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Neoral Cost, Coupons and Savings
- U.S. list price
- $11.76 per capsuleThe maker's price for brand Neoral before discounts · Source: Texas DSHS 2026 WAC report
- Lowest price per capsule at online pharmacies abroad
- $4.98 per capsuleIn a pack of 100 capsules for $498.25 (before shipping) · brand Neoral 100 mg, not FDA-approved · ships from New Zealand
FDA-approved generic cyclosporine (modified) 100 mg from $1.06 per capsule at U.S. pharmacies
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Quick answerAs of Nov 11, 2026, brand Neoral 100 mg costs from $4.98 per capsule abroad, before shipping, vs. about $11.76 a capsule at the U.S. list price ($352.78 per 30). FDA-approved generic cyclosporine (modified) is sold in the U.S.
Name check: Neoral is not the same as Sandimmune, the older cyclosporine brand. The label says the two can't be swapped without a doctor's supervision.
Compare Neoral prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $11.76 per capsule, brand Neoral 100 mg 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 | Pack | Price per unit | Pack price | Shipping & delivery | Total with shipping | Buy |
|---|---|---|---|---|---|---|---|
| Lowest price per unitLicensed U.S. pharmacy A | Cyclosporin Modified 25mg Capsule25 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | 360 capsules2 other pack sizes
| $0.36 per capsule | $131.05 | FreePharmacy's estimate: 3–5 business days | $131.05Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy A | Cyclosporin Modified 50mg Capsule50 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | 360 capsules2 other pack sizes
| $0.63 per capsule | $225.69 | FreePharmacy's estimate: 3–5 business days | $225.69Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Cyclosporine (Ciclosporin)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.25 mg · generic · Filled in CanadaProduct of Canada | 90 capsules2 other pack sizes
| $0.84 per capsule | $75.79 | Fee not publishedDelivery time not stated | $75.79+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Cyclosporine (Ciclosporin)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.25 mg · generic · Filled in CanadaProduct of Canada | 90 capsules2 other pack sizes
| $0.97 per capsule | $86.99 | Fee not publishedDelivery time not stated | $86.99+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy A | Cyclosporin Modified 100mg Capsule100 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | 360 capsules2 other pack sizes
| $1.06 per capsule | $381.07 | FreePharmacy's estimate: 3–5 business days | $381.07Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy D | Generic Gengraf 25mgNot 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.25 mg · generic · Filled in IndiaMade for sale in India.Product of India | 90 capsules3 other pack sizes
| $1.17 per capsule | $105.53 | Fee not publishedDelivery time not stated | $105.53+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | NEORAL25 mg · brand · Filled in AustraliaProduct of Australia | 180 capsules1 other pack size
| $1.48 per capsule | $267.13 | FreeDelivery time not stated | $267.13Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy F | Cyclosporine (Ciclosporin)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.25 mg · generic · Filled in CanadaProduct of Canada | 90 capsules2 other pack sizes
| $1.50 per capsule | $134.74 | $9.95Delivery time not stated | $144.69Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | NEORAL25 mg · brand · Filled in AustraliaProduct of Australia | 180 capsules1 other pack size
| $1.50 per capsule | $269.52 | FreeDelivery time not stated | $269.52Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Neoral50 mg · brand · Filled in New ZealandProduct of New Zealand | 100 capsules1 other pack size
| $1.66 per capsule | $166.23 | Fee not publishedDelivery time not stated | $166.23+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Neoral50 mg · brand · Filled in New ZealandProduct of New Zealand | 100 capsules1 other pack size
| $1.77 per capsule | $176.99 | Fee not publishedDelivery time not stated | $176.99+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy H | NEORAL 25MG CAPSULE 90 (BRAND FROM UK)25 mg · brand · Filled in UKProduct of UK | 90 capsules | $1.92 per capsule | $173 | $14.95Pharmacy's estimate: 4–6 weeks | $187.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | Neoral25 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis | 90 capsules2 other pack sizes
| $1.93 per capsule | $174 | $9.95Pharmacy's estimate: 4–6 weeks | $183.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy J | Neoral (Cyclosporine (Ciclosporin)) (Ireland pack, ships from New Zealand)25 mg · brand · Filled in New ZealandMaker listed by pharmacy: NovartisMade for Ireland | 100 capsules1 other pack size
