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Emend Cost, Generic and Savings
- Lowest U.S. online pharmacy price
- $293.33 per capsule$885 for one 3-day course, shipping included · FDA-approved brand Emend 125 mg/80 mg · ships within the U.S.
- Lowest international online pharmacy price
- $36.00 per capsule$117.95 for one 3-day course, shipping included · brand Emend 125 mg/80 mg, not FDA-approved · ships from Singapore
Generic aprepitant 125 mg/80 mg (not FDA-approved · ships from India) from $48.12
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Quick answerAs of Nov 11, 2026, one brand Emend Tri-Pack (125 mg + two 80 mg capsules, one 3-day course) costs from $117.95 at licensed pharmacies abroad we compared, vs. $774.36 at the U.S. list price. Generic aprepitant Tri-Packs list at $576.99 (Sandoz).
Compare Emend prices from licensed online pharmacies
Recall notice: Merck Sharp & Dohme LLC is recalling some lots of Merck Emend (aprepitant) for oral suspension (Class II, started Dec 12, 2025). Check your bottle's lot number against the FDA notice (recall number D-0241-2026), and ask your pharmacist if you have questions.
FDA sorts recalls into classes: Class I is the most serious and Class III the least.
For comparison U.S. pharmacy list price: $774.36 for one 3-day course ($258.12 per capsule), brand Emend before insurance. The prices below are from U.S. pharmacies that publish cash prices and from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total | Buy |
|---|---|---|---|---|---|
| Lowest per capsuleOnline pharmacy A | APREPITANTNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.125 mg/80 mg · generic · Filled in IndiaMade for sale in India.Product of India | $48.12for 3 capsules$16.04 per capsule | FreeDelivery time not stated | $48.12 for one 3-day course= $48.12 for one 3-day courseSave 94%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy B | Aprepitant TriPack (Aprepitant)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.125 mg/80 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Glenmark | $60.30for 3 capsules$20.10 per capsule | FreePharmacy's estimate: 2–3 weeks | $60.30 for one 3-day course= $60.30 for one 3-day courseSave 92%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy C | AprepitantNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.125 mg/80 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Hetero Labs Ltd. | $76.47for 3 capsules$25.49 per capsule | $9.95Pharmacy's estimate: 4–6 weeks | $86.42 for one 3-day course= $86.42 for one 3-day courseSave 89%incl. $9.95 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy C | Emend Tri Pack (Turkey pack, ships from Singapore)125 mg/80 mg · brand · Filled in SingaporeMaker listed by pharmacy: Merck Sharp & DohmeMade for Turkey | $108for 3 capsules$36.00 per capsule | $9.95Pharmacy's estimate: 4–6 weeks | $117.95 for one 3-day course= $117.95 for one 3-day courseSave 85%incl. $9.95 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy D | Emend Tri-Pack125 mg/80 mg · brand · Filled in CanadaProduct of Canada | $126.09for 3 capsules$42.03 per capsule | Fee not publishedDelivery time not stated | $126.09 for one 3-day course= $126.09 for one 3-day course+ shippingSave 84%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy E | Emend Tri-Pack125 mg/80 mg · brand · Filled in CanadaProduct of Canada | $136.99for 3 capsules$45.66 per capsule | Fee not publishedDelivery time not stated | $136.99 for one 3-day course= $136.99 for one 3-day course+ shippingSave 82%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy B | Emend Tri Pack (Aprepitant)125 mg/80 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: Merck | $140.10for 3 capsules$46.70 per capsule | FreePharmacy's estimate: 2–3 weeks | $140.10 for one 3-day course= $140.10 for one 3-day courseSave 82%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy F | EMEND 125/80/80MG CAPSULE 3 (BRAND FROM TURKEY)125 mg/80 mg · brand · Filled in TurkeyMade for sale in Turkey.Product of Turkey | $130for 3 capsules$43.33 per capsule | $14.95Pharmacy's estimate: 4–6 weeks | $144.95 for one 3-day course= $144.95 for one 3-day courseSave 81%incl. $14.95 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy B | Emend Tri Pack (Aprepitant)125 mg/80 mg · brand · Filled in New ZealandMaker listed by pharmacy: Merck | $176.94for 3 capsules$58.98 per capsule | FreePharmacy's estimate: 2–3 weeks | $176.94 for one 3-day course= $176.94 for one 3-day courseSave 77%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleLicensed Canadian pharmacy G | Emend Tri Pack125 mg/80 mg · brand · Filled in CanadaMaker listed by pharmacy: MERCK CANADA INC | $185.77for 3 capsules$61.92 per capsule | $9.95Pharmacy's estimate: 3–6 weeks | $195.72 for one 3-day course= $195.72 for one 3-day courseSave 75%incl. $9.95 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleLicensed online pharmacy H | Emend tri pack 125/80mg125 mg/80 mg · brand · Filled in TurkeyMade for sale in Turkey.Product of Turkey | $238for 3 capsules$79.33 per capsule | FreeDelivery time not stated | $238 for one 3-day course= $238 for one 3-day courseSave 69%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy C | Emend Tri Pack125 mg/80 mg · brand · Filled in CanadaMaker listed