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Promacta Price, Generic and Savings
- U.S. list price
- $42,489.78 for 90 days (90 tablets)The maker's price for brand Promacta before discounts · Source: Texas DSHS 2026 WAC report
- Lowest international online pharmacy price
- $120.73 per tablet$10,881.98 for 90 days (90 tablets), shipping included · brand Promacta 50 mg, not FDA-approved · ships from New Zealand
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Quick answerAs of Nov 11, 2026, brand Promacta 50 mg costs from $10,881.98 for 90 days at licensed pharmacies abroad we compared, vs. $42,489.78 at the U.S. list price ($14,163.26 for 30). FDA-approved generic eltrombopag is now sold in the U.S.
Name check: Alvaiz (eltrombopag choline, by Teva) is a separate product with different strengths, not a generic Promacta, so its prices are not mixed in here.
Compare Promacta prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $42,489.78 for 90 days ($472.11 per tablet), brand Promacta 50 mg 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 tabletOnline pharmacy A | PROMACTA 25MG TABLET 84 (REVOLADE BRAND FROM INDIA)25 mg · brand · Filled in IndiaMade for sale in India.Product of India | $2,890for 84 tablets$34.40 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $2,904.95 for 84 days= $3,112.45 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Brand Promacta, Revolade 25mg25 mg · brand · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Glaxo Smith Kline | $301.32per 7 tablets · 13 packs = $3,917.16$43.05 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $3,932.11 for 91 days= $3,888.90 for 90 daysWorked out from a 91-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Brand Revolade 25mg (sold outside the U.S. as Revolade)25 mg · brand · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Glaxo Smith Kline | $306.73per 7 tablets · 13 packs = $3,987.49$43.82 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $4,002.44 for 91 days= $3,958.46 for 90 daysWorked out from a 91-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Revolade (Eltrombopag) (sold outside the U.S. as Revolade)25 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: GlaxoSmithKline Inc. | $4,737.08for 84 tablets$56.39 per tablet | FreePharmacy's estimate: 2–3 weeks | $4,737.08 for 84 days= $5,075.44 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Brand Promacta 25mg25 mg · brand · Filled in New ZealandMaker listed by pharmacy: Novartis | $1,671.95per 28 tablets · 3 packs = $5,015.85$59.71 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $5,030.80 for 84 days= $5,390.14 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | PROMACTA 25MG TABLET 84 (REVOLADE BRAND FROM AUSTRALIA)25 mg · brand · Filled in AustraliaProduct of Australia | $5,156.25for 84 tablets$61.38 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $5,171.20 for 84 days= $5,540.57 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Promacta25 mg · brand · Filled in New ZealandMaker listed by pharmacy: Novartis | $1,750per 28 tablets · 3 packs = $5,250$62.50 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $5,259.95 for 84 days= $5,635.66 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | PROMACTA 25MG TABLET 28 (REVOLADE BRAND FROM AUSTRALIA)25 mg · brand · Filled in AustraliaProduct of Australia | $1,750per 28 tablets · 3 packs = $5,250$62.50 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $5,264.95 for 84 days= $5,641.02 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Revolade (sold outside the U.S. as Revolade)25 mg · brand · Filled in AustraliaMaker listed by pharmacy: Novartis | $1,765.08per 28 tablets · 3 packs = $5,295.24$63.04 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $5,310.19 for 84 days= $5,689.49 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Revolade (Eltrombopag) (sold outside the U.S. as Revolade)25 mg · brand · Filled in IndiaMade for sale in India.Maker listed by pharmacy: GlaxoSmithKline Inc. | $488.79per 7 tablets · 13 packs = $6,354.27$69.83 per tablet | FreePharmacy's estimate: 2–3 weeks | $6,354.27 for 91 days= $6,284.44 for 90 daysWorked out from a 91-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Brand Promacta 25mg25 