Full price comparison · US & Canada

How Much Does Keppra Cost? — Save Up to 85% in the US

Brand availableRx requiredAvailable US & Canadatablet extended release 24 hourHealth Canada DIN 02247027

Cheaper in the US

0%

lower price for Levetiracetam Er, based on the lowest comparable per-unit prices we found

US · discount card

$19.99

per fill

Lowest listed pharmacy price

Lowest

US · Cost Plus Drugs

$0.028

per unit

Published price, no card needed

Canada

$0.190

per tablet

Lowest listed pharmacy price

Fetching live USD → CAD rate…

US pharmacy prices — 500mg

PharmacyDiscount-card priceRegular cash priceAverage retail
Kroger Pharmacy$19.99Lowest$22.99$3.07
Harris Teeter Pharmacy$19.99Lowest$22.99$3.07
Costco$21.00$21.00$3.07
Food Lion$24.13$24.13$3.07
CVS Pharmacy$25.77$28.77$3.07
Publix$28.12$28.12$3.07
Walgreens$42.37$45.37$11.99
Walmart Neighborhood Market$45.41$48.41$3.07
Walmart Pharmacy$45.41$48.41$3.07

"Discount-card price" reflects a standard prescription discount card, not insurance. Prices change often — confirm at the pharmacy before filling.

