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Nesina Price, Generic and Savings
- Lowest U.S. online pharmacy price
- $3.79 per tablet$346.10 for 90 days (90 tablets), shipping included · FDA-approved generic alogliptin 25 mg · ships within the U.S.
- Lowest international online pharmacy price
- $2.68 per tablet$251.73 for 90 days (90 tablets), shipping included · brand Nesina 25 mg, not FDA-approved · ships from United Kingdom
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Quick answerAs of Nov 12, 2026, brand Nesina 25 mg costs from $243.01 for 90 days at online pharmacies abroad we compared. We found no 2026 U.S. list price for brand Nesina. An authorized generic, alogliptin, is also sold in the U.S.
Name check: This page is for Nesina tablets (alogliptin alone), not Kazano or Oseni, which add metformin or pioglitazone. In the U.K. and Europe, Takeda sells it as Vipidia.
Compare Nesina prices from licensed online pharmacies
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletOnline pharmacy A | Vipidia6.25 mg · brand · Filled in United KingdomMaker listed by pharmacy: Takeda | $225.24for 84 tablets$2.68 per tablet | FreePharmacy's estimate: 2–3 weeks | $225.24 for 84 days= $241.33 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | NESINA12.5 mg · brand · Filled in AustraliaProduct of Australia | $226.81for 84 tablets$2.70 per tablet | FreeDelivery time not stated | $226.81 for 84 days= $243.01 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | NESINA25 mg · brand · Filled in AustraliaProduct of Australia | $226.81for 84 tablets$2.70 per tablet | FreeDelivery time not stated | $226.81 for 84 days= $243.01 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | NESINA12.5 mg · brand · Filled in AustraliaProduct of Australia | $229.20for 84 tablets$2.73 per tablet | FreeDelivery time not stated | $229.20 for 84 days= $245.57 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | NESINA25 mg · brand · Filled in AustraliaProduct of Australia | $229.20for 84 tablets$2.73 per tablet | FreeDelivery time not stated | $229.20 for 84 days= $245.57 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Nesina12.5 mg · brand · Filled in United KingdomMaker listed by pharmacy: Takeda Pharmaceutical Co. | $225for 84 tablets$2.68 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $234.95 for 84 days= $251.73 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Nesina25 mg · brand · Filled in United KingdomMaker listed by pharmacy: Takeda Pharmaceutical Co. | $225for 84 tablets$2.68 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $234.95 for 84 days= $251.73 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed online pharmacy E | Nesina 25mg25 mg · brand · Filled in AustraliaProduct of Australia | $235for 84 tablets$2.80 per tablet | FreeDelivery time not stated | $235 for 84 days= $251.79 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | NESINA 6.25MG TABLET 84 (VIPIDIA BRAND FROM UK)6.25 mg · brand · Filled in UKProduct of UK | $231for 84 tablets$2.75 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $245.95 for 84 days= $263.52 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | NESINA 25MG TABLET 84 (BRAND FROM AUSTRALIA)25 mg · brand · Filled in AustraliaProduct of Australia | $234for 84 tablets$2.79 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $248.95 for 84 days= $266.73 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Nesina6.25 mg · brand · Filled in United KingdomMaker listed by pharmacy: Takeda Pharmaceutical Co. | $240for 84 tablets$2.86 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $249.95 for 84 days= $267.80 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | NESINA 12.5MG TABLET 84 (BRAND FROM AUSTRALIA)12.5 mg · brand · Filled in AustraliaProduct of Australia | $244for 84 tablets$2.90 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $258.95 for 84 days= $277.45 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | NESINA25 mg · brand · Filled in UKProduct of UK | $264.23for 84 tablets$3.15 per tablet | FreeDelivery time not stated | $264.23 for 84 days= $283.10 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | NESINA25 mg · brand · Filled in UKProduct of UK | $266.62for 84 tablets$3.17 per tablet | FreeDelivery time not stated | $266.62 for 84 days= $285.66 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | NESINA 12.5MG TABLET 84 (VIPIDIA BRAND FROM UK)12.5 mg · brand · Filled in UKProduct of UK | $253for 84 tablets$3.01 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $267.95 for 84 days= $287.09 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Nesina6.25 mg · brand · Filled in AustraliaMaker listed by pharmacy: Takeda | $269.34for 84 tablets$3.21 per tablet | FreePharmacy's estimate: 2–3 weeks | $269.34 for 84 days= $288.58 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Nesina12.5 mg · brand · Filled in AustraliaMaker listed by pharmacy: Takeda | $269.34for 84 tablets$3.21 per tablet | FreePharmacy's estimate: 2–3 weeks | $269.34 for 84 days= $288.58 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Nesina25 mg · brand · Filled in AustraliaMaker listed by pharmacy: Takeda | $269.34for 84 tablets$3.21 per tablet | FreePharmacy's estimate: 2–3 weeks | $269.34 for 84 