mg · brand · Filled in New ZealandMaker listed by pharmacy: Novartis | $2,006.34per 28 tablets · 3 packs = $6,019.02$71.66 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $6,033.97 for 84 days= $6,464.97 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | PROMACTA (UK pack, ships from Australia)25 mg · brand · Filled in AustraliaProduct of UK | $2,056.09per 28 tablets · 3 packs = $6,168.27$73.43 per tablet | FreeDelivery time not stated | $6,168.27 for 84 days= $6,608.86 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy I | PROMACTA25 mg · brand · Filled in AustraliaProduct of Australia | $2,058.48per 28 tablets · 3 packs = $6,175.44$73.52 per tablet | FreeDelivery time not stated | $6,175.44 for 84 days= $6,616.54 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Promacta25 mg · brand · Filled in CanadaMaker listed by pharmacy: GlaxoSmithKline Inc. | $1,063per 14 tablets · 6 packs = $6,378$75.93 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $6,387.95 for 84 days= $6,844.23 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed Canadian pharmacy J | Revolade (sold outside the U.S. as Revolade)25 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharmaceuticals Canada Inc. | $1,136.65per 14 tablets · 6 packs = $6,819.90$81.19 per tablet | $9.95Pharmacy's estimate: 3–6 weeks | $6,829.85 for 84 days= $7,317.70 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Revolade (Eltrombopag) (sold outside the U.S. as Revolade)25 mg · brand · Filled in AustraliaMaker listed by pharmacy: Novartis | $7,136.34for 84 tablets$84.96 per tablet | FreePharmacy's estimate: 2–3 weeks | $7,136.34 for 84 days= $7,646.08 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Brand Revolade 25mg (sold outside the U.S. as Revolade)25 mg · brand · Filled in CanadaMaker listed by pharmacy: GlaxoSmithKline Inc | $7,527.31for 84 tablets$89.61 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $7,542.26 for 84 days= $8,080.99 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Revolade (Eltrombopag) (sold outside the U.S. as Revolade)25 mg · brand · Filled in CanadaMaker listed by pharmacy: GlaxoSmithKline Inc. | $7,763.19for 84 tablets$92.42 per tablet | FreePharmacy's estimate: 2–3 weeks | $7,763.19 for 84 days= $8,317.70 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Brand Revolade 25mg (sold outside the U.S. as Revolade)25 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharma Can Inc | $8,097.59for 84 tablets$96.40 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $8,112.54 for 84 days= $8,692.01 for 90 daysWorked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Brand Promacta 50mg50 mg · brand · Filled in New ZealandMaker listed by pharmacy: Novartis | $3,380.52per 28 tablets · 3 packs = $10,141.56$120.73 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $10,156.51 for 84 days= $10,881.98 for 90 daysSave 74%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Promacta50 mg · brand · Filled in New ZealandMaker listed by pharmacy: Novartis | $3,500per 28 tablets · 3 packs = $10,500$125.00 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $10,509.95 for 84 days= $11,260.66 for 90 daysSave 73%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Revolade (sold outside the U.S. as Revolade)50 mg · brand · Filled in AustraliaMaker listed by pharmacy: Novartis | $3,566.60per 28 tablets · 3 packs = $10,699.80$127.38 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $10,714.75 for 84 days= $11,480.09 for 90 daysSave 73%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | PROMACTA 50MG TABLET 28 (REVOLADE BRAND FROM AUSTRALIA)50 mg · brand · Filled in AustraliaProduct of Australia | $3,725per 28 tablets · 3 packs = $11,175$133.04 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $11,189.95 for 84 days= $11,989.23 for 90 daysSave 72%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy K | Brand Promacta, Revolade 25mg25 mg · brand · Filled in IndiaMade for sale in India.Product of India | $974.90per 7 tablets · 13 packs = $12,673.70$139.27 per tablet | Fee not publishedDelivery time not stated | $12,673.70 for 91 days= $12,534.43 for 90 days+ shippingWorked out from a 91-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Brand Promacta 