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Litfulo Price and Savings
- U.S. list price
- $13,357.20 for 90 days (90 capsules)The maker's price for brand Litfulo before discounts · Source: Texas DSHS 2026 WAC report
- Lowest international online pharmacy price
- $82.14 per capsule$7,408.88 for 90 days (90 capsules), shipping included · brand Litfulo 50 mg, not FDA-approved · ships from Canada
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Quick answerAs of Nov 12, 2026, brand Litfulo 50 mg costs from $7,408.88 for 90 days (90 capsules) at online pharmacies abroad we compared, vs. $13,357.19 at the U.S. list price ($4,155.57 for 28 capsules). No generic is sold in the U.S.
Name check: Litfulo comes in one strength, a 50 mg capsule taken once a day. U.S. bottles hold 28 capsules (4 weeks); we compare 90 days, or 90 capsules.
Compare Litfulo prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $13,357.20 for 90 days ($148.41 per capsule), brand Litfulo 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 | LITFULO 50MG CAPSULE 28 (BRAND FROM CANADA)50 mg · brand · Filled in CanadaProduct of Canada | $2,300per 28 capsules · 3 packs = $6,900$82.14 per capsule | $14.95Pharmacy's estimate: 4–6 weeks | $6,914.95 for 84 days= $7,408.88 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 | LITFULO (EU pack, ships from CANADA)50 mg · brand · Filled in CANADAProduct of EU | $2,572.76per 28 capsules · 3 packs = $7,718.28$91.88 per capsule | FreeDelivery time not stated | $7,718.28 for 84 days= $8,269.59 for 90 daysSave 38%Worked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per capsuleOnline pharmacy C | LITFULO (EU pack, ships from CANADA)50 mg · brand · Filled in CANADAProduct of EU | $2,575.15per 28 capsules · 3 packs = $7,725.45$91.97 per capsule | FreeDelivery time not stated | $7,725.45 for 84 days= $8,277.27 for 90 daysSave 38%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 Litfulo from Canada?
90-day cost = 90 capsules 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 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 inLitfulo price by strength
| Strength | Lowest brand90 days | Price per capsule |
|---|---|---|
| Litfulo 50 mg | $7,408.88 | $82.14 |
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.: $7,408.88 to $8,277.27, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Litfulo · Similar drugs · Uses · FAQ
Litfulo (ritlecitinib) 50 mg capsules for severe alopecia areata. No generic Litfulo is sold in the U.S.
Litfulo cost at a glance
- U.S. list price: $4,155.57 for a bottle of 28 Litfulo 50 mg capsules, about $148.41 a capsule, or $13,357.19 for 90 days at 1 capsule a day. That's Pfizer's wholesale price before discounts (Texas DSHS).
- No U.S. generic. Drugs@FDA lists no generic ritlecitinib, so brand Litfulo (approved June 23, 2023) is the only version sold here (Drugs@FDA).
- With private insurance: Pfizer's copay savings card may lower your cost to as little as $0 a month; yearly limits apply. It isn't for Medicare, Medicaid or other government programs (Pfizer).
- How we count: 1 capsule a day. The label's dose is 50 mg once a day, so 90 days is 90 capsules.
- From online pharmacies abroad: $7,408.88 to $8,277.27 for 90 days of brand Litfulo 50 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 Litfulo cost in the U.S.?
| If you have | What Litfulo costs | Source |
|---|---|---|
| No insurance (brand list price) | $4,155.57 for 28 capsules of Litfulo 50 mg (about $148.41 a capsule). Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| Private or employer insurance | Your copay depends on your plan. With Pfizer's copay savings card, eligible people may pay as little as $0 a month; yearly limits apply. | Pfizer |
| 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 Litfulo lists at $4,155.57 for a bottle of 28 capsules in the U.S., a 4-week supply (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.
Litfulo 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 Litfulo depends on your plan's drug list. Pfizer's copay card can't be used with Medicare.
| Medicare Part D | What Litfulo 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 |
Litfulo 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 Litfulo coupons. eDrugSearch has no coupons of its own. These programs can help:
- Pfizer Dermatology Patient Access Copay Savings Card: for people with private commercial insurance. You may pay as little as $0 a month for Litfulo; yearly limits apply ($4,000 to $15,000 a year under the card's terms), and the offer runs through December 31, 2027. Not for anyone enrolled in Medicare, Medicaid, TRICARE, VA health care or another state or federally funded prescription program. Call 1-833-956-3376. (Pfizer)
- 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 Litfulo?