| $2.04 per capsule | $204.25 | FreePharmacy's estimate: 2–3 weeks | $204.25Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy K | Cyclosporine Modified 100 mg Capsules - 30 Count Box100 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | 90 capsules2 other pack sizes
| $2.14 per capsule | $192.78 | $5Pharmacy's estimate: 2–8 business days | $197.78Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy D | Generic Gengraf 50mgNot 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.50 mg · generic · Filled in IndiaMade for sale in India.Product of India | 90 capsules3 other pack sizes
| $2.37 per capsule | $213.33 | Fee not publishedDelivery time not stated | $213.33+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed Canadian pharmacy L | Neoral25 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharmaceuticals Canada Inc. | 90 capsules2 other pack sizes
| $2.57 per capsule | $231.18 | $9.95Pharmacy's estimate: 3–6 weeks | $241.13Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy F | Neoral50 mg · brand · Filled in New ZealandProduct of New Zealand | 100 capsules1 other pack size
| $2.79 per capsule | $279 | $9.95Delivery time not stated | $288.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy J | Neoral (Cyclosporine (Ciclosporin)) (Ireland pack, ships from New Zealand)50 mg · brand · Filled in New ZealandMaker listed by pharmacy: NovartisMade for Ireland | 100 capsules1 other pack size
| $2.89 per capsule | $289.30 | FreePharmacy's estimate: 2–3 weeks | $289.30Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Neoral100 mg · brand · Filled in New ZealandProduct of New Zealand | 200 capsules3 other pack sizes
| $3.00 per capsule | $600.46 | Fee not publishedDelivery time not stated | $600.46+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy J | Neoral (Cyclosporine (Ciclosporin))25 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis | 90 capsules2 other pack sizes
| $3.01 per capsule | $271.08 | FreePharmacy's estimate: 2–3 weeks | $271.08Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Neoral100 mg · brand · Filled in New ZealandProduct of New Zealand | 200 capsules3 other pack sizes
| $3.06 per capsule | $611.99 | Fee not publishedDelivery time not stated | $611.99+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy J | Neoral (Cyclosporine (Ciclosporin))50 mg · brand · Filled in United KingdomMaker listed by pharmacy: Novartis Pharmaceuticals Corp. | 90 capsules2 other pack sizes
| $3.78 per capsule | $340.03 | FreePharmacy's estimate: 2–3 weeks | $340.03Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | Neoral50 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis | 30 capsules | $4.17 per capsule | $125 | $9.95Pharmacy's estimate: 4–6 weeks | $134.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed Canadian pharmacy L | Neoral50 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharmaceuticals Canada Inc. | 90 capsules2 other pack sizes
| $4.18 per capsule | $375.85 | $9.95Pharmacy's estimate: 3–6 weeks | $385.80Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy J | Neoral (Cyclosporine (Ciclosporin))50 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharmaceuticals Corp. | 90 capsules2 other pack sizes
| $4.43 per capsule | $398.90 | FreePharmacy's estimate: 2–3 weeks | $398.90Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy J | Neoral (Cyclosporine (Ciclosporin)) (Ireland pack, ships from New Zealand)100 mg · brand · Filled in New ZealandMaker listed by pharmacy: NovartisMade for Ireland | 100 capsules1 other pack size
| $4.98 per capsule | $498.25 | FreePharmacy's estimate: 2–3 weeks | $498.25Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy H | NEORAL 100MG CAPSULE 90 (BRAND FROM UK)100 mg · brand · Filled in UKProduct of UK | 90 capsules | $5.00 per capsule | $450 | $14.95Pharmacy's estimate: 4–6 weeks | $464.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed online pharmacy M | Neoral 100mg (generic cyclosporine)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.100 mg · generic · Filled in AustraliaProduct of Australia | 90 capsules | $5.16 per capsule | $464 | FreeDelivery time not stated | $464Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | NEORAL100 mg · brand · Filled in AustraliaProduct of Australia | 180 capsules1 other pack size
| $5.47 per capsule | $985.13 | FreeDelivery time not stated | $985.13Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | NEORAL100 mg · brand · Filled in AustraliaProduct of Australia | 180 capsules1 other pack size
| $5.49 per capsule | $987.52 | FreeDelivery time not stated | $987.52Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy F | Neoral100 mg · brand · Filled in New ZealandProduct of New Zealand | 200 capsules3 other pack sizes