by pharmacy: Merck Sharp & Dohme | $260for 3 capsules$86.67 per capsule | $9.95Pharmacy's estimate: 4–6 weeks | $269.95 for one 3-day course= $269.95 for one 3-day courseSave 65%incl. $9.95 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy B | Emend Tri Pack (Aprepitant)125 mg/80 mg · brand · Filled in CanadaMaker listed by pharmacy: Merck | $306.63for 3 capsules$102.21 per capsule | FreePharmacy's estimate: 2–3 weeks | $306.63 for one 3-day course= $306.63 for one 3-day courseSave 60%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy I | Emend Tri-Pack125 mg/80 mg · brand · Filled in CanadaProduct of Canada | $367.54for 3 capsules$122.51 per capsule | $9.95Delivery time not stated | $377.49 for one 3-day course= $377.49 for one 3-day courseSave 51%incl. $9.95 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy F | EMEND 125/80/80MG CAPSULE 12 (BRAND FROM TURKEY)125 mg/80 mg · brand · Filled in TurkeyMade for sale in Turkey.Product of Turkey | $495for 12 capsules$41.25 per capsule | $14.95Pharmacy's estimate: 4–6 weeks | $509.95 for 360 days= $509.95 for one 3-day courseSave 34%incl. $14.95 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleLicensed U.S. pharmacy J | Emend 125-80mg Capsules- 3 pack125 mg/80 mg · brandU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | $880for 3 capsules$293.33 per capsule | $5Pharmacy's estimate: 2–8 business days | $885 for one 3-day course= $885 for one 3-day courseincl. $5 shippingChecked Nov 11 | 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 Emend from Canada?
Course cost = 3 capsules at the usual dose of 1 a month, bought as one order of whole packs with one shipping fee. Course 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 11, 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 one 3-day course; 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.
Members see pharmacy names, ratings, visit links and price-drop alerts.
Join to See PharmaciesAlready a member? Sign inEmend price by strength
| Strength | Lowest brandone 3-day course | Lowest generic abroadone 3-day course, not FDA-approved | Price per capsule |
|---|---|---|---|
| Emend 125 mg/80 mg | $117.95 | $48.12 | $36.00 brand · $16.04 generic |
Lowest course 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 11, 2026.
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90-day prices from 7 licensed pharmacies abroad shipping to the U.S.: $48.12 to $509.95, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Emend · Similar drugs · Uses · FAQ
Emend (aprepitant) capsules help prevent nausea and vomiting from cancer chemotherapy, as a 3-day Tri-Pack. Generic aprepitant is sold in the U.S.
Emend cost at a glance
- Generic Emend is sold in the U.S. The FDA has approved generic aprepitant capsules (40, 80 and 125 mg) from Sandoz, Glenmark and Torrent, rated equivalent to Emend (FDA Orange Book). In the Texas 2026 drug price filing, the Sandoz and Glenmark generic Tri-Packs list at $576.99 (Texas DSHS).
- U.S. list price: one brand Emend Tri-Pack (one 125 mg and two 80 mg capsules) lists at $774.36, and a 2-capsule pack of 80 mg at $437.54 (the maker's wholesale price before discounts) (Texas DSHS).
- How we count: one course. The label's dose for adults and children 12 and older is 125 mg on day 1 and 80 mg on days 2 and 3 of each chemotherapy cycle, which is one Tri-Pack of 3 capsules.
- 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).
- From online pharmacies abroad: $117.95 to $509.95 for one brand Emend Tri-Pack, shipping included (checked Nov 11, 2026). The U.S. list price is $774.36.
How much does Emend cost in the U.S.?
| If you have | What Emend costs | Source |
|---|---|---|
| No insurance (list price) | Brand Emend Tri-Pack (one 125 mg and two 80 mg capsules): $774.36. 80 mg BiPack (2 capsules): $437.54. Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| No insurance (generic aprepitant) | FDA-approved generic aprepitant is sold in the U.S. Sandoz and Glenmark list a generic Tri-Pack at $576.99 and a 2-capsule pack of 80 mg at $326.05. Ask your pharmacist for the cash price. | Texas DSHS 2026 WAC report |
| Private or employer insurance | Your copay depends on your plan and whether it covers brand Emend or generic aprepitant, which the FDA rates as equivalent to Emend. | 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 |
Emend is taken for 3 days with each chemotherapy cycle, so the cost repeats every cycle. One brand Tri-Pack lists at $774.36, about $258 a capsule (Texas DSHS). FDA-approved generic aprepitant has been sold in the U.S. since 2016, and Sandoz lists its generic Tri-Pack at $576.99 in the same filing. List prices are what makers charge wholesalers; what a pharmacy charges you can differ.
Emend 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 brand Emend or generic aprepitant depends on your plan's drug list.
| Medicare Part D | What Emend 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 |
Emend 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.
eDrugSearch does not offer its own Emend coupons. eDrugSearch has no coupons of its own. If you have Medicare, these two programs can help with the cost of brand Emend or generic aprepitant:
- 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 Emend?
