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 02343622

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 · 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
Initial · 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
Initial · 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
Initial · 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
Generic · 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
Generic · 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
Generic · 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
Generic · 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
Brand · 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
Brand · 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
Brand · 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
Brand · 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

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

How much does Levetiracetam Er (Keppra) cost without insurance?

Our most recent US pharmacy data shows a low of roughly $19.99 for Levetiracetam Er with a standard discount card. That figure moves with dosage and quantity — check the comparison table for the exact combination you need.

Is Levetiracetam Er (Keppra) available through Cost Plus Drugs?

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.

What do Canadian pharmacies charge for Levetiracetam Er (Keppra)?

We found Canadian pricing for Levetiracetam Er starting near $0.190 per tablet in USD terms. That's before any shipping charge, which the table above breaks out separately.

Why is Levetiracetam Er (Keppra) 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 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.