| $5.74 per capsule | $1,147.09 | $9.95Delivery time not stated | $1,157.04Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed online pharmacy M | Neoral 100mg100 mg · brand · Filled in United KingdomProduct of United Kingdom | 90 capsules | $5.96 per capsule | $536 | FreeDelivery time not stated | $536Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy J | Neoral (Cyclosporine (Ciclosporin))100 mg · brand · Filled in United KingdomMaker listed by pharmacy: Novartis Pharmaceuticals Corp. | 90 capsules2 other pack sizes
| $6.07 per capsule | $546.23 | FreePharmacy's estimate: 2–3 weeks | $546.23Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | NEORAL (generic cyclosporine)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.100 mg · generic · Filled in AustraliaProduct of Australia | 90 capsules | $6.33 per capsule | $569.95 | FreeDelivery time not stated | $569.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | NEORAL (generic cyclosporine)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.100 mg · generic · Filled in AustraliaProduct of Australia | 90 capsules | $6.36 per capsule | $572.34 | FreeDelivery time not stated | $572.34Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy I | Neoral100 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis | 30 capsules2 other pack sizes
| $6.93 per capsule | $208 | $9.95Pharmacy's estimate: 4–6 weeks | $217.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | NEORAL100 mg · brand · Filled in UKProduct of UK | 90 capsules | $7.13 per capsule | $641.64 | FreeDelivery time not stated | $641.64Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | NEORAL100 mg · brand · Filled in United KingdomProduct of United Kingdom | 90 capsules | $7.16 per capsule | $644.03 | FreeDelivery time not stated | $644.03Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed Canadian pharmacy L | Neoral100 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharmaceuticals Canada Inc. | 90 capsules2 other pack sizes
| $7.93 per capsule | $713.66 | $9.95Pharmacy's estimate: 3–6 weeks | $723.61Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | NEORAL (generic cyclosporine)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.100 mg · generic · Filled in CanadaProduct of Canada | 90 capsules | $7.96 per capsule | $716.68 | FreeDelivery time not stated | $716.68Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | NEORAL (generic cyclosporine)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.100 mg · generic · Filled in CanadaProduct of Canada | 90 capsules | $7.99 per capsule | $719.07 | FreeDelivery time not stated | $719.07Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy J | Neoral (Cyclosporine (Ciclosporin))100 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis | 90 capsules2 other pack sizes
| $8.25 per capsule | $742.50 | FreePharmacy's estimate: 2–3 weeks | $742.50Checked 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 Neoral from Canada?
| Strength | Lowest brandper unit, before shipping | Lowest generic abroadper unit, not FDA-approved |
|---|---|---|
| Neoral 25 mg | $1.48 per capsule | $1.50 per capsule |
| Neoral 50 mg | $2.79 per capsule | — |
| Neoral 100 mg | $4.98 per capsule | $5.16 per capsule |
Each row is one product from one pharmacy, shown in the pack size with the lowest price per unit; its other pack sizes are listed under “other pack sizes”. Price per unit = the pack price divided by the units in the pack, before shipping; we sort by it and don't assume how long a pack lasts. Total with shipping = the pack price plus the pharmacy's shipping fee for one order. Prices checked Nov 11, 2026 on each pharmacy's website, in U.S. dollars (converted when a pharmacy prices in Canadian dollars). 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. 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, 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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Prices per capsule from 8 licensed pharmacies abroad shipping to the U.S.: $1.48 to $8.25, any strength, before shipping.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Neoral · Similar drugs · Uses · FAQ
Neoral (cyclosporine, modified) 25 and 100 mg capsules for organ transplants, severe rheumatoid arthritis and severe psoriasis. FDA-approved generic cyclosporine (modified) is sold in the U.S.
Neoral cost at a glance
- Generic Neoral is sold in the U.S. The FDA has approved generic cyclosporine (modified) capsules from several companies, including AbbVie (sold as Gengraf), Apotex, Teva, Dr. Reddy's, Avet, Qilu and Aurobindo, rated equivalent to Neoral (FDA Orange Book).
- U.S. list price: $352.78 for 30 capsules of brand Neoral 100 mg (about $11.76 a capsule) and $88.28 for 30 capsules of 25 mg (Texas DSHS). This is the maker's wholesale price before discounts.
- How we count: prices are per capsule, with each pharmacy's packs listed as sold. The label splits each day's Neoral dose into two doses and sets the amount by body weight and blood tests, so there's no single number of capsules a month.
