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Alecensa Price and Savings
- U.S. list price
- $61,317.36 for 90 days (720 capsules)The maker's price for brand Alecensa before discounts · Source: Texas DSHS 2026 WAC report
- Lowest international online pharmacy price
- $46.70 per capsule$33,622.91 for 90 days (720 capsules), shipping included · brand Alecensa 150 mg, not FDA-approved · ships from AUSTRALIA
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Quick answerAs of Nov 12, 2026, brand Alecensa 150 mg costs from $33,622.91 for 90 days (720 capsules) at online pharmacies abroad we compared, vs. $61,317.36 at the U.S. list price ($20,439.12 for 240 capsules). No generic is sold in the U.S.
Name check: Alecensa comes in one strength, a 150 mg capsule. The label's dose is four capsules twice a day, so a 30-day supply is 240 capsules, one U.S. bottle.
Compare Alecensa prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $61,317.36 for 90 days ($85.16 per capsule), brand Alecensa before insurance. The prices below are from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per capsuleOnline pharmacy A | ALECENSA (EU pack, ships from AUSTRALIA)150 mg · brand · Filled in AUSTRALIAProduct of EU | $10,460.46per 224 capsules · 3 packs = $31,381.38$46.70 per capsule | FreeDelivery time not stated | $31,381.38 for 84 days= $33,622.91 for 90 daysSave 45%Worked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy B | ALECENSA (EU pack, ships from AUSTRALIA)150 mg · brand · Filled in AUSTRALIAProduct of EU | $10,462.85per 224 capsules · 3 packs = $31,388.55$46.71 per capsule | FreeDelivery time not stated | $31,388.55 for 84 days= $33,630.59 for 90 daysSave 45%Worked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy C | ALECENSA 150MG CAPSULE 224 (BRAND FROM AUSTRALIA)150 mg · brand · Filled in AustraliaProduct of Australia | $11,500per 224 capsules · 3 packs = $34,500$51.34 per capsule | $14.95Pharmacy's estimate: 4–6 weeks | $34,514.95 for 84 days= $36,980.30 for 90 daysSave 40%Worked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Alecensa from Canada?
90-day cost = 720 capsules at the usual dose of 8 a day, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 12, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout.
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Join to See PharmaciesAlready a member? Sign inAlecensa price by strength
| Strength | Lowest brand90 days | Price per capsule |
|---|---|---|
| Alecensa 150 mg | $33,622.91 | $46.70 |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per capsule is for that lowest pack, before shipping. Prices checked Nov 12, 2026.
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90-day prices from 3 licensed pharmacies shipping to the U.S.: $33,622.91 to $36,980.30, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Alecensa · Similar drugs · Uses · FAQ
Alecensa (alectinib) 150 mg capsules for ALK-positive non-small cell lung cancer. No generic Alecensa is sold in the U.S.
Alecensa cost at a glance
- U.S. list price: $20,439.12 for a bottle of 240 Alecensa 150 mg capsules, a 30-day supply at 8 capsules a day, or $61,317.36 for 90 days. That's Genentech's wholesale price before discounts (Texas DSHS).
- No U.S. generic. Drugs@FDA lists no generic alectinib, so brand Alecensa (approved December 11, 2015) is the only version sold here (Drugs@FDA).
- How we count: 8 capsules a day. The label's dose is 600 mg (four 150 mg capsules) twice a day with food, so 90 days is 720 capsules.
- From online pharmacies abroad: $33,622.91 to $36,980.30 for 90 days of brand Alecensa 150 mg, shipping included (checked Nov 12, 2026). Packs made for other countries are not FDA-approved.
- With Medicare: your cost depends on your Part D plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).
How much does Alecensa cost in the U.S.?
| If you have | What Alecensa costs | Source |
|---|---|---|
| No insurance (brand list price) | $20,439.12 for 240 capsules of Alecensa 150 mg (30 days at 8 a day). Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| Private or employer insurance | Your copay depends on your plan's drug list. Ask your plan or pharmacist what you'd pay for brand Alecensa. | FDA Orange Book |
| Medicare Part D | Your cost depends on your plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100. | Medicare.gov |
| Medicaid | Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office. | Medicaid.gov |
Brand Alecensa lists at $20,439.12 for a bottle of 240 capsules in the U.S., a 30-day supply at the label's dose (Texas DSHS). That's the maker's wholesale price before discounts; what a pharmacy charges can differ. No generic is sold in the U.S.