Canadian pharmacy prices

Initial · 100 mg/mLfrom $80.05
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPharmacyAdvantage.com$0.260Free$233.04Lowest
CanadianPharmacyAdvantage.com$0.270Free$80.05
CanadaPharmacies.com$0.280Free$248.99
InhalersOnline.com$0.290$0.00$173.00
InhalersOnline.com$0.310$0.00$94.46
CanadaPharmacies.com$0.310Free$93.99
Initial · 250 mgfrom $21.38
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPrescriptionDrugstore.com$0.220180$14.95$40.00Lowest
LifeRxPharmacy.com$0.280150$14.95$41.41
LifeRxPharmacy.com$0.310100$14.95$30.86
OffShoreCheapMeds.com$0.34090$14.95$30.38
OffShoreCheapMeds.com$0.36060$14.95$21.38
CanadianPharmacyAdvantage.com$0.380180Free$67.51
InhalersOnline.com$0.420100$0.00$41.96
CanadaPharmacies.com$0.440180Free$78.99
CanadianPharmacyAdvantage.com$0.61060Free$36.88
CanadaPharmacyPro.com$0.64090$14.95$57.93
CanadaPharmacyPro.com$0.68060$14.95$40.89
InhalersOnline.com$0.72050$0.00$36.22
CanadaPharmacies.com$0.80060Free$47.99
InhalersOnline.com$1.24$0.00$149.24
medsengage.com$1.2860$14.95$76.66
BuyLowDrugs.com$1.36120$0.00$163.00
InhalersOnline.com$1.43$0.00$85.54
SPFPharmacy.com$2.21120$9.95$265.60
GoldStarMeds.com$2.24$0.00$268.81
1800RxOnline.com$2.49$0.00$298.68
Initial · 750 mgfrom $156.95
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPrescriptionDrugstore.com$2.33180$14.95$420.00Lowest
OffShoreCheapMeds.com$2.3890$14.95$214.02
OffShoreCheapMeds.com$2.6260$14.95$156.95
CanadaPharmacyPro.com$3.0590$14.95$274.68
CanadaPharmacyPro.com$3.2360$14.95$193.89
GoldStarMeds.com$3.62$0.00$434.07
SPFPharmacy.com$3.75120$9.95$449.72
InhalersOnline.com$3.79$0.00$682.86
InhalersOnline.com$3.86120$0.00$462.80
1800RxOnline.com$4.02$0.00$482.30
InhalersOnline.com$4.08$0.00$244.78
Initial · 1000 mgfrom $56.51
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPharmacyAdvantage.com$0.700180Free$126.39Lowest
CanadaPharmacies.com$0.760180Free$136.99
LifeRxPharmacy.com$0.930150$14.95$140.06
CanadianPharmacyAdvantage.com$0.94060Free$56.51
LifeRxPharmacy.com$1.04100$14.95$104.36
CanadaPharmacies.com$1.1360Free$67.99
OffShoreCheapMeds.com$1.27100$14.95$126.72
medsengage.com$1.32100$14.95$131.58
InhalersOnline.com$1.41100$0.00$141.38
OffShoreCheapMeds.com$1.4150$14.95$70.40
InhalersOnline.com$1.5650$0.00$78.20
CanadianPrescriptionDrugstore.com$3.06180$14.95$550.00
InhalersOnline.com$3.09180$0.00$556.05
InhalersOnline.com$3.2460$0.00$194.66
CanadaPharmacyPro.com$3.3690$14.95$302.03
CanadaPharmacyPro.com$3.5560$14.95$213.20
Generic · 1 gmfrom $37.04
PharmacyPrice / tabletPack sizeShippingTotal
GoldStarMeds.com$0.60090$0.00$53.78Lowest
1800RxOnline.com$0.66090$0.00$59.76
GoldStarMeds.com$1.2330$0.00$37.04
1800RxOnline.com$1.3730$0.00$41.15
Generic · 250 mgfrom $17.73
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPrescriptionDrugstore.com$0.190180$14.95$34.00Lowest
CanadianPharmacyAdvantage.com$0.200180Free$35.73
LifeRxPharmacy.com$0.25090$14.95$22.16
CanadaPharmacies.com$0.260180Free$46.99
OffShoreCheapMeds.com$0.26090$14.95$23.83
medsengage.com$0.28090$14.95$25.04
LifeRxPharmacy.com$0.30060$14.95$17.73
OffShoreCheapMeds.com$0.32060$14.95$19.06
medsengage.com$0.33060$14.95$20.04
GoldStarMeds.com$0.34090$0.00$30.46
1800RxOnline.com$0.38090$0.00$33.84
CanadaPharmacyPro.com$0.41090$14.95$36.75
CanadaPharmacyPro.com$0.43060$14.95$25.94
CanadianPrescriptionDrugstore.com$0.43090$14.95$39.00
CanadianPharmacyAdvantage.com$0.44060Free$26.22
CanadaPharmacies.com$0.62060Free$36.99
GoldStarMeds.com$0.66030$0.00$19.93
SPFPharmacy.com$0.680100$9.95$68.25
1800RxOnline.com$0.74030$0.00$22.14
InhalersOnline.com$0.840300$0.00$251.79
InhalersOnline.com$0.860100$0.00$85.98
InhalersOnline.com$0.930$0.00$111.40
InhalersOnline.com$1.06$0.00$63.77
Generic · 750 mgfrom $25.00
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPrescriptionDrugstore.com$0.340180$14.95$62.00Lowest
CanadianPharmacyAdvantage.com$0.350180Free$62.28
LifeRxPharmacy.com$0.35090$14.95$31.88
OffShoreCheapMeds.com$0.38090$14.95$34.28
CanadaPharmacies.com$0.410180Free$72.99
RxOutreach.org$0.42060$0.00$25.00
LifeRxPharmacy.com$0.43060$14.95$25.50
medsengage.com$0.44090$14.95$39.33
OffShoreCheapMeds.com$0.46060$14.95$27.42
GoldStarMeds.com$0.49090$0.00$44.15
CanadianPrescriptionDrugstore.com$0.51090$14.95$46.00
medsengage.com$0.52060$14.95$31.47
1800RxOnline.com$0.55090$0.00$49.06
CanadianPharmacyAdvantage.com$0.58060Free$35.07
CanadaPharmacies.com$0.77060Free$45.99
SPFPharmacy.com$0.790100$9.95$79.28
