If you’re looking at treatment options for migraine or epilepsy, you may want to learn more about topiramate (Qudexy XR, Topamax, Trokendi XR). This includes information about cost.

Topiramate is a generic prescription drug that’s used in adults and some children to:

  • help prevent migraine
  • treat certain seizures related to epilepsy

Topiramate belongs to a group of drugs called anticonvulsants. It comes as capsules and tablets you take by mouth.

Keep reading for details on topiramate and cost, and how to save money on prescriptions.

Note: For more details on topiramate, see this in-depth article.

The price you pay for topiramate can vary. Your cost may depend on your treatment plan, your insurance coverage, and the pharmacy you use.

To find out how much you’ll pay for topiramate, talk with your doctor, pharmacist, or insurance provider.

Below are answers to some frequently asked questions about topiramate and cost.

Will Topamax cost a lot more than topiramate without insurance?

It’s possible. Topamax is a brand-name form of topiramate. In general, brand-name drugs cost more than their generic versions.

For more details about brand-name versions of topiramate, see the “Is topiramate available as a brand-name drug?” section below.

To find out how the cost of Topamax compares with topiramate, talk with your doctor or pharmacist.

Does the price of topiramate tablets vary depending on strength (such as 25 mg, 50 mg, and 100 mg)?

Yes. The strength of topiramate you’re prescribed can affect the price of the drug. But the drug’s cost can also depend on the form of topiramate you take.

Below is a chart of the available forms of topiramate and the strengths for each.

capsule15 milligrams (mg), 25 mg
extended-release capsule25 mg, 50 mg, 100 mg, 150 mg, 200 mg
tablet25 mg, 50 mg, 100 mg, 200 mg

Talk with your doctor or pharmacist to learn more about the price you’ll pay for topiramate.

Topiramate is a generic drug. This means it’s an exact copy of the active drug in a brand-name medication. A generic is considered to be just as safe and effective as the original drug. And generics generally cost less than brand-name drugs.

Topiramate is available in brand-name versions called Qudexy XR, Topamax, and Trokendi XR. To find out how the costs of Qudexy XR, Topamax, Trokendi XR, and topiramate compare, talk with your doctor, pharmacist, or insurance provider.

If your doctor has prescribed topiramate and you’re interested in taking Qudexy XR, Topamax, or Trokendi XR instead, talk with your doctor. They may have a preference for one version or the other. In addition, you’ll need to check with your insurance provider. This is because it may only cover one drug or the other.

If you take topiramate long term, you may be able to lower your costs in the following ways:

  • Look into getting a 90-day supply of your medication. You may be able to get a 90-day supply of topiramate if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of topiramate. If you’re interested in getting a 90-day supply of this drug, talk with your doctor or insurance provider.
  • Use a mail-order pharmacy to get your medication. Using a mail-order pharmacy might help lower your cost for topiramate. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.

If you need help covering the cost of topiramate or understanding your insurance, check out these websites:

On these sites, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.

If you have questions about how you can pay for topiramate, you may also want to talk with your doctor or pharmacist.

If you still have questions about the cost of topiramate, talk with your doctor or pharmacist. They may be able to give you a better idea of what you’ll pay for this drug. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for topiramate.

Examples of questions you may want to ask your doctor or insurance provider include:

  • Which form of topiramate does my insurance cover?
  • How does the cost of topiramate compare with other drugs that could treat my condition?
  • What are my options if I can’t afford my topiramate prescription?

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Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.