50mg50 mg · brand · Filled in New ZealandMaker listed by pharmacy: Novartis | $4,056.63per 28 tablets · 3 packs = $12,169.89$144.88 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $12,184.84 for 84 days= $13,055.19 for 90 daysSave 69%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | PROMACTA (UK pack, ships from Australia)50 mg · brand · Filled in AustraliaProduct of UK | $4,140.14per 28 tablets · 3 packs = $12,420.42$147.86 per tablet | FreeDelivery time not stated | $12,420.42 for 84 days= $13,307.59 for 90 daysSave 69%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy I | PROMACTA50 mg · brand · Filled in AustraliaProduct of Australia | $4,142.53per 28 tablets · 3 packs = $12,427.59$147.95 per tablet | FreeDelivery time not stated | $12,427.59 for 84 days= $13,315.28 for 90 daysSave 69%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Revolade (Eltrombopag) (sold outside the U.S. as Revolade)50 mg · brand · Filled in AustraliaMaker listed by pharmacy: Novartis | $12,617.34for 84 tablets$150.21 per tablet | FreePharmacy's estimate: 2–3 weeks | $12,617.34 for 84 days= $13,518.58 for 90 daysSave 68%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed Canadian pharmacy J | Revolade (sold outside the U.S. as Revolade)50 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharmaceuticals Canada Inc. | $6,613.87per 42 tablets · 2 packs = $13,227.74$157.47 per tablet | $9.95Pharmacy's estimate: 3–6 weeks | $13,237.69 for 84 days= $14,183.24 for 90 daysSave 67%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Promacta50 mg · brand · Filled in CanadaMaker listed by pharmacy: GlaxoSmithKline Inc. | $2,400per 14 tablets · 6 packs = $14,400$171.43 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $14,409.95 for 84 days= $15,439.23 for 90 daysSave 64%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Brand Revolade 50mg (sold outside the U.S. as Revolade)50 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharma Can Inc | $15,061.49for 84 tablets$179.30 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $15,076.44 for 84 days= $16,153.33 for 90 daysSave 62%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Revolade (Eltrombopag) (sold outside the U.S. as Revolade)50 mg · brand · Filled in CanadaMaker listed by pharmacy: GlaxoSmithKline Inc. | $7,763.19per 42 tablets · 2 packs = $15,526.38$184.84 per tablet | FreePharmacy's estimate: 2–3 weeks | $15,526.38 for 84 days= $16,635.41 for 90 daysSave 61%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Brand Revolade 50mg (sold outside the U.S. as Revolade)50 mg · brand · Filled in CanadaMaker listed by pharmacy: Novartis Pharma Can Inc | $16,093.96for 84 tablets$191.59 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $16,108.91 for 84 days= $17,259.55 for 90 daysSave 59%Worked out from an 84-day orderChecked 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 Promacta 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 of the same strength (50 mg); rows for other strengths show no saving. 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. “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 inPromacta price by strength
| Strength | Lowest brand90 days | Price per tablet |
|---|---|---|
| Promacta 25 mg | $3,112.45 | $34.40 |
| Promacta 50 mg | $10,881.98 | $120.73 |
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.
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90-day prices from 10 licensed pharmacies shipping to the U.S.: $3,112.45 to $17,259.55, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Promacta · Uses · FAQ
Promacta (eltrombopag) tablets, 12.5 to 75 mg, raise low platelet counts. FDA-approved generic eltrombopag has been sold in the U.S. since 2025.
Promacta cost at a glance
- Generic Promacta is sold in the U.S. The FDA has approved generic eltrombopag tablets from many companies, rated equivalent to Promacta (FDA Orange Book). The first, from Hetero (sold by Camber), has been listed as on the market since May 13, 2025 (FDA drug listing).
- U.S. list price: $14,163.26 for 30 tablets of brand Promacta 50 mg (the maker's wholesale price before discounts). The 25 mg and 12.5 mg bottles list at $7,826.37 and the 75 mg at $21,244.90 (Texas DSHS).