GreatNorthPharmacy.com$0.800100$14.99$79.99
InhalersOnline.com$0.920100$0.00$91.71
CanadaPharmacyPro.com$1.0890$14.95$96.84
GoldStarMeds.com$1.0830$0.00$32.28
CanadaPharmacyPro.com$1.1460$14.95$68.36
1800RxOnline.com$1.2030$0.00$35.87
InhalersOnline.com$1.81$0.00$216.62
InhalersOnline.com$1.93$0.00$115.55
Generic · 1000 mgfrom $21.91
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPharmacyAdvantage.com$0.210180Free$38.52Lowest
CanadaPharmacies.com$0.280180Free$49.99
CanadianPharmacyAdvantage.com$0.37060Free$21.91
LifeRxPharmacy.com$0.50090$14.95$44.65
OffShoreCheapMeds.com$0.54090$14.95$48.83
CanadaPharmacies.com$0.55060Free$32.99
CanadianPrescriptionDrugstore.com$0.570180$14.95$102.00
medsengage.com$0.57090$14.95$51.01
LifeRxPharmacy.com$0.60060$14.95$35.72
OffShoreCheapMeds.com$0.65060$14.95$39.07
CanadianPrescriptionDrugstore.com$0.67090$14.95$60.00
medsengage.com$0.68060$14.95$40.81
InhalersOnline.com$1.40120$0.00$167.40
GoldStarMeds.com$1.4260$0.00$85.15
CanadaPharmacyPro.com$1.4390$14.95$128.56
CanadaPharmacyPro.com$1.5160$14.95$90.75
1800RxOnline.com$1.5860$0.00$94.61
InhalersOnline.com$1.7160$0.00$102.46
InhalersOnline.com$2.23120$0.00$268.14
InhalersOnline.com$2.3860$0.00$142.82
SPFPharmacy.com$2.61100$9.95$260.66
Brand · 1 gmfrom $37.04
PharmacyPrice / tabletPack sizeShippingTotal
GoldStarMeds.com$0.60090$0.00$53.78Lowest
1800RxOnline.com$0.66090$0.00$59.76
GoldStarMeds.com$1.2330$0.00$37.04
1800RxOnline.com$1.3730$0.00$41.15
Brand · 250 mgfrom $17.73
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPrescriptionDrugstore.com$0.190180$14.95$34.00Lowest
CanadianPharmacyAdvantage.com$0.200180Free$35.73
LifeRxPharmacy.com$0.25090$14.95$22.16
CanadaPharmacies.com$0.260180Free$46.99
OffShoreCheapMeds.com$0.26090$14.95$23.83
medsengage.com$0.28090$14.95$25.04
LifeRxPharmacy.com$0.30060$14.95$17.73
OffShoreCheapMeds.com$0.32060$14.95$19.06
medsengage.com$0.33060$14.95$20.04
GoldStarMeds.com$0.34090$0.00$30.46
1800RxOnline.com$0.38090$0.00$33.84
CanadaPharmacyPro.com$0.41090$14.95$36.75
CanadaPharmacyPro.com$0.43060$14.95$25.94
CanadianPrescriptionDrugstore.com$0.43090$14.95$39.00
CanadianPharmacyAdvantage.com$0.44060Free$26.22
CanadaPharmacies.com$0.62060Free$36.99
GoldStarMeds.com$0.66030$0.00$19.93
SPFPharmacy.com$0.680100$9.95$68.25
1800RxOnline.com$0.74030$0.00$22.14
InhalersOnline.com$0.840300$0.00$251.79
InhalersOnline.com$0.860100$0.00$85.98
InhalersOnline.com$0.930$0.00$111.40
InhalersOnline.com$1.06$0.00$63.77
Brand · 750 mgfrom $25.00
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPrescriptionDrugstore.com$0.340180$14.95$62.00Lowest
CanadianPharmacyAdvantage.com$0.350180Free$62.28
LifeRxPharmacy.com$0.35090$14.95$31.88
OffShoreCheapMeds.com$0.38090$14.95$34.28
CanadaPharmacies.com$0.410180Free$72.99
RxOutreach.org$0.42060$0.00$25.00
LifeRxPharmacy.com$0.43060$14.95$25.50
medsengage.com$0.44090$14.95$39.33
OffShoreCheapMeds.com$0.46060$14.95$27.42
GoldStarMeds.com$0.49090$0.00$44.15
CanadianPrescriptionDrugstore.com$0.51090$14.95$46.00
medsengage.com$0.52060$14.95$31.47
1800RxOnline.com$0.55090$0.00$49.06
CanadianPharmacyAdvantage.com$0.58060Free$35.07
CanadaPharmacies.com$0.77060Free$45.99
SPFPharmacy.com$0.790100$9.95$79.28
GreatNorthPharmacy.com$0.800100$14.99$79.99
InhalersOnline.com$0.920100$0.00$91.71
CanadaPharmacyPro.com$1.0890$14.95$96.84
GoldStarMeds.com$1.0830$0.00$32.28
CanadaPharmacyPro.com$1.1460$14.95$68.36
1800RxOnline.com$1.2030$0.00$35.87
InhalersOnline.com$1.81$0.00$216.62
InhalersOnline.com$1.93$0.00$115.55
Brand · 1000 mgfrom $21.91
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPharmacyAdvantage.com$0.210180Free$38.52Lowest
CanadaPharmacies.com$0.280180Free$49.99
CanadianPharmacyAdvantage.com$0.37060Free$21.91
LifeRxPharmacy.com$0.50090$14.95$44.65
OffShoreCheapMeds.com$0.54090$14.95$48.83
CanadaPharmacies.com$0.55060Free$32.99
CanadianPrescriptionDrugstore.com$0.570180$14.95$102.00
medsengage.com$0.57090$14.95$51.01
LifeRxPharmacy.com$0.60060$14.95$35.72
OffShoreCheapMeds.com$0.65060$14.95$39.07
CanadianPrescriptionDrugstore.com$0.67090$14.95$60.00
medsengage.com$0.68060$14.95$40.81
InhalersOnline.com$1.40120$0.00$167.40
GoldStarMeds.com$1.4260$0.00$85.15
CanadaPharmacyPro.com$1.4390$14.95$128.56
CanadaPharmacyPro.com$1.5160$14.95$90.75
1800RxOnline.com$1.5860$0.00$94.61
InhalersOnline.com$1.7160$0.00$102.46
InhalersOnline.com$2.23120$0.00$268.14
InhalersOnline.com$2.3860$0.00$142.82
SPFPharmacy.com$2.61100$9.95$260.66

