How do you pay?

How to pay the least

Ask for the cash price

Xromi

Sold only in a different form, strength or formula. Switching to one would need a new prescription, so ask your prescriber whether it could work for you.

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

Compare every option

Question
Brand nameXromi
Authorized generichydroxyurea
Regular generichydroxyurea
What you’d pay
Cash priceAsk the pharmacy
Not soldThere isn’t one
Other forms onlyAsk your doctor
Same as Xromi?
The original
–
–

Brand nameThe maker’s card

XROMI eVoucher Copay Program

Savings card from Rare Disease Therapeutics, Inc. (RDT; U.S. distributor for Nova Laboratories)

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $25 a prescription

Sign up on xromi-us.com 

In the maker’s words

“An eligible patient’s out-of-pocket copay may be as little as $25 per prescription filled (subject to program limits and eligibility)2.”

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

See the brand name →

Regular genericNot sold

Sold only in a different form, strength or formula. Switching to one would need a new prescription, so ask your prescriber whether it could work for you. 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
  • XROMI is an antimetabolite indicated to reduce the frequency of painful crises and reduce the need for blood transfusions in pediatric patients aged 6 months of age and older with sickle cell anemia with recurrent moderate to severe painful crises.

Source: the FDA label for Xromi (Nova Laboratories, Ltd.), February 2, 2026. Full label on DailyMed 

Good to know