How do you pay?

How to pay the least

Ask for the cash price

Ztlido

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 Ztlido’s cash price, and one or two other pharmacies too.
  2. Ztlido’s savings card works only with insurance from a job or one you bought.

Compare every option

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

Brand nameThe maker’s card

ZTlido Co-pay Savings Card

Savings card from Scilex Pharmaceuticals

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

Sign up on ztlido.com 

Or call 1-800-433-4893.

In the maker’s words

“Patients pay as little as $25 on their first prescription and on each monthly refill.”

From the maker’s offer on ztlido.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 Ztlido itself, from the same company, sold without the brand name, and usually for less. For now Ztlido 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

ZTLIDO contains lidocaine, an amide local anesthetic, and is indicated for relief of pain associated with post-herpetic neuralgia (PHN) in adults.

Source: the FDA label for Ztlido (Scilex Pharmaceuticals Inc.), November 1, 2024. Full label on DailyMed 

Good to know