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Key takeaways
Jublia, a prescription drug for fungal toenail infections, costs about $962 without insurance, with no generic version available until between 2030 and 2034.
Insurance coverage for Jublia is inconsistent, with many plans requiring prior authorization and placing it in higher copay tiers, potentially making it cost-prohibitive.
Alternatives to Jublia include over-the-counter topical antifungals for mild cases, oral antifungals like terbinafine, and other premium-priced or generic topical antifungals.
Significant savings on Jublia can be achieved through a SingleCare prescription discount card, comparing pharmacy prices, and discussing effective, cheaper alternatives like terbinafine or ciclopirox with healthcare providers.
Jublia is a brand-name prescription drug FDA approved to treat fungal toenail infections (onychomycosis). As a 10% topical solution, Jublia is applied daily with an attached brush applicator to the affected toenails and surrounding skin for 48 weeks. Its active ingredient, efinaconazole, is a new antifungal drug. In clinical trials, the drug cured the fungal infection in more than half the participants. Although the cure rate may seem low, Jublia is an alternative to antifungal pills. While oral antifungals are more effective at curing moderate to severe toenail fungus, side effects and drug interactions are more common and rarely can be severe. Currently, efinaconazole topical is the most effective topical therapy forf toenail fungus, but there is no lower-priced generic version.
What is the generic for Jublia?
Jublia is only available as a premium-priced brand-name drug. Efinaconazole topical, the active ingredient, will not have a generic version until sometime between 2030 and 2034.
Is Jublia covered by insurance?
Insurance coverage for a Jublia prescription is spotty. Some health insurance and Medicare Part D drug plans provide coverage for Jublia medication, but many do not. Even with insurances that provide coverage, they often require physicians to fill out a prior authorization form before insurance considers approval. Most insurance plans place Jublia in higher copay tiers so the out-of-pocket cost may be cost prohibitive. The cost may still be higher for Jublia than other toenail fungus prescription medications. Medicaid may not provide coverage for Jublia in some states.
How much does Jublia cost without insurance?
Without health insurance coverage, a single applicator bottle containing 4 mL of Jublia 10% solution costs about $960 at the full cash price. How long that bottle lasts depends on how many toenails are affected and how well the medicine is applied. If 4 mL is enough for a 30-day supply, 48 weeks of Jublia treatment will cost over $10,000.
Uninsured people may find the 48-week treatment price of Jublia prohibitive, but there are alternatives. The first-line treatment for mild toenail fungus is over-the-counter topical antifungal medications. However, OTC antifungals are usually tried and failed before a healthcare provider prescribes a premium-priced drug like Jublia. For complicated cases of toenail fungus, the two effective alternatives are oral antifungals and specialty topical antifungals.
Oral antifungals are the most effective toenail fungus treatments but can have significant side effects with 13% of patients having headaches, 6% with diarrhea, and 3% with elevated liver function tests on lab work. The first-line treatment is terbinafine tablets, with a 76% cure rate. The cost is about $260 for a 30-day supply and must be taken daily for 12 weeks. Terbinafine works in the nail for 30 weeks after the last dose.
Topical antifungals are less successful because of the thickness of the toenail. Jublia has the highest cure rate, but other options include premium-priced Kerydin (tavabarole) and generic ciclopirox.
One of the most effective ways to reduce the cost of Jublia is by using a SingleCare prescription discount card. The lowest SingleCare discount price for a 4 mL bottle of 10% Jublia solution is only $650.
| Compare Jublia prices to related drugs | |||
|---|---|---|---|
|
Drug name |
Price without insurance of brand-name drug | SingleCare price | Savings options |
| Jublia | $962 per 1 4 mL of 10% solution | $652 per 1, 4 mL of 10% solution of brand-name Jublia | See latest prices |
| Loprox | $153 per 1, 6.6 mL of 8% solution | $16 per 1, 6.6 mL of 8% solution of brand-name Ciclopirox | See latest prices |
| Kerydin | $1814 per 1, 10 mL of 5% solution | $64 per 1, 10 mL of 5% solution of brand-name Kerydin | See latest prices |
| Terbinafine | $263 per 30, 250 mg tablets | $9 per 30, 250 mg tablets of generic terbinafine | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available. Click the link under “Savings options” to see the latest drug prices.
How to get Jublia without insurance
With a price tag reaching $10,000, 48 weeks of Jublia treatment may not be easy to fit into anyone’s budget. People without health insurance coverage could enroll in the manufacturer’s patient assistance program, but there are rigid eligibility requirements. The manufacturer does not currently offer rebates or Jublia manufacturer coupons. However, there are still significant savings opportunities starting with a SingleCare prescription discount card.
1. Get Jublia discounts with a SingleCare savings card
Instant discount prices on brand-name prescription drugs are available at participating pharmacies through SingleCare. For Jublia, visit SingleCare’s Jublia coupons page for available discounts. SingleCare’s lowest price for a 4 mL Jublia bottle is $650.
2. Find the lowest price
Another way to unlock savings on brand-name drugs is to compare pharmacy prices. Comparing prices is easy using SingleCare’s Jublia average price history table. Find the best price at a local pharmacy near you.
3. Ask the prescriber about generic terbinafine
Nail fungus can sometimes be challenging to treat, so healthcare providers turn to established more effective treatments like systemic (oral) antifungals. Terbinafine pills have the highest success rate at curing toenail fungus. The three-month regimen will cost about $780 at full retail price, $9,000 less than the 11-month Jublia regimen. Side effects and drug interactions could be a problem, so get medical advice from a healthcare provider before starting terbinafine.
4. Ask the prescriber about generic ciclopirox
If taking an antifungal pill is not an option, ask the prescriber about using topical ciclopirox. It is not as effective at curing toenail fungus as Jublia, and it will require regular nail trimming and monthly doctor’s visits. However, at $70 per month, it may fit better within your budget.
5. Ask the prescriber about OTC antifungal treatment
Healthcare professionals usually prescribe Jublia after over-the-counter antifungals have failed. Because toenails are so thick, topical antifungal treatment is not always successful. However, if more powerful topical or oral antifungal drugs are not workable, ask the prescriber for medical advice about combining OTC antifungals with nail clipping regimens, nail debridement, and other procedures to help clear the infection.