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Gemtesa Price (vibegron)
As of Nov 11, 2026, brand Gemtesa 75 mg costs from $259.99 for 90 days at licensed pharmacies abroad (ships from Mauritius; packs made for other countries are not FDA-approved), vs. $1,502.67 at the U.S. list price.
- Lowest U.S. online pharmacy price
- $17.56 per tablet$1,580.22 for 90 days (90 tablets), shipping included · FDA-approved brand Gemtesa 75 mg · ships within the U.S.
- Lowest international online pharmacy price
- $2.85 per tablet$256.45 for 90 days (90 tablets), plus shipping (fee not published) · brand Gemtesa 75 mg, not FDA-approved · ships from Mauritius
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Compare Gemtesa prices from licensed pharmacies
For comparison U.S. pharmacy list price: $1,502.67 for 90 days ($16.70 per tablet), brand Gemtesa 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 (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletOnline pharmacy A | Obgemsa 75mg Tablet (UK/EU pack, ships from Mauritius)75 mg · brand · Filled in MauritiusMaker listed by pharmacy: Maker not shown by pharmacyMade for UK/EU | $256.45for 90 tablets$2.85 per tablet | Fee not publishedDelivery time not stated | $256.45 for 90 days= $256.45 for 90 days+ shippingSave 83%incl. $0 shippingChecked Nov 7 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Obgemsa (United Kingdom pack, ships from Mauritius)75 mg · brand · Filled in MauritiusMaker listed by pharmacy: Pierre Fabre Dermo- CosmetiqueMade for United Kingdom | $259.99for 90 tablets$2.89 per tablet | FreeDelivery time not stated | $259.99 for 90 days= $259.99 for 90 daysSave 83%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Obgemsa (UK/EU pack, ships from Mauritius)75 mg · brand · Filled in MauritiusProduct of UK/EU | $266.99for 90 tablets$2.97 per tablet | Fee not publishedDelivery time not stated | $266.99 for 90 days= $266.99 for 90 days+ shippingSave 82%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | GEMTESA (UK pack, ships from Mauritius)75 mg · brand · Filled in MauritiusProduct of UK | $333.91for 90 tablets$3.71 per tablet | FreeDelivery time not stated | $333.91 for 90 days= $333.91 for 90 daysSave 78%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | GEMTESA75 mg · brand · Filled in UKProduct of UK | $435.88for 90 tablets$4.84 per tablet | FreeDelivery time not stated | $435.88 for 90 days= $435.88 for 90 daysSave 71%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy E | Gemtesa, 75 MG Tablet (Prime member price)75 mg · brandU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | $526.74per 30 tablets · 3 packs = $1,580.22$17.56 per tablet | FreePharmacy's estimate: Usually next day | $1,580.22 for 90 days= $1,580.22 for 90 daysincl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy E | Gemtesa, 75 MG Tablet (price without insurance)75 mg · brandU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | $576per 30 tablets · 3 packs = $1,728$19.20 per tablet | Fee not publishedPharmacy's estimate: Usually next day | $1,728 for 90 days= $1,728 for 90 days+ shippingincl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy F | Gemtesa 75mg Tablets- 30ct75 mg · brandMaker listed by pharmacy: Sumitomo Pharma America, Inc.Ships from United StatesShips within the U.S. (no customs) · checked Nov 7, 2026 | $575per 30 tablets · 3 packs = $1,725$19.17 per tablet | $5Pharmacy's estimate: 2–8 business days | $1,730 for 90 days= $1,730 for 90 daysincl. $5 shippingChecked Nov 7 | 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 Gemtesa from Canada?
90-day cost = 90 tablets at the usual dose of 1 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 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 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 2 licensed pharmacies abroad shipping to the U.S.: $259.99 to $435.88, any strength, shipping included.
Jump to: Medicare · Maker savings · Generic Gemtesa · Similar drugs · Uses · FAQ
Gemtesa (vibegron) 75 mg tablets for overactive bladder. There is no generic in the U.S. yet, so here is what the brand costs and how people save. Also sold as: Obgemsa (U.K. and Europe)
Gemtesa price by strength
| Strength | Lowest brand90 days | Price per tablet |
|---|---|---|
| Gemtesa 75 mg | $259.99 | $2.89 |
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 tablet is for that lowest pack, before shipping. Prices checked Nov 11, 2026.
