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Cequa Price (cyclosporine ophthalmic solution)

As of Nov 5, 2026, brand Cequa 0.09% costs from $889.95 for 90 days at licensed pharmacies abroad (ships from Canada; packs made for other countries are not FDA-approved), vs. $1,581.84 at the U.S. list price.

Lowest U.S. online pharmacy price
$11.83 per vial$2,135 for 90 days (180 vials), shipping included · FDA-approved brand Cequa 0.09% · ships within the U.S.
Lowest international online pharmacy price
$4.65 per vial$837.75 for 90 days (180 vials), plus shipping (fee not published) · brand Cequa 0.09%, not FDA-approved · ships from Australia
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Prices checked Nov 5, 2026 · Page updated November 11, 2026 · By the eDrugSearch team · How we check pharmacies and prices

Name check: Cequa (cyclosporine 0.09% solution) is not Restasis (0.05% emulsion) or a generic of it. Restasis, Vevye and Verkazia are different cyclosporine eye products.

Compare Cequa prices from licensed pharmacies

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For comparison U.S. pharmacy list price: $1,581.84 for 90 days ($8.79 per vial), brand Cequa before insurance. The prices below are from U.S. pharmacies that publish cash prices and from licensed online pharmacies outside the U.S.

PharmacyMedicationPriceShipping & deliveryTotal (90 days)Buy
Online pharmacy ACequa 0.09% Solution0.09% · brand · Filled in AustraliaMaker listed by pharmacy: Maker not shown by pharmacy$279.25per 60 vials · 3 packs = $837.75$4.65 per vialFee not publishedDelivery time not stated$837.75 for 90 days= $837.75 for 90 days+ shippingSave 47%incl. $0 shippingChecked Nov 7See pharmacy (members) Members see the pharmacy
Licensed Canadian pharmacy BCequa Eye Drops (60x0.25ml)0.09% · brand · Filled in CanadaMaker listed by pharmacy: SUN PHARMACEUTICAL INDUSTRIES LIMITED$880for 180 vials$4.89 per vial$9.95Pharmacy's estimate: 3–6 weeks$889.95 for 90 days= $889.95 for 90 daysSave 44%incl. $9.95 shippingChecked Nov 5See pharmacy (members) Members see the pharmacy
Licensed U.S. pharmacy CCequa 0.09% Ophthalmic Solution- 60 x 0.25ml0.09% · brandMaker listed by pharmacy: Sun Pharmaceutical Industries, Inc.Ships from United StatesShips within the U.S. (no customs) · checked Nov 5, 2026$710per 60 vials · 3 packs = $2,130$11.83 per vial$5Pharmacy's estimate: 2–8 business days$2,135 for 90 days= $2,135 for 90 daysincl. $5 shippingChecked Nov 5See pharmacy (members) Members see the pharmacy

Buying from a pharmacy outside the U.S.? Read Is it safe to order Cequa from Canada?

90-day cost = 180 vials at the usual dose of 2 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 5, 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. U.S. rows: the cash price a U.S. pharmacy published on its own website on the date shown, for whole fills, plus its standard shipping; no insurance or discount cards. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.

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90-day prices from 1 licensed pharmacy abroad shipping to the U.S.: $889.95, any strength, shipping included.

Jump to: Medicare · Maker savings · Generic Cequa · Similar drugs · Uses · FAQ

Cequa (cyclosporine 0.09%) eye drops for chronic dry eye, in boxes of 60 single-use vials. No generic of Cequa is sold in the U.S.

Cequa price by strength

StrengthLowest brand90 daysPrice per vial
Cequa 0.09%$889.95$4.89

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 vial is for that lowest pack, before shipping. Prices checked Nov 5, 2026.

Cheapest ways to get Cequa 0.09%

The cheapest ways we found to get brand Cequa 0.09% (prices checked Nov 5, 2026). The lowest 90-day cost is shaded green.

