Xtandi Prices — US Pharmacy Cost vs Canada

At the US pharmacies in our data, the lowest listed discount-card price for Xtandi is around $14,624.71. Prices vary by pharmacy, dosage, and pack size, so use the table above to compare specific options near you.

Canadian pharmacy listings in our data show Xtandi priced from about $6.55 per tablet (converted to USD), before shipping. Pack size and pharmacy both affect the final total — see the Canada pricing table for specifics.

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. Check the comparison table above for the specific numbers on Xtandi.

Generic and brand-name pricing for Xtandi is broken out in the tables above where both exist in our data. Generic versions are typically the lower-cost option, but availability depends on the specific formulation and dosage.

The out-of-pocket cost for Xtandi with insurance is determined by your specific health plan's formulary and copayment structure. Many plans may still have a substantial copay for this medication. It can be beneficial to compare your insurance copay with prices offered by other prescription discount programs, as these alternatives might provide greater savings, particularly if you have a high deductible or coinsurance.

Xtandi is typically covered by Medicare Part D and Medicare Advantage prescription drug plans. Your exact cost will depend on your plan's coverage phase (e.g., deductible, initial coverage, coverage gap, or catastrophic coverage) and your specific copayment or coinsurance requirements. If you find your Medicare coverage to be limited or the cost prohibitive, discussing alternative assistance programs with your healthcare provider or pharmacist may be helpful.

No, Xtandi is a brand-name medication containing the active ingredient enzalutamide. A generic version of enzalutamide is not currently available in the United States.