Full price comparison · US & Canada
Emend (Aprepitant) Rx Price Comparison: US vs Canada — Save Up to 32% in Canada
Cheaper in Canada
0%
lower price for Aprepitant, based on the lowest comparable per-unit prices we found
US · discount card
$44.26
per fill
Lowest listed pharmacy price
US · Cost Plus Drugs
$17.24
per unit
Published price, no card needed
Canada
$11.71
per tablet
Lowest listed pharmacy price
US pharmacy prices — 40mg
| Pharmacy | Discount-card price | Regular cash price | Average retail |
|---|---|---|---|
| $44.26Lowest | $47.26 | $76.99 | |
| $55.78 | $58.78 | $112.69 | |
| $56.72 | $59.72 | $87.95 | |
| $56.72 | $59.72 | $87.95 | |
| $74.22 | $77.22 | $76.99 | |
| $74.23 | $77.23 | $76.99 | |
| $74.23 | $77.23 | $76.99 |
"Discount-card price" reflects a standard prescription discount card, not insurance. Prices change often — confirm at the pharmacy before filling.
Canadian pharmacy prices
Initial · 125 mg/80 mgfrom $33.82
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| $11.71 | — | $0.00 | $105.39Lowest | |
| $14.42 | — | $14.95 | $86.49 | |
| $14.56 | — | $14.95 | $131.04 | |
| $16.04 | — | $0.00 | $48.12 | |
| $16.49 | — | $0.00 | $49.46 | |
| $17.82 | — | $0.00 | $53.47 | |
| $31.00 | 3 | $14.95 | $93.00 | |
| $31.28 | 3 | $14.95 | $93.85 | |
| $33.82 | 1 | $14.95 | $33.82 | |
| $34.13 | 1 | $14.95 | $34.13 |
Generic · 40 mgfrom $144.14
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| $24.57 | — | $0.00 | $368.58Lowest | |
| $28.83 | — | $0.00 | $144.14 |
Generic · 80 mgfrom $120.00
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| $60.00 | — | $0.00 | $120.00Lowest | |
| $60.90 | — | $9.95 | $365.40 | |
| $61.80 | — | $0.00 | $370.80 | |
| $66.94 | — | $9.95 | $133.88 | |
| $70.63 | — | $0.00 | $141.26 |
Generic · 125 mg/80 mg/80 mgfrom $212.58
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| $22.89 | — | $14.95 | $343.34Lowest | |
| $23.62 | — | $14.95 | $212.58 |
Brand · 40 mgfrom $144.14
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| $24.57 | — | $0.00 | $368.58Lowest | |
| $28.83 | — | $0.00 | $144.14 |
Brand · 80 mgfrom $120.00
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| $60.00 | — | $0.00 | $120.00Lowest | |
| $60.90 | — | $9.95 | $365.40 | |
| $61.80 | — | $0.00 | $370.80 | |
| $66.94 | — | $9.95 | $133.88 | |
| $70.63 | — | $0.00 | $141.26 |
Brand · 125 mg/80 mg/80 mgfrom $212.58
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| $22.89 | — | $14.95 | $343.34Lowest | |
| $23.62 | — | $14.95 | $212.58 |
Canadian prices are converted to USD at the time of listing and shown before any duties. Shipping and delivery times vary by pharmacy.
Interchangeable forms
Per RxNorm (U.S. National Library of Medicine), these share the same active ingredient and strength as Aprepitant.
Frequently asked questions
What's the cash price for Aprepitant (Emend) in the US?
Our most recent US pharmacy data shows a low of roughly $44.26 for Aprepitant with a standard discount card. That figure moves with dosage and quantity — check the comparison table for the exact combination you need.
Is Aprepitant (Emend) available through Cost Plus Drugs?
Yes — Cost Plus Drugs lists Aprepitant at roughly $17.24 per unit, a published price with no membership card or coupon involved. See the three-price comparison above for how that stacks up against discount-card pharmacies.
What do Canadian pharmacies charge for Aprepitant (Emend)?
We found Canadian pricing for Aprepitant starting near $11.71 per tablet in USD terms. That's before any shipping charge, which the table above breaks out separately.
Why is Aprepitant (Emend) priced differently in the US and Canada?
Drug pricing is set separately in each country through different negotiation, regulatory, and distribution systems, so the same medication can legitimately carry different price tags on either side of the border. In this case, our data shows the Canadian price coming in lower — but that isn't true for every drug, so it's worth checking each medication individually rather than assuming.
How does the cost of aprepitant vary with insurance?
Your out-of-pocket cost for aprepitant with insurance depends on your specific plan's formulary and your copay structure. Because copays can vary, it's advisable to compare your insurance copay price with the price available through a prescription savings card, which may offer a lower rate. Some discount programs can reduce the cost significantly, potentially providing a more affordable option than your standard copay.
What are the brand-name versions of aprepitant?
Aprepitant is the generic name for the medication. It is sold under the brand name Emend (manufactured by Merck) as an oral capsule and oral powder for suspension. An injectable formulation is available under the brand name Cinvanti from Heron Therapeutics. Generic aprepitant capsules are produced by several manufacturers, including Sandoz and Glenmark.
What is aprepitant and what is it used for?
Aprepitant is a prescription antiemetic drug designed to prevent nausea and vomiting caused by chemotherapy or surgery. It is approved for use in adults and children 12 years and older and is taken prior to chemotherapy treatment. It is not intended to treat nausea or vomiting that has already started. The medication works by inhibiting substance P, a neurotransmitter involved in triggering nausea. It is available in capsule, oral suspension, and injectable forms and is commonly used alongside other medications like dexamethasone.