Way to buyCostDetails
Licensed online pharmacy abroad$889.95 for 90 daysBrand Cequa 0.09%, ships from Canada, not FDA-approved (made for another country). Shipping included, checked Nov 5, 2026. See all prices
U.S. pharmacy cash price$2,135 for 90 daysFDA-approved brand Cequa 0.09%, ships within the U.S. (no customs). Shipping included, checked Nov 5, 2026. See all prices
U.S. list price$1,581.84 for 90 daysBrand Cequa before insurance. Pharmacies may charge more.
Medicare Part DDepends on your planYour plan’s drug list and coverage phase set your cost. Medicare costs

Costs abroad and at U.S. pharmacies are for one order closest to 90 days, shipping included, from the price table above. Programs set their own rules, so check the terms before you count on one.

How much does Cequa cost without insurance?

Without insurance, Cequa costs $527.28 for a 30-day supply at the U.S. list price, or about $1,581.84 for 90 days. Licensed pharmacies abroad charged from $889.95 for 90 days of brand Cequa 0.09% in our latest check (Nov 5, 2026), shipping included.

Cequa cost with Medicare

In 2026, a Medicare drug plan (Part D) can charge a deductible of up to $615, and once you've spent $2,100 out of pocket on covered drugs, you pay nothing more for covered drugs that year ($2,400 in 2027) (Medicare.gov). What you pay for Cequa depends on your plan's drug list and your coverage phase. If your income is limited, Extra Help lowers drug costs: in 2026 you pay no more than $5.10 for a generic and $12.65 for a brand-name drug, with income under $23,940 ($32,460 for a married couple) and resources under $18,090 ($36,100 for a couple) (CMS). The free Medicare Prescription Payment Plan spreads costs into monthly payments, but it doesn't lower the total.

Medicare Part DWhat Cequa costsSource
Part D deductible (2026)Up to $615 a year, depending on your planMedicare.gov
Part D out-of-pocket cap (2026)$2,100 a year for covered drugsMedicare.gov
If your plan denies coverageYou may be eligible for Sun Pharma's $89-per-box cash price through PhilRx after a confirmed prior authorization denialSun Pharma
Limited incomeExtra Help can lower what you pay for prescriptionsSocial Security

Cequa cost with insurance

With private or employer insurance, what you pay for Cequa depends on your plan's drug list, deductible and copay. As little as $0 per box with the Cequa copay program, up to $250 per prescription. Through PhilRx, $89 per box if your plan denies coverage after prior authorization (Sun Pharma).

Medicaid: Your state Medicaid program sets coverage and copays. The Cequa copay program can't be used with Medicaid (Sun Pharma).

Cequa patient assistance program

We haven't found a patient assistance program for Cequa. In our checks of Sun Pharma's own pages, we found no free-medicine program that lists Cequa. If you have Medicare and a limited income, Medicare Extra Help can lower what you pay for covered drugs.

Is there a generic Cequa?

No. No generic of Cequa (cyclosporine ophthalmic solution 0.09%) is approved or sold in the U.S. The FDA Orange Book lists Cequa (NDA 210913, approved August 14, 2018) with patents that expire in 2033 and 2037.

StrengthU.S. genericMakersSince
0.09% single-use vialsNo—

Outside the U.S.: In Canada, the U.K. and Australia, Sun Pharma sells Cequa under the same name. Outside the U.S., the ingredient is often spelled ciclosporin.

Source: FDA Orange Book: Cequa (NDA 210913). As of Oct 26, 2026.

Cequa FAQ

How much does Cequa cost?

Sun Pharma gives a list price of $527.28 for a box of 60 single-use vials, about a 30-day supply, or $1,581.84 for 90 days. As of Nov 5, 2026, brand Cequa 0.09% cost from $889.95 for 90 days at licensed pharmacies abroad we compared, shipping included. Pharmacies may charge more than list price.

