How do you pay?

How to pay the least

From

$145.10 for 30 capsules

Generic cyclosporine with the free Team Cuban Card, at pharmacies that take it. Pick the strength on your label above for its own price.

  1. Get the free Team Cuban Card. It costs nothing to sign up.See the price and get the card 
  2. At a pharmacy that takes it, show the card and ask for generic cyclosporine.Find a pharmacy that takes it 

With a membership From $45.80 for 30 capsules from Amazon Pharmacy, by mail ($139 a year).

Open Amazon Pharmacy 

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

Compare every option

Question
Brand nameSandimmune
Authorized genericcyclosporine
Regular genericcyclosporine
What you’d pay
Cash priceAsk the pharmacyUsually the highest price
Not soldThere isn’t one
From$145.10for 30 capsules at Team Cuban CardWith a membership: $45.80 at Amazon Pharmacy
Same as Sandimmune?
The original
–
Same active ingredientFillers and dyes can differ

Brand nameThe maker’s card

Novartis Patient Co-Pay Savings Program

Savings card from Novartis

Sandimmune’s maker has a savings program. Its page doesn’t list a dollar amount.

Sign up on copay.novartispharma.com 

Or call 1-866-972-3008.

From the maker’s site, checked November 2, 2026. Check the maker’s page for who can use it.

Authorized genericNot sold

There isn’t one. An authorized generic is Sandimmune 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 cyclosporine, 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

One company sells a generic of Sandimmune 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.

  • Apotex25 mg, 100 mg

    Has dyes: D&C Yellow No. 10, FD&C Blue No. 1, FD&C Blue No. 2, FD&C Red No. 40

    How it looks, what’s in it, NDCs

    25 mg Brown, capsule, 14 mm, marked “APO / 133 / 25”

    PackageNDC
    Bottle of 3060505-0133-0

    100 mg Brown, capsule, 18 mm, marked “APO / 134 / 100”

    PackageNDC
    Bottle of 3060505-0134-0

    Inactive ingredients: methyl alcohol, sodium lauryl sulfate, talc, gelatin, ferric oxide red, titanium dioxide, butyl alcohol, D&C Yellow No. 10, FD&C Blue No. 1, FD&C Blue No. 2, FD&C Red No. 40, propylene glycol, alcohol, ferrosoferric oxide

    FDA label

The FDA doesn’t rate AbbVie, Avet Pharmaceuticals and Teva Pharmaceuticals’s versions of cyclosporine a substitute for Sandimmune, 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 to say at the pharmacy

“Before you fill my Sandimmune, 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

Sandimmune capsules and Sandimmune injection, in combination with adrenal corticosteroids, are indicated for the:

  • Prophylaxis of organ rejection in kidney, liver, and heart allogeneic transplants.
  • Treatment of chronic rejection in patients previously treated with other immunosuppressive agents.

Because of the risk of anaphylaxis, Sandimmune injection should be reserved for patients who are unable to take the Sandimmune capsules.

Source: the FDA label for Sandimmune (Novartis Pharmaceuticals Corporation), July 10, 2026. Full label on DailyMed 

Good to know