Cheapest ways to get Gemtesa 75 mg
The cheapest ways we found to get brand Gemtesa 75 mg (prices checked Nov 11, 2026). The lowest 90-day cost is shaded green.
| Way to buy | Cost | Details |
|---|---|---|
| Licensed online pharmacy abroad | $259.99 for 90 days | Brand Gemtesa 75 mg, ships from Mauritius, not FDA-approved (made for another country). Shipping included, checked Nov 11, 2026. See all prices |
| U.S. pharmacy cash price | $1,580.22 for 90 days | FDA-approved brand Gemtesa 75 mg, ships within the U.S. (no customs). Shipping included, checked Nov 11, 2026. See all prices |
| U.S. list price | $1,502.67 for 90 days | Brand Gemtesa before insurance. Pharmacies may charge more. |
| Medicare Part D | Depends on your plan | Your 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 Gemtesa cost without insurance?
Without insurance, Gemtesa costs $500.89 for a 30-day supply at the U.S. list price, or about $1,502.67 for 90 days. Licensed pharmacies abroad charged from $259.99 for 90 days of brand Gemtesa 75 mg in our latest check (Nov 11, 2026), shipping included. Cash: The copay program is not valid for cash-paying patients. We found no maker cash price and no TrumpRx.gov listing (checked October 24, 2026) (Sumitomo Pharma (GEMTESA.com)).
Gemtesa 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 Gemtesa 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 D | What Gemtesa costs | Source |
|---|---|---|
| Part D deductible (2026) | Up to $615 a year, depending on your plan | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 a year for covered drugs | Medicare.gov |
| Negotiated price | None: Gemtesa is not on the 2026, 2027 or 2028 lists | CMS |
| Limited income | Extra Help can lower what you pay for prescriptions | Social Security |
Gemtesa cost with insurance
With private or employer insurance, what you pay for Gemtesa depends on your plan's drug list, deductible and copay. As little as $10 for 30 days or $0 for 90 days with the Simple Savings Program, through December 31, 2026 (Sumitomo Pharma (GEMTESA.com)).
As little as $95 for 30 days with the Simple Savings Program (Sumitomo Pharma (GEMTESA.com)).
Gemtesa patient assistance program
We haven't found a patient assistance program for Gemtesa. In our checks of Sumitomo Pharma America's own pages, we found no free-medicine program that lists Gemtesa. If you have Medicare and a limited income, Medicare Extra Help can lower what you pay for covered drugs.
Is there a generic Gemtesa?
No. The FDA has not approved a generic vibegron, so Gemtesa, made by Sumitomo Pharma America, is the only vibegron tablet sold in the U.S. The FDA Orange Book lists patents with expiration dates from 2029 to 2042. Patents can be challenged, so these dates don't tell you exactly when a generic will arrive.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 75 mg | No | — |
Outside the U.S.: In the U.K. and Europe, the same medicine is sold as Obgemsa by Pierre Fabre, the company licensed to sell vibegron there. Gemtesa is not sold in Canada yet.
Source: FDA Orange Book: GEMTESA (NDA 213006). As of Oct 25, 2026.
Gemtesa FAQ
How much does Gemtesa 75 mg cost without insurance?
The U.S. list price is $500.89 for a 30-day supply, as shown on the maker's site (dated August 2024). As of Nov 11, 2026, brand vibegron 75 mg (Obgemsa, the U.K. version) cost from $259.99 for 90 days at licensed pharmacies abroad we compared, shipping included. The maker's copay program can't be used by cash-paying patients.
Is Gemtesa covered by Medicare?
It depends on your Part D plan. In 2026, the Part D deductible is up to $615 and out-of-pocket costs for covered drugs are capped at $2,100. Gemtesa has no Medicare negotiated price. The maker's copay program can't be used with Medicare, but people with limited income can apply for Extra Help.
Is Obgemsa the same as Gemtesa?