- Generic list price: the same 2026 filing lists Hetero's generic eltrombopag 50 mg at $11,165.07 for 30 tablets. Ask your pharmacist for the cash price.
- How we count: 1 tablet a day. The label starts most adults with immune thrombocytopenia (ITP) at 50 mg once a day, then adjusts the dose to the platelet count, so your count may differ.
- From online pharmacies abroad: $10,881.98 to $17,259.55 for 90 days of brand Promacta 50 mg, shipping included (checked Nov 11, 2026). The U.S. list price for 90 tablets is $42,489.78.
- 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 Promacta cost in the U.S.?
| If you have | What Promacta costs | Source |
|---|---|---|
| No insurance (list price) | $14,163.26 for 30 tablets of brand Promacta 50 mg; $7,826.37 for 30 tablets of 25 mg or 12.5 mg; $21,244.90 for 30 tablets of 75 mg. Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| No insurance (generic eltrombopag) | FDA-approved generic eltrombopag is sold in the U.S. The 2026 filing lists Hetero's 50 mg at $11,165.07 and its 25 mg at $6,169.62 for 30 tablets. 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 Promacta or generic eltrombopag. Novartis lists a co-pay support program for Promacta tablets. | Novartis |
| 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 Promacta 50 mg lists at $14,163.26 for 30 tablets in the U.S., about $472 a tablet (Texas DSHS). FDA-approved generic eltrombopag has been sold here since 2025, and in the same filing Hetero's generic 50 mg lists at $11,165.07 for 30 tablets. These are list prices (the maker's wholesale price before discounts); what a pharmacy charges can differ.
Promacta 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 Promacta or generic eltrombopag depends on your plan's drug list.
| Medicare Part D | What Promacta 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 |
Promacta 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 Promacta coupons. These are the programs we could verify for Promacta:
- Novartis co-pay support for Promacta: Novartis lists Promacta tablets among the medicines that have a co-pay support program for qualifying patients. Ask Novartis Patient Support who qualifies and what the limits are. Maker co-pay programs are for people with commercial or private insurance, not Medicare or Medicaid. (Novartis Patient Support)
- 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 Promacta?
Yes. The FDA has approved generic eltrombopag tablets (12.5, 25, 50 and 75 mg) from companies including Hetero, Zydus, Amneal, MSN, Dr. Reddy's, Hikma, Biocon and Teva, rated equivalent to Promacta. Hetero's generic, sold by Camber, has been listed as on the market since May 13, 2025, and several more launched in 2026.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 12.5 mg | Yes | Hetero (Camber), Zydus, Amneal, MSN, Somerset, Dr. Reddy's, Hikma, Biocon, Teva | May 13, 2025 |
| 25 mg | Yes | Hetero (Camber), Zydus, Amneal, MSN, Somerset, Dr. Reddy's, Hikma, Biocon, Teva | May 13, 2025 |
| 50 mg | Yes | Hetero (Camber), Zydus, Amneal, MSN, Somerset, Dr. Reddy's, Hikma, Biocon, Teva | May 13, 2025 |
| 75 mg | Yes | Hetero (Camber), Zydus, Amneal, MSN, Somerset, Dr. Reddy's, Hikma, Biocon, Teva | May 13, 2025 |
Outside the U.S.: Online pharmacies abroad may also sell generic eltrombopag made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: eltrombopag olamine products. As of Nov 11, 2026.
What is Promacta used for?
Promacta (eltrombopag) helps the body make more platelets, the blood cells that help blood clot. According to its FDA label (DailyMed), it is used:
- To treat low platelets in adults and children 1 year and older with persistent or chronic immune thrombocytopenia (ITP) when corticosteroids, immunoglobulins or spleen removal haven't worked well enough.
- To treat low platelets in people with chronic hepatitis C so they can start and stay on interferon-based treatment.
- With standard immune-suppressing treatment as a first treatment for severe aplastic anemia in adults and children 2 years and older.
- For severe aplastic anemia that hasn't responded well enough to immune-suppressing treatment.
