked “MT / 8”

    PackageNDC
    Carton of 1072205-131-11

    Inactive ingredients: starch, corn, croscarmellose sodium, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose 102, FD&C Blue No. 2 aluminum lake

    FDA label

  • Par HealthAll 2 strengths

    Has lactose · Has a dye: FD&C Blue No. 2 · Made by PH Health

    How it looks, what’s in it, NDCs

    15 mg Blue, triangle, 7 mm, marked “E / 500”

    PackageNDC
    Carton of 1049884-768-54

    30 mg Blue, round, 8 mm, marked “E / 501”

    PackageNDC
    Carton of 1049884-770-54

    Inactive ingredients: starch, corn, FD&C Blue No. 2, hydroxypropyl cellulose, lactose monohydrate, hydroxypropyl cellulose, low substituted, magnesium stearate, microcrystalline cellulose

    FDA label

The FDA doesn’t rate Lupin Pharmaceuticals and Teva Pharmaceuticals’s versions of tolvaptan a substitute for Samsca, so a pharmacy can’t swap them in without your prescriber’s OK.

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

SAMSCA is a selective vasopressin V2-receptor antagonist indicated for the treatment of clinically significant hypervolemic and euvolemic hyponatremia [serum sodium <125 mEq/L or less marked hyponatremia that is symptomatic and has resisted correction with fluid restriction], including patients with heart failure and Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Limitations of Use:

  • Patients requiring intervention to raise serum sodium urgently to prevent or to treat serious neurological symptoms should not be treated with SAMSCA
  • It has not been established that SAMSCA provides a symptomatic benefit to patients

Source: the FDA label for Samsca (Otsuka America Pharmaceutical, Inc.), May 7, 2026. Full label on DailyMed