Xenazine vs. its authorized generic and generics

Strength How many

How to pay the least

From

$19.39 for 30 tablets delivered ($14.14 plus $5.25 shipping)

Generic tetrabenazine from Cost Plus Drugs, by mail. Pick the strength on your label above for its own price.

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
Order generic tetrabenazine. It comes by mail.

Need it today? From $24.14 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 Xenazine, and the FDA requires it to work the same way.

Compare every option

Brand nameXenazine

Authorized generictetrabenazine

Regular generictetrabenazine

What you’d pay

Cash priceAsk the pharmacyUsually the highest price

Cash priceAsk the pharmacyOften less than Xenazine

From$19.39for 30 tablets at Cost Plus Drugs, with shipping

Same as Xenazine?

The original

Same medicine

Same active ingredientFillers and dyes can differ

Brand nameThe maker’s card

Xenazine’s maker has a savings card that lowers what you pay at the pharmacy.

Xenazine Copay Assistance Program

Savings card from Lundbeck

No insuranceNeeds insuranceNo cash price listed.

Insurance · as little as $10 a month

Or call 1-800-657-7613.

In the maker’s words

“Patients must pay at least $10 for each 30-day prescription.”

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

Authorized genericThe NDC to ask for

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

tetrabenazine

Sold by

Oceanside PharmaceuticalsPart of Bausch Health, the company behind Xenazine

Your strength

NDC to ask for

12.5 mgtablet
- 68682-421-1211-digit: 68682-0421-12112 tablets per bottle
25 mgtablet
- 68682-422-2511-digit: 68682-0422-25112 tablets per bottle

Source: FDA, updated October 30, 2026

What to say at the pharmacy

“Before you fill my Xenazine, can you tell me what I’d pay for the brand, for the authorized generic from Oceanside Pharmaceuticals, 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).

12.5 mg tablet

Same active and inactive ingredients as Xenazine.

Authorized generic package label from Oceanside Pharmaceuticals — Authorized genericOceanside Pharmaceuticals

See the ingredients

Active: tetrabenazine 12.5 mg

Inactive, on both labels:

Lactose
Magnesium stearate
Corn starch
Talc

25 mg tablet

Same active and inactive ingredients as Xenazine.

See the ingredients

Active: tetrabenazine 25 mg

Inactive, on both labels:

Ferric oxide yellow
Lactose
Magnesium stearate
Corn starch
Talc

Regular genericWhere to buy it

Pharmacies’ own cash prices for generic tetrabenazine, lowest first.

Pick up in storeDelivered

Delivered: Rx Outreach from $36for 90 tablets12.5 mg $36 · 25 mg $65Free delivery
Delivered: Cost Plus Drugs from $14.14for 30 tablets12.5 mg $14.14 · 25 mg $25.98Plus $5.25 shipping
Pick up in store: Team Cuban Card from $24.14for 30 tablets12.5 mg $24.14 · 25 mg $35.90Free card · Kroger, Albertsons, Safeway, Meijer and many local pharmaciesFind a pharmacy that takes it
Delivered: Amazon Pharmacy from $29.64for 30 tablets12.5 mg $29.64 · 25 mg $43.99Prime members only · $139 a year · Free delivery · Prime price: limits on some medicines if you're over 65 or have Medicare, Medicaid or TRICARE
Pick up in store: Costco $126.79for 60 tablets12.5 mgMembers only · $65 a yearFind the nearest store
Delivered: Costco $126.79for 60 tablets12.5 mgMembers only · $65 a year · Plus shipping
Pick up in store: Sam's Club See its pricePlus members only · $120 a yearFind the nearest store

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

5 companies sell a generic of Xenazine 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

12.5 mg

Package NDC
Bottle of 112 60505-3882-7

25 mg

Package NDC
Bottle of 112 60505-3883-7
Avet PharmaceuticalsAll 2 strengths

Has lactose · Made by Piramal Healthcare Uk

Product page on avetpharma.com

How it looks, what’s in it, NDCs

12.5 mg Light yellow to yellow, round, 6 mm, marked “T / 125”