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 Levetiracetam Er.

Other brand names
RoweepraKeppra
Generic clinical forms
24 HR levetiracetam 500 MG Extended Release Oral Tablet

Frequently asked questions

Is Levetiracetam Er (Keppra) expensive if I don't have insurance?

At the US pharmacies in our data, the lowest listed discount-card price for Levetiracetam Er is around $19.99. Prices vary by pharmacy, dosage, and pack size, so use the table above to compare specific options near you.

Can I buy Levetiracetam Er (Keppra) at a Cost Plus Drugs price?

Yes — Cost Plus Drugs lists Levetiracetam Er at roughly $0.028 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.

How much does Levetiracetam Er (Keppra) cost in Canada?

Canadian pharmacy listings in our data show Levetiracetam Er priced from about $0.190 per tablet (converted to USD), before shipping. Pack size and pharmacy both affect the final total — see the Canada pricing table for specifics.

Why does Levetiracetam Er (Keppra) cost more in one country than the other?

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 US price is actually the lower of the two once a program like Cost Plus Drugs is factored in — the assumption that Canada is always cheaper doesn't hold for every drug.

How much can I expect to pay for Keppra XR with my insurance plan?

The out-of-pocket cost for Keppra XR with insurance varies significantly depending on your specific plan's formulary, copay, and deductible structure. The most accurate way to determine your cost is to contact your insurance provider directly. It's also worth comparing the price of the generic levetiracetam, as your copay for the generic is often lower. Remember that pharmacy discount programs can sometimes offer a price competitive with or even lower than your insurance copay, so it's beneficial to check all available options.

Is Keppra XR covered by Medicare, and what are the associated costs?

Keppra XR and its generic equivalent are generally covered by most Medicare Part D and Medicare Advantage prescription drug plans. Your exact copayment will depend on your plan's specific tier and coverage phase (e.g., deductible, initial coverage, gap). Patients can use pharmacy savings cards to access discounted prices on this medication at participating pharmacies, which may lower the cost further, especially for the generic form.

Is a generic version of Keppra XR available?

Yes, the brand-name drug Keppra XR has a generic equivalent called levetiracetam. Generic medications contain the same active ingredient, dosage form, and strength as the brand-name version but are typically available at a lower cost. Savings programs often provide discounts for both the brand and generic versions to help reduce the price at the pharmacy.