Promacta tablets come in 12.5, 25, 50 and 75 mg, in bottles of 30 (50 mg also in bottles of 14). For ITP, the label starts most adults and children 6 and older at 50 mg once a day and adjusts the dose to the platelet count, up to 75 mg a day. The label says to take it without a meal or with a meal low in calcium, and apart from antacids and calcium-rich foods. Boxed warning: Promacta can cause serious liver injury, and with interferon and ribavirin it may raise the risk of liver failure in people with hepatitis C. Your prescriber decides which medicine is right for you.
Is it safe to order Promacta from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Promacta, compare the U.S. price of FDA-approved generic eltrombopag 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, Novartis sells eltrombopag as Revolade. Health Canada lists Revolade 25 mg and 50 mg tablets as marketed; the 12.5 mg and 75 mg tablets were never marketed there (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 Promacta without insurance?
The U.S. list price of brand Promacta 50 mg is $14,163.26 for 30 tablets, or $42,489.78 for 90. Licensed pharmacies abroad charged from $10,881.98 for 90 days of brand Promacta 50 mg in our latest check (Nov 11, 2026). FDA-approved generic eltrombopag is also sold in the U.S.; Hetero's 50 mg lists at $11,165.07 for 30 tablets.
Is there a generic Promacta?
Yes. The FDA has approved generic eltrombopag tablets from many companies, rated equivalent to Promacta. The first has been sold in the U.S. since May 2025, and more launched in 2026. Ask your pharmacist whether a generic can fill your prescription.
How much does generic eltrombopag cost?
In the 2026 drug price filing, 30 tablets of Hetero's generic eltrombopag list at $11,165.07 for 50 mg, $6,169.62 for 25 mg or 12.5 mg and $16,747.62 for 75 mg. These are list prices; what a pharmacy charges can differ, so ask your pharmacist.
Is there a Promacta copay card?
eDrugSearch doesn't offer coupons of its own. Novartis lists Promacta tablets among the medicines with a co-pay support program for qualifying patients; ask Novartis Patient Support for the terms. If you have Medicare and limited income, Extra Help can lower what you pay.
How much does Promacta 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.
Is Revolade the same as Promacta?
Revolade is the name Novartis uses for eltrombopag in Canada and other countries. Packs made for other countries are not FDA-approved. The price table shows each pack's name and country.
Is Alvaiz a generic of Promacta?
No. Alvaiz, made by Teva, contains eltrombopag choline in different strengths (9, 18, 36 and 54 mg) and was approved as its own product. Your pharmacist can't swap it for Promacta without your prescriber.
Sources
- PROMACTA U.S. prescribing information (DailyMed) (Novartis label version 31, effective 2025-12-18: uses, doses, boxed warning, how supplied)
- FDA Orange Book: eltrombopag olamine products (Promacta tablets RX AB; generic tablets AB from Hetero (Jan 17, 2025), Zydus, Amneal, MSN, Somerset (Jan 14, 2026), Dr. Reddy's, Hikma, Biocon, Teva (October 2026 data files))
- FDA NDC Directory: Camber eltrombopag (NDC 31722-843) (ANDA 206788 (Hetero), marketing start May 13, 2025)
- Texas DSHS: 2026 annual WAC report (PROMACTA 50 mg x30 $14,163.26; 25 mg and 12.5 mg x30 $7,826.37; 75 mg x30 $21,244.90; Hetero generic 50 mg x30 (31722-0843-30) $11,165.07, 25 mg $6,169.62, 75 mg $16,747.62)
- Novartis: Patient Support Options (co-pay programs) (lists PROMACTA (eltrombopag) tablets, checked 2026-11-11)
- Health Canada Drug Product Database: Revolade (DIN 02361825 (25 mg) and 02361833 (50 mg) Marketed; 12.5 mg and 75 mg Cancelled Pre Market; checked 2026-11-11)
- FDA NDC Directory: Alvaiz (eltrombopag choline) (Teva, NDA 216774, 9/18/36/54 mg)
- 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
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