Auvi-Q (epinephrine) is a brand-name auto-injector prescribed for serious allergic reactions including anaphylaxis in adults and children. The cost of the drug, with and without insurance, can depend on several factors.

As with all medications, the cost of Auvi-Q can vary. Factors that may affect the price you’ll pay include:

  • your insurance coverage
  • whether you inject your dose or a healthcare professional injects it in a hospital*
  • the pharmacy you use
  • whether Auvi-Q has a savings program (see the “Financial and insurance assistance” section below)

To find out what the cost of Auvi-Q will be for you, talk with your doctor, pharmacist, or insurance provider. Or look below in the next section to learn how much you can save by using an Optum Perks coupon.

* For details about Auvi-Q injections, see this article.

To save money on your Auvi-Q prescription, explore these Optum Perks coupons.

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2 epinephrine (auto-injector) (1 Pen)

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Simply show the Optum Perks coupon at your preferred pharmacy or order online and instantly save up to 80% without using insurance. The coupon doesn’t expire, so be sure to save it for refills.

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Retail price refers to the manufacturer’s published list price and is up to date as of 3/2023. Retail and discounted prices are U.S.-only and can vary based on region and pharmacy. We cannot guarantee that the discounted price listed here will exactly match the price at your pharmacy. Please contact your pharmacy for the exact price.

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The active ingredient of Auvi-Q is epinephrine, and it’s available as a generic drug. A generic drug is considered to be as safe and effective as the original drug. And generics tend to cost less than brand-name drugs.

If your doctor has prescribed Auvi-Q and you’re interested in taking epinephrine instead, talk with your doctor. They may have a preference for one version or the other. You’ll also need to check with your insurance provider, as it may cover only one or the other.

To find out how the cost of this generic drug compares with the cost of Auvi-Q, talk with your doctor, pharmacist, or insurance provider.


Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.

If your doctor recommends taking Auvi-Q long term, you may be able to lower its cost in the following ways.

Getting a 3-month supply

You may be able to get a 90-day supply of Auvi-Q. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost. If you’re interested in this option, check with your doctor, pharmacist, or insurance provider.

Using a mail-order pharmacy

Auvi-Q may be available through a mail-order pharmacy. Using this type of service may help lower the drug’s cost and allow you to receive your medication without leaving home. Some Medicare plans may help cover the cost of mail-order medications. You may also be able to get a 90-day supply of the drug via mail order.

The manufacturer of Auvi-Q has partnered with ASPN Pharmacies to ship Auvi-Q directly to your door. You can visit Auvi-Q’s website to see whether there’s an ASPN Pharmacy near you and whether you’re eligible for this service.

If you don’t have a health insurance plan, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.

If you need financial support to pay for Auvi-Q, or if you need help understanding your insurance coverage, help is available. For example:

  • A program called the Kaléo Patient Assistance Program is available for Auvi-Q. For more information and to find out whether you’re eligible for support, call 502-213-7601 (Monday–Friday) or visit the program website.
  • Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:

To learn more about saving money on prescriptions with or without insurance, check out this article.

Here are answers to some frequently asked questions about drug cost and Auvi-Q.

How much does Auvi-Q cost with insurance vs. without it?

What you pay for Auvi-Q with insurance compared with what you’d pay without it depends on several factors. But typically, the cost without insurance is higher than with insurance.

Factors that could affect what you pay for this drug without insurance include:

  • the quantity you’re prescribed (such as a 90-day or 30-day supply)
  • whether you inject your dose or a healthcare professional injects it in a hospital
  • the pharmacy you use
  • whether you apply and qualify for any available savings programs (see the “Financial and insurance assistance” section just above)

These same factors may affect your price for Auvi-Q if you have insurance. But the price you pay with insurance will also depend on:

  • your specific plan benefits
  • any prior authorization requirements you may have for drug coverage (see the “Insurance considerations” section below)

To learn more about what you’d pay for Auvi-Q with or without insurance, talk with your doctor, pharmacist, or insurance provider (if you have one).

You can also visit Optum Perks* for price estimates for this drug when using coupons from their site. However, Optum Perks coupons cannot be used with insurance benefits or copays.

* Optum Perks is a sister site of Medical News Today.

How does Auvi-Q’s cost compare with that of medications such as EpiPen?

The price you’d pay for Auvi-Q versus that of drugs like EpiPen (epinephrine) depends on various factors, including:

  • whether there are payment assistance programs for your prescribed treatment
  • whether you’re paying out of pocket or have an insurance plan

Both Auvi-Q and EpiPen are prescribed to treat severe allergic reactions, including anaphylaxis, but they come in different forms.

To learn more about the cost of Auvi-Q compared with other treatments for your condition, talk with your doctor, pharmacist, or insurance provider.

Below is information you may want to consider if you have insurance and receive Auvi-Q.

If you have insurance, your insurance company may require prior authorization before it covers Auvi-Q. This means the company and your doctor will discuss Auvi-Q in regard to your treatment. The insurance company will then determine whether to cover the medication.

If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Auvi-Q requires prior authorization.

Now that you’ve learned about cost and Auvi-Q, you may still have some questions. Talk with your doctor or pharmacist, who can provide personalized guidance about cost issues related to Auvi-Q. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Auvi-Q.

Here are some other resources you may find helpful:

Disclaimer: Medical News Today 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.