- From online pharmacies abroad: $4.98 to $8.25 per capsule of brand Neoral 100 mg, before shipping (checked Nov 11, 2026). The U.S. list price is about $11.76 a capsule.
- With Medicare: if Medicare helped pay for your organ transplant, Part B covers your transplant drugs, and you generally pay up to 20% after the Part B deductible (Medicare.gov). Otherwise, your Part D plan sets your cost. In 2026, Part D deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).
How much does Neoral cost in the U.S.?
| If you have | What Neoral costs | Source |
|---|---|---|
| No insurance (list price) | $352.78 for 30 capsules of brand Neoral 100 mg (about $11.76 a capsule) and $88.28 for 30 capsules of 25 mg. Neoral oral solution lists at $640.93 for a 50 mL bottle. Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| No insurance (generic cyclosporine, modified) | FDA-approved generic cyclosporine (modified) capsules are sold in the U.S. Ask your pharmacist for the cash price, and check with your prescriber before any change between brands. | FDA Orange Book |
| Medicare after a transplant (Part B) | If Medicare helped pay for your organ transplant, Part B covers transplant drug therapy. After the Part B deductible ($283 in 2026), you generally pay up to 20% of the Medicare-approved amount. | Medicare.gov |
| Private or employer insurance | Your copay depends on your plan's drug list. Ask your plan or pharmacist what you'd pay for brand Neoral and for the generic. | 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 Neoral comes in cartons of 30 capsules. The U.S. list price is $352.78 for 100 mg (about $11.76 a capsule) and $88.28 for 25 mg (about $2.94 a capsule) (Texas DSHS). This is the maker's wholesale price before discounts. The FDA approved the first generic cyclosporine (modified) in 2000, and several are sold today; ask your pharmacist what it costs you.
Neoral cost with Medicare in 2026
If Medicare helped pay for your organ transplant, Part B covers your transplant drugs, and you generally pay up to 20% of the Medicare-approved amount after the Part B deductible. For other uses, such as rheumatoid arthritis or psoriasis, Part D plans can charge a deductible of up to $615 in 2026, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs that year.
| Medicare Part D | What Neoral costs | Source |
|---|---|---|
| Part B (after a Medicare-covered transplant) | Part B covers transplant drug therapy if Medicare helped pay for your organ transplant. After the Part B deductible ($283 in 2026), you generally pay up to 20% of the Medicare-approved amount. | Medicare.gov |
| 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 |
Neoral 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 Neoral coupons. These are the programs we could verify:
- 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 Neoral?
Yes. The FDA has approved generic cyclosporine (modified) capsules from several companies, including AbbVie (sold as Gengraf), Apotex, Teva, Dr. Reddy's, Avet, Qilu and Aurobindo, rated equivalent to Neoral. The first was approved on January 13, 2000. FDA drug listings show several of them on the U.S. market today, in 25, 50 and 100 mg.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 25 mg | Yes | AbbVie (sold as Gengraf), Apotex, Teva, Dr. Reddy's, Avet, Qilu and Aurobindo | — |
| 50 mg | Yes | Apotex, Teva, Avet and Aurobindo (brand Neoral 50 mg is no longer sold in the U.S.) | — |
| 100 mg | Yes | AbbVie (sold as Gengraf), Apotex, Teva, Dr. Reddy's, Avet, Qilu and Aurobindo | — |
Outside the U.S.: Online pharmacies abroad may also sell generic cyclosporine made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: cyclosporine products. As of Nov 11, 2026.
Compare Neoral with similar drugs
Other anti-rejection and immune-suppressing medicines people often compare with Neoral, such as Prograf (tacrolimus) and Rapamune (sirolimus). They work in different ways. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Prograftacrolimus | Transplant medicine (immunosuppressant) | From $0.72 per capsule | See prices |
| Envarsus XRtacrolimus extended-release | Transplant medicine (immunosuppressant) | From $2.92 per tablet | See prices |
| Astagraf XLtacrolimus extended-release | Anti-rejection medicine (calcineurin inhibitor) | From $1.47 per capsule | See prices |
| Rapamunesirolimus | Transplant medicine (immunosuppressant) | From $2.59 per tablet | See prices |
| Imuranazathioprine | Immunosuppressant | From $0.30 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 Neoral used for?