Package NDC
Bottle of 112 23155-938-63

25 mg Light yellow to yellow, round, 8 mm, marked “T / 25”

Package NDC
Bottle of 112 23155-939-63

Inactive ingredients: lactose monohydrate, starch, corn, ferric oxide yellow, talc, magnesium stearate
FDA label
BionpharmaAll 2 strengths

Has lactose

Product page on bionpharma.com

How it looks, what’s in it, NDCs

12.5 mg Yellowish-buff, round, 5 mm, marked “T1”

Package NDC
Bottle of 112 69452-117-21

25 mg Yellowish-buff, round, 7 mm, marked “T2”

Package NDC
Bottle of 112 69452-118-21

Inactive ingredients: starch, corn, ferric oxide yellow, hypromelloses, lactose monohydrate, magnesium stearate, talc
FDA label
Camber PharmaceuticalsAll 2 strengths

Has lactose · Made by Hetero Labs

Product page on camberpharma.com

How it looks, what’s in it, NDCs

12.5 mg White to off white, round, 7 mm, marked “H / T5”

Package NDC
Blister pack of 10 31722-821-31
Bottle of 56 31722-821-56
Carton of 100 31722-821-32
Bottle of 112 31722-821-11

25 mg Yellowish-buff, round, 7 mm, marked “H / T6”

Package NDC
Blister pack of 10 31722-822-31
Bottle of 56 31722-822-56
Carton of 100 31722-822-32
Bottle of 112 31722-822-11

Inactive ingredients: lactose monohydrate, starch, corn, sodium stearyl fumarate, talc, ferric oxide yellow
FDA label
Dr. Reddy’s LaboratoriesAll 2 strengths

Has lactose

How it looks, what’s in it, NDCs

12.5 mg Light yellow to yellow, round, 5 mm, marked “394”

Package NDC
Bottle of 112 43598-394-67
Bottle of 500 43598-394-05

25 mg Light yellow to yellow, round, 7 mm, marked “395”

Package NDC
Bottle of 112 43598-395-67
Bottle of 500 43598-395-05

Inactive ingredients: starch, corn, ferric oxide yellow, lactose monohydrate, magnesium stearate, talc
FDA label

Package	NDC
Bottle of 112	60505-3882-7

Package	NDC
Bottle of 112	60505-3883-7

Package	NDC
Bottle of 112	23155-938-63

Package	NDC
Bottle of 112	23155-939-63

Package	NDC
Bottle of 112	69452-117-21

Package	NDC
Bottle of 112	69452-118-21

Package	NDC
Blister pack of 10	31722-821-31
Bottle of 56	31722-821-56
Carton of 100	31722-821-32
Bottle of 112	31722-821-11

Package	NDC
Blister pack of 10	31722-822-31
Bottle of 56	31722-822-56
Carton of 100	31722-822-32
Bottle of 112	31722-822-11

Package	NDC
Bottle of 112	43598-394-67
Bottle of 500	43598-394-05

Package	NDC
Bottle of 112	43598-395-67
Bottle of 500	43598-395-05

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

Jerky movements (chorea) from Huntington’s disease

What the FDA label says

XENAZINE is a vesicular monoamine transporter 2 (VMAT) inhibitor indicated for the treatment of chorea associated with Huntington’s disease.

Source: the FDA label for Xenazine (Lundbeck Pharmaceuticals LLC), November 1, 2019. Full label on DailyMed

Good to know

It may look different from Xenazine (color, shape, or markings). That’s normal for an authorized generic.
If your prescription says “dispense as written,” the pharmacy needs your prescriber’s OK to give you the authorized generic.
Cash prices can differ a lot from one pharmacy to the next, so it can pay to ask two. With insurance, what you pay depends on your plan.
If your pharmacy doesn’t stock it, they can often order it within a day or two.
Don’t stop or change a medicine without talking to your pharmacist or prescriber.

Prices checked November 2, 2026. Prices change: confirm with the pharmacy before you fill. drugalt.com/drug/xenazine/