Obgemsa is the name vibegron 75 mg tablets are sold under in the U.K. They are made by Pierre Fabre, the company licensed to sell vibegron in Europe and the U.K. The active ingredient and strength are the same as Gemtesa.
Where can I get Gemtesa cheaper?
With private insurance, the GEMTESA Simple Savings Program can bring your cost down to as little as $0 to $95, depending on your coverage. Without insurance, the U.S. list price is $500.89 for 30 days. Licensed pharmacies abroad charged $259.99 to $435.88 for 90 days of Obgemsa, the U.K. and European version, in our latest check (Nov 11, 2026).
Can I buy Gemtesa from Canada?
Gemtesa is not sold in Canada yet. Some online pharmacies abroad ship the U.K. version, Obgemsa, to the U.S. You need a prescription from your doctor, and U.S. import rules apply. Never buy it from a website that does not ask for a prescription.
Is there a generic Gemtesa?
No. The FDA has not approved a generic vibegron, so Gemtesa, made by Sumitomo Pharma America, is the only vibegron tablet sold in the U.S. The FDA Orange Book lists patents with expiration dates from 2029 to 2042. Patents can be challenged, so these dates don't tell you exactly when a generic will arrive.
What are alternatives to Gemtesa?
Other overactive bladder medicines people often compare with Gemtesa include Myrbetriq (mirabegron), another beta-3 agonist, plus Vesicare, Toviaz and Detrol LA. Your prescriber decides which medicine is right for you.
Savings programs from the maker
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 Gemtesa coupons. These are the real savings programs, run by the drug's maker and by Medicare:
- GEMTESA Simple Savings Program: Ends Dec 31, 2026 for people with private or employer insurance. If your plan covers Gemtesa, you may pay as little as $10 for 30 days or $0 for 90 days from January 1 to December 31, 2026. If it doesn't, you may pay as little as $95 for 30 days. The card is valid for up to 12 fills of 30 days or 4 fills of 90 days and expires one year after activation. Not for Medicare, Medicaid or other government programs, and not valid for cash-paying patients. Questions: 1-833-876-8268. (Program terms)
- Mail-in rebate: if you fill Gemtesa by mail order or can't use the card at your pharmacy, the program offers a rebate. Requests must be sent within 3 months of the fill date. (GEMTESA savings)
- 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 Gemtesa with similar drugs
Other overactive bladder medicines people often compare with Gemtesa, including Myrbetriq, another beta-3 agonist. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Myrbetriqmirabegron | Overactive bladder medicine (beta-3 adrenergic agonist) | $52.90 for 90 days | See prices |
| Vesicaresolifenacin | Overactive bladder medicine (antimuscarinic) | $58.26 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 Gemtesa used for?
Gemtesa (vibegron) is a beta-3 adrenergic agonist. According to its FDA label (DailyMed), it is used to treat:
- Overactive bladder (OAB) with leaking (urge urinary incontinence), a sudden need to urinate (urgency) and urinating often (frequency) in adults.
- The same overactive bladder symptoms in adult men who are taking medicine for an enlarged prostate (benign prostatic hyperplasia, BPH).
Gemtesa comes as a 75 mg tablet. Your prescriber decides which medicine is right for you.
Is it safe to order Gemtesa 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. Gemtesa is not sold in Canada yet, so the packs in our table are Obgemsa, the version sold in the U.K. and Europe (made by Pierre Fabre where the pharmacy names the maker), shipped by the pharmacy.
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Sources
- GEMTESA savings program and list price (Sumitomo Pharma) (WAC $500.89 per 30-day supply as of August 2024)
- GEMTESA Simple Savings Program terms
- GEMTESA access and coverage (Medicare Part D facts)
- CMS: Medicare selected drugs and negotiated prices
- FDA Orange Book: GEMTESA (NDA 213006) patents and exclusivity
- GEMTESA U.S. prescribing information (DailyMed) (label effective April 1, 2025)
- Obgemsa 75 mg U.K. product information (emc) (Pierre Fabre Limited, PLGB 00603/0250)
- Medicare.gov: Part D costs (2026 deductible and out-of-pocket cap)
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.