Neoral (cyclosporine, modified) is an immunosuppressant, a medicine that calms the body's immune system. According to its FDA label (DailyMed), it is used:
- To prevent organ rejection after a kidney, liver or heart transplant.
- To treat severe active rheumatoid arthritis that hasn't responded well enough to methotrexate, alone or together with methotrexate.
- To treat severe plaque psoriasis in adults with healthy immune systems when at least one other whole-body treatment hasn't worked or can't be used.
Neoral comes as 25 and 100 mg soft capsules and as an oral solution (100 mg per mL). Each day's dose is split into two doses, and the amount depends on body weight and blood tests; for rheumatoid arthritis and psoriasis the label's starting dose is 2.5 mg per kg of body weight a day. Neoral has a boxed warning: it raises the risk of infections and some cancers, and only doctors experienced with these medicines should prescribe it. The label also says to avoid grapefruit and grapefruit juice. Your prescriber decides which medicine is right for you.
Is it safe to order Neoral from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Neoral, compare the U.S. price of FDA-approved generic cyclosporine (modified) 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, Neoral is sold under the same name by Novartis, as 10, 25, 50 and 100 mg capsules and an oral solution (Health Canada). The 10 mg capsule isn't sold in the U.S., so it's left out of our price table.
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 Neoral without insurance?
The U.S. list price of brand Neoral is $352.78 for 30 capsules of 100 mg, about $11.76 a capsule, and $88.28 for 30 capsules of 25 mg (the maker's wholesale price before discounts). Licensed pharmacies abroad charged from $4.98 per capsule of brand Neoral 100 mg in our latest check (Nov 11, 2026). FDA-approved generic cyclosporine (modified) is also sold in the U.S.; ask your pharmacist for its cash price.
Is there a generic Neoral?
Yes. The FDA has approved generic cyclosporine (modified) capsules from several companies, rated equivalent to Neoral. The first was approved in January 2000. AbbVie's version is sold under the name Gengraf. Ask your pharmacist whether a generic can fill your prescription.
Is Neoral the same as Sandimmune?
No. Both contain cyclosporine, but Neoral is absorbed differently. The label says the two are not bioequivalent and can't be used interchangeably without a doctor's supervision. Your prescriber decides which medicine is right for you.
Is Gengraf the same as Neoral?
Gengraf is AbbVie's cyclosporine (modified) capsule. The FDA rates it as equivalent to Neoral. Ask your pharmacist or prescriber before any change between products.
Does Medicare cover Neoral?
If Medicare helped pay for your organ transplant, Part B covers your transplant drugs, and you generally pay up to 20% of the Medicare-approved amount after the Part B deductible. For other uses, your Part D plan sets the cost; in 2026, Part D deductibles are capped at $615 and out-of-pocket costs for covered drugs at $2,100 a year.
Is there a Neoral coupon or savings card?
eDrugSearch doesn't offer coupons of its own. If you have Medicare and limited income, Extra Help can lower what you pay for prescriptions.
What strengths does Neoral come in?
In the U.S., Neoral comes in 25 and 100 mg capsules (cartons of 30) and as an oral solution of 100 mg per mL. U.S. generics also come in 50 mg. In Canada, Neoral capsules come in 10, 25, 50 and 100 mg.
Sources
- Texas DSHS: 2026 annual WAC report (Novartis Neoral 25 mg x30 (NDC 00078024615) $88.28, 100 mg x30 (00078024815) $352.78, oral solution 50 mL (00078027422) $640.93)
- NEORAL U.S. prescribing information (DailyMed) (Novartis, effective August 10, 2026)
- Drugs@FDA: Neoral capsules (NDA 050715) (25 and 100 mg Prescription, AB1; 50 mg discontinued)
- FDA Orange Book: cyclosporine products
- Drugs@FDA: first generic cyclosporine (modified) capsules (ANDA 065017) (Sandoz, approved January 13, 2000)
- FDA NDC Directory: cyclosporine listings (Gengraf (AbbVie), Apotex, Teva, Dr. Reddy's, Avet, Qilu, Aurobindo)
- Health Canada Drug Product Database: Neoral (Novartis; 10, 25, 50 and 100 mg capsules and 100 mg/mL solution, Marketed)
- Medicare.gov: Part B prescription drugs (transplant drugs) (Part B covers transplant drug therapy when Medicare helped pay for the transplant; $283 Part B deductible in 2026)
- 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
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