How do you pay?

How to pay the least

Ask for the cash price

Tretten

Tretten is a biologic. Biologics don’t have generics, but some have biosimilars or an unbranded version from the same maker. Ask your pharmacist or prescriber whether one is sold.

  1. Ask your pharmacy for Tretten’s cash price, and one or two other pharmacies too.
  2. Tretten’s savings card works only with insurance from a job or one you bought.

Free from the maker, if you qualify Patient Assistance Program (PAP) – NovoCare rare bleeding disorders. Or call 1-844-668-6732.

See if you qualify 

Compare every option

Question
Brand nameTretten
Authorized genericcoagulation factor xiii a-subunit (recombinant)
Regular genericcoagulation factor xiii a-subunit (recombinant)
What you’d pay
Cash priceAsk the pharmacy
Not soldThere isn’t one
Not soldAsk the pharmacy
Same as Tretten?
The original
–
–

Brand nameThe maker’s card

Bleeding-Related Disorder Savings Card Program

Savings card from Novo Nordisk

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

The card takes up to $15,000 a year off your co-pay.

Sign up on novocare.com 

In the maker’s words

“Commercially insured patients with product coverage under their insurer’s pharmacy or medical benefit, including those within their deductible phase, may pay as little as $0 per fill, subject to a maximum savings on the patient’s out-of-pocket drug costs of up to $15,000 per calendar year.”

From the maker’s offer on novocare.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 Tretten itself, from the same company, sold without the brand name, and usually for less. For now Tretten is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

Tretten is a biologic. Biologics don’t have generics, but some have biosimilars or an unbranded version from the same maker. Ask your pharmacist or prescriber whether one is sold. 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

TRETTEN, Coagulation Factor XIII A-Subunit (Recombinant), is indicated for routine prophylaxis of bleeding in patients with congenital factor XIII A-subunit deficiency.

TRETTEN is not for use in patients with congenital factor XIII B‑subunit deficiency.

Source: the FDA label for Tretten (Novo Nordisk), June 30, 2020. Full label on DailyMed 

Good to know