days= $288.58 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Nesina12.5 mg · brand · Filled in AustraliaMaker listed by pharmacy: Takeda | $255.33for 84 tablets$3.04 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $270.28 for 84 days= $289.59 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | NESINA 25MG TABLET 84 (VIPIDIA BRAND FROM UK)25 mg · brand · Filled in UKProduct of UK | $259for 84 tablets$3.08 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $273.95 for 84 days= $293.52 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Vipidia12.5 mg · brand · Filled in United KingdomMaker listed by pharmacy: Takeda | $276.94for 84 tablets$3.30 per tablet | FreePharmacy's estimate: 2–3 weeks | $276.94 for 84 days= $296.72 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Nesina25 mg · brand · Filled in AustraliaMaker listed by pharmacy: Takeda | $263.31for 84 tablets$3.13 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $278.26 for 84 days= $298.14 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed Canadian pharmacy H | Nesina12.5 mg · brand · Filled in CanadaMaker listed by pharmacy: Takeda | $275.05for 84 tablets$3.27 per tablet | $9.95Pharmacy's estimate: 3–6 weeks | $285 for 84 days= $305.36 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed Canadian pharmacy H | Nesina25 mg · brand · Filled in CanadaMaker listed by pharmacy: Takeda | $275.05for 84 tablets$3.27 per tablet | $9.95Pharmacy's estimate: 3–6 weeks | $285 for 84 days= $305.36 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | NESINA 25MG TABLET 28 (VIPIDIA BRAND FROM UK)25 mg · brand · Filled in UKProduct of UK | $99per 28 tablets · 3 packs = $297$3.54 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $311.95 for 84 days= $334.23 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy I | Alogliptin (Nesina) 25mg Tablets25 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | $341.10for 90 tablets$3.79 per tablet | $5Pharmacy's estimate: 2–8 business days | $346.10 for 90 days= $346.10 for 90 daysincl. $5 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy I | Alogliptin (Nesina) 12.5mg Tablets12.5 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | $345.60for 90 tablets$3.84 per tablet | $5Pharmacy's estimate: 2–8 business days | $350.60 for 90 days= $350.60 for 90 daysincl. $5 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy I | Alogliptin 6.25mg Tablets6.25 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | $121.50per 30 tablets · 3 packs = $364.50$4.05 per tablet | $5Pharmacy's estimate: 2–8 business days | $369.50 for 90 days= $369.50 for 90 daysincl. $5 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | NESINA12.5 mg · brand · Filled in UKProduct of UK | $126.94per 28 tablets · 3 packs = $380.82$4.53 per tablet | FreeDelivery time not stated | $380.82 for 84 days= $408.02 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | NESINA12.5 mg · brand · Filled in UKProduct of UK | $129.33per 28 tablets · 3 packs = $387.99$4.62 per tablet | FreeDelivery time not stated | $387.99 for 84 days= $415.70 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Nesina6.25 mg · brand · Filled in CanadaMaker listed by pharmacy: Takeda C/O Accuristix | $382.05for 84 tablets$4.55 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $397 for 84 days= $425.36 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Nesina12.5 mg · brand · Filled in CanadaMaker listed by pharmacy: Takeda C/O Accuristix | $384.62for 84 tablets$4.58 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $399.57 for 84 days= $428.11 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Nesina25 mg · brand · Filled in CanadaMaker listed by pharmacy: Takeda C/O Accuristix | $387.18for 84 tablets$4.61 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $402.13 for 84 days= $430.85 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy J | Alogliptin 6.25mg Tablet6.25 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | $545.12for 90 tablets$6.06 per tablet | FreePharmacy's estimate: 3–5 business days | $545.12 for 90 days= $545.12 for 90 daysincl. $0 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy J | Alogliptin 25mg Tablet25 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | $545.12for 90 tablets$6.06 per tablet | FreePharmacy's estimate: 3–5 business days | $545.12 for 90 days= $545.12 for 90 daysincl. $0 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy J | Alogliptin 12.5mg Tablet12.5 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | $182.72per 30 tablets · 3 packs = $548.16$6.09 per tablet | FreePharmacy's estimate: 3–5 business days | $548.16 for 90 days= $548.16 for 90 daysincl. $0 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy K | Vipidia (UK/EU pack, ships from United Kingdom)6.25 mg · brand · Filled in United KingdomProduct of UK/EU | $727.99for 84 tablets$8.67 per tablet | $9.95Delivery time not stated | $737.94 for 84 days= $790.65 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy K | Vipidia (UK/EU pack, ships from United Kingdom)12.5 mg · brand · Filled in United KingdomProduct of UK/EU | $727.99for 84 tablets$8.67 per tablet | $9.95Delivery time not stated | $737.94 for 84 days= $790.65 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy K | Vipidia (UK/EU pack, ships from United Kingdom)25 mg · brand · Filled in United KingdomProduct of UK/EU | $727.99for 84 tablets$8.67 per tablet | $9.95Delivery time not stated | $737.94 for 84 days= $790.65 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy LU.S. shipping limited | Alogliptin (Generic)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.6.25 mg · generic · Filled in United KingdomProduct of United Kingdom | $210for 84 tablets$2.50 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $224.95 for 84 days= $241.02 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy LU.S. shipping limited | Alogliptin (Generic)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.12.5 mg · generic · Filled in United KingdomProduct of United Kingdom | $210for 84 tablets$2.50 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $224.95 for 84 days= $241.02 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy LU.S. shipping limited | Alogliptin (Generic)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 United KingdomProduct of United Kingdom | $210for 84 tablets$2.50 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $224.95 for 84 days= $241.02 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy LU.S. shipping limited | Nesina (Alogliptin Benzoate) - Known as Vipidia Internationally6.25 mg · brand · Filled in United KingdomProduct of United Kingdom | $650for 84 tablets$7.74 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $664.95 for 84 days= $712.45 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy LU.S. shipping limited | Nesina (Alogliptin Benzoate) - Known as Vipidia Internationally12.5 mg · brand · Filled in United KingdomProduct of United Kingdom | $650for 84 tablets$7.74 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $664.95 for 84 days= $712.45 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy LU.S. shipping limited | Nesina (Alogliptin Benzoate) - Known as Vipidia Internationally25 mg · brand · Filled in United KingdomProduct of United Kingdom | $650for 84 tablets$7.74 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $664.95 for 84 days= $712.45 for 90 daysWorked 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 Nesina 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 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. 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.
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Join to See PharmaciesAlready a member? Sign inNesina price by strength
| Strength | Lowest brand90 days | Price per tablet |
|---|---|---|
| Nesina 6.25 mg | $241.33 | $2.68 |
| Nesina 12.5 mg | $243.01 | $2.70 |
| Nesina 25 mg | $243.01 | $2.70 |
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 12, 2026.
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90-day prices from 9 licensed pharmacies abroad shipping to the U.S.: $241.33 to $790.65, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Nesina · Similar drugs · Uses · FAQ
Nesina (alogliptin) tablets for type 2 diabetes. An authorized generic, alogliptin, is sold in the U.S.
Nesina cost at a glance
- U.S. list price for the brand: we found no 2026 list price filed for brand Nesina, so we don't show one. Ask your pharmacist for the cash price.
- Generic Nesina is sold in the U.S. as an authorized generic. Padagis has sold alogliptin tablets made under Takeda's own FDA approval since April 2016 (FDA drug listing). The FDA Orange Book lists no other company's generic (FDA Orange Book).
- How we count: 1 tablet a day. The label's dose is 25 mg once a day; people with moderate or severe kidney problems take 12.5 mg or 6.25 mg once a day instead.
- 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: $243.01 to $790.65 for 90 days of brand Nesina 25 mg, including packs sold as Vipidia, shipping included (checked Nov 12, 2026).
How much does Nesina cost in the U.S.?
| If you have | What Nesina costs | Source |
|---|---|---|
| No insurance (brand Nesina) | We found no 2026 U.S. list price filed for brand Nesina. Ask your pharmacist for the cash price. | Texas DSHS 2026 WAC report |
| No insurance (generic alogliptin) | An authorized generic, alogliptin, is sold in the U.S. by Padagis. We found no 2026 list price filed for it. Ask your pharmacist for the cash price. | FDA drug listing |
| Private or employer insurance | Your copay depends on your plan and whether it covers brand Nesina or generic alogliptin. Ask your plan or pharmacist. | FDA drug listing |
| 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 Nesina is sold in the U.S. by Takeda in bottles of 30, 90 and 500 tablets (DailyMed). The Texas 2026 drug price filing has no list price for Nesina or for generic alogliptin, so this page doesn't show one. Ask your pharmacist for the cash price of both.
Nesina 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 Nesina or generic alogliptin depends on your plan's drug list.
| Medicare Part D | What Nesina 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 |
Nesina 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 Nesina coupons. eDrugSearch has no coupons of its own. If you have Medicare, these two programs can help with the cost of Nesina or generic alogliptin:
- 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 Nesina?
