US pharmacy pricing
Qsymia Cost Without Insurance — US Pharmacy Price Guide
Lowest price found · US pharmacies
$63.48/fill
for Phentermine-Topiramate Er, across the pharmacies in our data
US pharmacy prices — 7.5mg/46mg
| Pharmacy | Discount-card price | Regular cash price | Average retail |
|---|---|---|---|
 CVS Pharmacy | $63.48Lowest | $66.48 | $11.99 |
 Costco | $67.00 | $67.00 | $11.99 |
 Publix | $117.96 | $117.96 | $11.99 |
 Walgreens | $128.48 | $131.48 | $11.99 |
 Food Lion | $161.46 | $161.46 | $11.99 |
 Kroger Pharmacy | $192.60 | $195.60 | $11.99 |
 Harris Teeter Pharmacy | $192.60 | $195.60 | $11.99 |
"Discount-card price" reflects a standard prescription discount card, not insurance. Prices change often — confirm at the pharmacy before filling.
Interchangeable forms
Per RxNorm (U.S. National Library of Medicine), these share the same active ingredient and strength as Phentermine-Topiramate Er.
Frequently asked questions
How much does Phentermine-Topiramate Er (Qsymia) cost without insurance?
Our most recent US pharmacy data shows a low of roughly $63.48 for Phentermine-Topiramate Er with a standard discount card. That figure moves with dosage and quantity — check the comparison table for the exact combination you need.
Does Phentermine-Topiramate Er have a generic equivalent?
Generic and brand-name pricing for Phentermine-Topiramate Er 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.
How much will I pay for Qsymia if my insurance covers it?
If your private insurance plan covers Qsymia—typically for patients meeting specific FDA criteria based on weight and related health conditions—your cost will be a copay or coinsurance amount determined by your plan. This amount varies widely. It can be helpful to ask your pharmacist to compare your insurance copay with the price available through other pharmacy savings options for the generic version.
Does Medicaid provide coverage for Qsymia?
Coverage for Qsymia under Medicaid varies by state. Some state Medicaid plans may cover it, while others do not. When coverage is provided, the patient's out-of-pocket cost will depend on the state's program rules. For those without Medicaid coverage, the generic version may be accessible at a lower cost through pharmacy savings programs.
Is a generic equivalent of Qsymia available?
Yes. The generic version of Qsymia is called phentermine-topiramate extended-release (ER) capsules.