Yes. The FDA has approved generic aprepitant capsules (40, 80 and 125 mg) from Sandoz, Glenmark and Torrent, rated equivalent to Emend, and generic Tri-Packs are sold. Sandoz's generic has been listed as on the market since December 27, 2016.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 125 mg/80 mg | Yes | Sandoz, Glenmark, Torrent, BluePoint | 2016 |
Outside the U.S.: Online pharmacies abroad may also sell generic aprepitant made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: aprepitant products. As of Nov 11, 2026.
Compare Emend with similar drugs
Other medicines used to prevent nausea and vomiting from chemotherapy. Each works in a different way, and they are often used together; your prescriber decides which medicine is right for you. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Akynzeonetupitant and palonosetron | Anti-nausea medicine for chemotherapy (NK1 and 5-HT3 blocker) | From $151.51 per capsule | See prices |
| Zofranondansetron | Anti-nausea medicine (5-HT3 receptor blocker) | From $0.62 per tablet | See prices |
Lowest price per unit, before 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 Emend used for?
Emend (aprepitant) blocks substance P, a brain chemical that triggers vomiting. It is used together with other anti-nausea medicines. According to its FDA label (DailyMed), Emend capsules are used in people 12 and older to help prevent:
- Nausea and vomiting, right away and in the days after, from highly emetogenic (strongly nausea-causing) cancer chemotherapy, including high-dose cisplatin, for first and repeat courses.
- Nausea and vomiting from moderately emetogenic cancer chemotherapy, for first and repeat courses.
The usual capsule dose is 125 mg one hour before chemotherapy on day 1, then 80 mg on days 2 and 3, along with other anti-nausea medicines. Children from 6 months old, and people who can't swallow capsules, can use Emend for oral suspension. Emend interacts with many medicines, including blood thinners like warfarin and hormonal birth control, which may work less well during and for 28 days after Emend. Your prescriber decides which medicine is right for you.
Is it safe to order Emend from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Emend, compare the U.S. price of FDA-approved generic aprepitant before you order. 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, Emend 80 mg and 125 mg capsules and the Emend Tri-Pack are sold under the same name by Merck Canada (Health Canada).
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 Emend without insurance?
The U.S. list price of one brand Emend Tri-Pack (one 3-day course) is $774.36, in the Texas 2026 drug price filing. Licensed pharmacies abroad charged from $117.95 for one brand Tri-Pack in our latest check (Nov 11, 2026). FDA-approved generic aprepitant is also sold in the U.S.
Is there a generic for Emend?
Yes. The generic is aprepitant. The FDA has approved generic aprepitant capsules from Sandoz, Glenmark and Torrent, rated equivalent to Emend, and they have been sold in the U.S. since 2016. Ask your pharmacist whether a generic can fill your prescription.
How much does aprepitant cost?
In the Texas 2026 drug price filing, Sandoz and Glenmark list a generic aprepitant Tri-Pack (one 125 mg and two 80 mg capsules) at $576.99. These are list prices (the maker's wholesale price before discounts). What a pharmacy charges can differ, so ask your pharmacist.
What is the Emend Tri-Pack?
It is one 3-day course: one 125 mg capsule for day 1 and two 80 mg capsules for days 2 and 3. The label says to take it about an hour before chemotherapy each day, or in the morning on days with no chemotherapy. Each chemotherapy cycle uses a new pack.
Is there an Emend coupon or savings card?
eDrugSearch has no coupons of its own. FDA-approved generic aprepitant is sold in the U.S., and Sandoz and Glenmark list a generic Tri-Pack at $576.99, compared with $774.36 for brand Emend. If you have Medicare and limited income, Extra Help can lower what you pay.
How much does Emend 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. People with limited income can apply for Extra Help.
Can I buy Emend from Canada?
Yes, Emend is sold in Canada. Health Canada lists Merck's Emend 80 mg and 125 mg capsules and the Emend Tri-Pack as marketed. Packs made for Canada are not FDA-approved, and U.S. import rules apply. The price table shows where each pack comes from.
Sources
- Texas DSHS: 2026 annual WAC report (Emend Tri-Pack $774.36 (NDC 0006-3862-03); 80 mg BiPack $437.54 (0006-0461-02); Sandoz aprepitant Tri-Pack $576.99 (0781-4063-36), 80 mg x2 $326.05 (0781-2322-46); Glenmark Tri-Pack $576.99 (68462-0112-33))
- EMEND capsules and oral suspension U.S. prescribing information (DailyMed) (Merck Sharp & Dohme, label version 43 (effective July 5, 2024))
- FDA Orange Book: aprepitant products (Emend NDA 021549 (80 and 125 mg RX, 40 mg discontinued); AB-rated generics from Sandoz, Glenmark and Torrent)
- Drugs@FDA: Emend capsules (NDA 021549) (approved March 26, 2003)
- FDA NDC Directory: Sandoz aprepitant Tri-Pack (NDC 0781-4063) (marketing start December 27, 2016)
- Health Canada Drug Product Database: Emend (Emend 80 mg (DIN 02298791), 125 mg (02298805) and Tri-Pack (02298813), Merck Canada: marketed; checked 2026-11-11)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- 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.