No. No generic Litfulo is sold in the U.S. Drugs@FDA lists no generic ritlecitinib.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 50 mg | No | — |
Outside the U.S.: Online pharmacies abroad may sell generic ritlecitinib made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: Drugs@FDA: Litfulo (NDA 215830). As of Nov 14, 2026.
Compare Litfulo with similar drugs
Other JAK inhibitor medicines with price pages here: Olumiant (baricitinib) is also approved for severe alopecia areata, and Xeljanz and Rinvoq treat other immune conditions. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Olumiantbaricitinib | Immune system medicine (JAK inhibitor) | $191.67 for 90 days | See prices |
| Xeljanztofacitinib | Rheumatoid arthritis and ulcerative colitis medicine (JAK inhibitor) | $177.06 for 90 days | See prices |
| Rinvoqupadacitinib | Immune system medicine (JAK inhibitor) | $940.70 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 Litfulo used for?
Litfulo (ritlecitinib) is a kinase inhibitor, a medicine that calms part of the immune system. According to its FDA label (DailyMed), it is used:
- To treat severe alopecia areata (an immune condition that causes patchy or total hair loss) in adults and teens 12 years and older.
The label's dose is one 50 mg capsule once a day. Before starting, the label calls for tuberculosis and hepatitis screening and blood counts. Litfulo has a boxed warning about serious infections, death, cancer, major heart problems and blood clots. The label says it isn't recommended together with other JAK inhibitors, biologic immune medicines, cyclosporine or other strong immune-suppressing medicines. Your prescriber decides which medicine is right for you.
Is it safe to order Litfulo from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Litfulo, check Pfizer's copay card and your insurance first. 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. Health Canada lists Litfulo 50 mg capsules from Pfizer Canada 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 Litfulo without insurance?
The U.S. list price of brand Litfulo is $4,155.57 for 28 capsules, about $148.41 a capsule. Online pharmacies abroad charged from $7,408.88 for 90 days of brand Litfulo in our latest check (Nov 12, 2026), shipping included.
Is there a generic Litfulo?
No. Drugs@FDA lists no generic ritlecitinib, so brand Litfulo is the only version sold in the U.S.
Is there a Litfulo copay card?
Yes, for people with private commercial insurance. Pfizer's copay savings card may lower your cost to as little as $0 a month, with yearly limits. It isn't for Medicare, Medicaid, TRICARE or VA coverage. Call 1-833-956-3376.
How long is a bottle of Litfulo?
A U.S. bottle holds 28 capsules, 4 weeks at the label's dose of one capsule a day.
How much does Litfulo 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 Litfulo from Canada?
Litfulo is sold in Canada by Pfizer. Federal law generally doesn't allow individuals to import prescription drugs, though the FDA has long used enforcement discretion for some personal-use shipments of up to a three-month supply. You need a prescription.
Sources
- Litfulo U.S. prescribing information (DailyMed) (Pfizer label (published 2026-06-22): severe alopecia areata, 12 years and older; 50 mg once daily; boxed warning; bottles of 28)
- Drugs@FDA: Litfulo (NDA 215830) (approved June 23, 2023; no ANDA for ritlecitinib)
- FDA NDC Directory: Litfulo (0069-0334 (50 mg, bottle of 28), Pfizer, active; checked 2026-11-14)
- Texas DSHS 2026 WAC report: Litfulo (Pfizer Litfulo 00069033428 (28 x 50 mg) $4,155.57)
- Health Canada Drug Product Database: Litfulo (DIN 02543532, Pfizer Canada ULC, Marketed)
- Pfizer Dermatology Patient Access Copay Savings Card terms (as little as $0 a month; $4,000-$15,000 yearly maximum; excludes Medicare, Medicaid, TRICARE, VA; 1-833-956-3376; expires 12/31/2027; read 2026-11-14)
- 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.