Is there a generic Cequa?

No. The FDA Orange Book lists no generic for Cequa (cyclosporine 0.09%), and its listed patents expire in 2033 and 2037. Generic cyclosporine 0.05% vials are generics of Restasis, a different product.

What is the $89 Cequa price?

Through the PhilRx pharmacy service, Sun Pharma offers a cash discount price of $89 per box of 60 vials to eligible patients with commercial insurance or Medicare Part D whose prior authorization for Cequa was denied. It applies only when Cequa is prescribed through PhilRx.

Does Medicare cover Cequa?

It depends on your Part D plan. The Cequa copay program can't be used with Medicare. In 2026, the Part D deductible is up to $615 and out-of-pocket costs for covered drugs are capped at $2,100. If your plan denies coverage after prior authorization, you may be eligible for Sun Pharma's $89-per-box cash price through PhilRx. People with limited income can apply for Extra Help.

How much does Cequa cost without insurance?

Without insurance, Cequa costs $527.28 for a 30-day supply at the U.S. list price, or about $1,581.84 for 90 days.

Is there a patient assistance program for Cequa?

We haven't found a patient assistance program for Cequa. In our checks of Sun Pharma's own pages, we found no free-medicine program that lists Cequa. If you have Medicare and a limited income, Medicare Extra Help can lower what you pay for covered drugs.

How long does a box of Cequa last?

About 30 days. A box has 60 single-use vials. The label says to use one drop in each eye twice a day, about 12 hours apart, and to throw each vial away right after using it in both eyes, so you use 2 vials a day.

Savings programs from the maker

eDrugSearch does not offer its own Cequa coupons. These are the real savings programs, run by the drug's maker and by Medicare:

  • Cequa Co-pay Card: for people with commercial (private or employer) insurance. Eligible patients may pay as little as $0 for each box of 60 vials, with a maximum benefit of $250 per prescription. Not valid for people with no insurance or paying cash, or for Medicare (including Part D and Medicare Advantage), Medicaid, TRICARE or other government programs. U.S., Puerto Rico, Guam and Virgin Islands residents only. Questions: 1-855-268-1426. (Cequa cost and savings)
  • PhilRx cash discount price: $89 per box of 60 vials for eligible patients with commercial insurance or Medicare Part D whose prior authorization was denied, when Cequa is prescribed through PhilRx. With private insurance, ask your plan whether a cash purchase counts toward your deductible. With Medicare, a cash purchase outside your plan won't count toward the $2,100 yearly cap. (Sun Pharma: ways to save)
  • 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)

Compare Cequa with similar drugs

Other prescription dry eye medicines people often compare with Cequa. Prices are for each drug's lowest-priced strength.

DrugTypeLowest price we foundLink
Restasiscyclosporine ophthalmic emulsionDry eye medicine (calcineurin inhibitor eye drops)$276.67 for 90 daysSee prices
XiidralifitegrastDry eye medicine (LFA-1 antagonist eye drops)$1,048.04 for 90 daysSee 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 Cequa used for?

Cequa (cyclosporine ophthalmic solution 0.09%) is a calcineurin inhibitor eye drop. According to its FDA label (DailyMed), it is used to:

  • Increase tear production in people with keratoconjunctivitis sicca (dry eye).

Cequa comes as a preservative-free 0.09% solution in single-use vials (0.25 mL each), 60 vials to a box (6 foil pouches of 10). The label says the whole box of 60 vials is dispensed intact. It has no boxed warning. The label says Cequa should not be used while wearing contact lenses, and its safety and effectiveness have not been established in people under 18. Your prescriber decides which medicine is right for you.

Is it safe to order Cequa from Canada?

Many Americans do, but U.S. law and customs rules apply. 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)). New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, Sun Pharma Canada sells Cequa 0.09% under the same name (DIN 02512629). It is also sold as Cequa in the U.K. and Australia.

Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.

Sources

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.