Yes, as an authorized generic. Padagis has sold alogliptin 6.25, 12.5 and 25 mg tablets since April 8, 2016. It's Takeda's own medicine, made under the Nesina approval and sold under the generic name. The FDA Orange Book lists no other company's generic alogliptin.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 6.25 mg | Yes | Padagis (authorized generic) | Apr 8, 2016 |
| 12.5 mg | Yes | Padagis (authorized generic) | Apr 8, 2016 |
| 25 mg | Yes | Padagis (authorized generic) | Apr 8, 2016 |
Outside the U.S.: Online pharmacies abroad may also sell generic alogliptin made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA drug listing: Padagis alogliptin (authorized generic). As of Nov 12, 2026.
Compare Nesina with similar drugs
Other type 2 diabetes medicines with price pages here, including other DPP-4 inhibitors. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Januviasitagliptin | Type 2 diabetes medicine (DPP-4 inhibitor) | $53.53 for 90 days | See prices |
| Tradjentalinagliptin | Type 2 diabetes medicine (DPP-4 inhibitor) | $43.38 for 90 days | See prices |
| Onglyzasaxagliptin | Type 2 diabetes medicine (DPP-4 inhibitor) | $84.96 for 90 days | See prices |
| Zituviositagliptin | Type 2 diabetes medicine (DPP-4 inhibitor) | Checking prices | See prices |
| Jardianceempagliflozin | Diabetes, heart and kidney medicine (SGLT2 inhibitor) | $77.05 for 90 days | See prices |
| Farxigadapagliflozin | Diabetes, heart and kidney medicine (SGLT2 inhibitor) | $53.09 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 Nesina used for?
Nesina (alogliptin) is a DPP-4 inhibitor. It helps the body release more insulin after meals and lowers blood sugar. According to its FDA label (DailyMed), it is used:
- Along with diet and exercise to improve blood sugar control in adults with type 2 diabetes.
- It is not for type 1 diabetes.
Nesina comes as 6.25 mg, 12.5 mg and 25 mg tablets. The label's dose is 25 mg once a day, with or without food; it's 12.5 mg for moderate kidney problems and 6.25 mg for severe kidney problems. The tablets shouldn't be split. Nesina has no boxed warning. Your prescriber decides which medicine is right for you.
Is it safe to order Nesina from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Nesina, compare U.S. prices, including the authorized generic alogliptin, 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, Takeda sells Nesina 6.25, 12.5 and 25 mg tablets under the same name (Health Canada, checked 2026-11-12). In the U.K. and Europe, Takeda sells it as Vipidia.
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 does Nesina cost without insurance?
We found no 2026 U.S. list price for brand Nesina. Online pharmacies abroad charged from $243.01 for 90 days of brand Nesina 25 mg in our latest check (Nov 12, 2026). An authorized generic, alogliptin, is also sold in the U.S.; ask your pharmacist for its cash price.
Is there a generic Nesina?
Yes. Padagis sells alogliptin as an authorized generic: it's Takeda's own medicine, sold under the generic name since 2016. The FDA Orange Book lists no other generic. Ask your pharmacist whether it can fill your prescription.
Is Nesina the same as Vipidia?
Vipidia is the name Takeda uses for alogliptin in the U.K. and Europe. It has the same active ingredient and strengths (6.25, 12.5 and 25 mg) as Nesina.
Is there a Nesina 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.
How much does Nesina 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.
What strengths does Nesina come in?
Nesina comes in 6.25 mg, 12.5 mg and 25 mg tablets. Most adults take 25 mg once a day; the lower strengths are for people with kidney problems.
Sources
- NESINA tablets U.S. prescribing information (DailyMed) (Takeda label version 22, effective 2025-02-28: type 2 diabetes; 25 mg once daily, 12.5 mg (CrCl 30-60), 6.25 mg (CrCl <30); bottles of 30, 90 and 500)
- FDA drug listing: Padagis alogliptin (authorized generic) (NDA AUTHORIZED GENERIC of NDA022271; 6.25 mg (45802-087), 12.5 mg (45802-103), 25 mg (45802-150); marketing start 2016-04-08)
- Texas DSHS: 2026 annual WAC report (no row for Nesina or alogliptin)
- Drugs@FDA: Nesina (NDA 022271) (Takeda; approved January 25, 2013)
- FDA Orange Book: alogliptin benzoate tablets (only NDA 022271 (Nesina) listed; no ANDA generics)
- Takeda Help At Hand: application (does not name Nesina (checked 2026-11-11 for the Actos page))
- Health Canada Drug Product Database: Nesina (Nesina 6.25 mg (DIN 02417189), 12.5 mg (02417197), 25 mg (02417200), Takeda Canada Inc, Marketed; checked 2026-11-12)
- 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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