Alecensa cost with Medicare in 2026
In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. What you pay for Alecensa depends on your plan's drug list.
| Medicare Part D | What Alecensa costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year. | Medicare.gov |
Alecensa coupons and savings programs
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
Checking more than one medicine? Use the free Medicare Drug Cost Check.
eDrugSearch does not offer its own Alecensa coupons. eDrugSearch has no coupons of its own. If you have Medicare, these two programs can help with the cost of Alecensa:
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Is there a generic Alecensa?
No. No generic Alecensa is sold in the U.S. Drugs@FDA lists no generic alectinib.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 150 mg | No | — |
Outside the U.S.: Online pharmacies abroad may sell generic alectinib made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: Drugs@FDA: Alecensa (NDA 208434). As of Nov 14, 2026.
Compare Alecensa with similar drugs
Other lung cancer medicines taken by mouth with price pages here: Zykadia (ceritinib) is another ALK inhibitor, and Tagrisso and Gilotrif treat EGFR-mutated lung cancer. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Zykadiaceritinib | Lung cancer medicine (ALK kinase inhibitor) | $6,002.91 for 90 days | See prices |
| Tagrissoosimertinib | Lung cancer medicine (EGFR kinase inhibitor) | $32,261.84 for 90 days | See prices |
| Gilotrifafatinib | Lung cancer medicine (EGFR kinase inhibitor) | $7,896.34 for 90 days | See prices |
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Alecensa used for?
Alecensa (alectinib) is an ALK kinase inhibitor, a targeted lung cancer medicine. According to its FDA label (DailyMed), it is used:
- After surgery to remove ALK-positive non-small cell lung cancer (tumors 4 cm or larger, or that reached the lymph nodes), in adults.
- For ALK-positive non-small cell lung cancer that has spread (metastatic), in adults.
The label's dose is 600 mg (four 150 mg capsules) twice a day with food. An FDA-approved test confirms the ALK change before treatment. Doses are lowered for some side effects and for severe liver problems. Your prescriber decides which medicine is right for you.
Is it safe to order Alecensa from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Alecensa, check your insurance and Genentech's support programs first, and plan around shipping times so you don't run short. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, alectinib is sold as Alecensaro 150 mg capsules by Hoffmann-La Roche, listed as marketed (Health Canada Drug Product Database, checked 2026-11-14).
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Frequently asked questions
How much is Alecensa without insurance?
The U.S. list price of brand Alecensa is $20,439.12 for 240 capsules, a 30-day supply at 8 capsules a day. Online pharmacies abroad charged from $33,622.91 for 90 days of brand Alecensa in our latest check (Nov 12, 2026), shipping included.
Is there a generic Alecensa?
No. Drugs@FDA lists no generic alectinib, so brand Alecensa is the only version sold in the U.S.
Is Alecensaro the same as Alecensa?
Alecensaro is the name Roche uses in Canada for alectinib 150 mg capsules, the same medicine and strength. Packs made for other countries are not FDA-approved.
How much does Alecensa cost with Medicare?
It depends on your Part D plan's drug list. In 2026, Part D deductibles are capped at $615 and out-of-pocket costs for covered drugs at $2,100 a year, which matters for costly cancer medicines. People with limited income can apply for Extra Help.
Sources
- Alecensa U.S. prescribing information (DailyMed) (Genentech label, version 29, effective 2026-08-21: adjuvant and metastatic ALK-positive NSCLC; 600 mg twice daily with food; bottles of 240)
- Drugs@FDA: Alecensa (NDA 208434) (approved December 11, 2015; no ANDA for alectinib)
- FDA NDC Directory: Alecensa (50242-130-01 (240 capsules), Genentech, active; checked 2026-11-14)
- Texas DSHS 2026 WAC report: Alecensa (Genentech Alecensa 50242013001 (240 x 150 mg) $20,439.12)
- Health Canada Drug Product Database: Alecensaro (DIN 02458136, Hoffmann-La Roche, Marketed)
- Texas DSHS: 2026 annual WAC report
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.