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Viokace Cost, Coupons and Savings
- Lowest price per tablet at U.S. online pharmacies
- $8.15 per tabletIn a pack of 360 tablets for $2,932.88 (before shipping) · FDA-approved brand Viokace 20,880 USP units · ships within the U.S.
- Lowest price per tablet at online pharmacies abroad
- $0.58 per tabletIn a pack of 200 tablets for $116 (before shipping) · brand Viokace 20,880 USP units, not FDA-approved · ships from Canada
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Quick answerAs of Nov 11, 2026, brand Viokace 20,880 USP units costs from $0.58 per tablet at the pharmacies we compared, before shipping, vs. $8.59 per tablet ($858.55 for 100) at the U.S. list price. No generic Viokace is sold in the U.S.
Name check: Viokace tablets are named by lipase units. The dose depends on body weight or the fat in meals, so we compare prices per tablet and list each pack as sold.
Compare Viokace prices from licensed online pharmacies
| Pharmacy | Medication | Pack | Price per unit | Pack price | Shipping & delivery | Total with shipping | Buy |
|---|---|---|---|---|---|---|---|
| Lowest price per unitOnline pharmacy A | Viokace10,440 USP units · brand · Filled in CanadaMaker listed by pharmacy: Aptalis Pharma | 200 tablets1 other pack size
| $0.44 per tablet | $88 | $9.95Pharmacy's estimate: 4–6 weeks | $97.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Viokace10,440 USP units · brand · Filled in CanadaProduct of Canada | 100 tablets | $0.49 per tablet | $49.05 | Fee not publishedDelivery time not stated | $49.05+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy A | Viokace (Switzerland pack, ships from Canada)20,880 USP units · brand · Filled in CanadaMaker listed by pharmacy: Aptalis PharmaMade for Switzerland | 200 tablets1 other pack size
| $0.58 per tablet | $116 | $9.95Pharmacy's estimate: 4–6 weeks | $125.95Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Viokace10,440 USP units · brand · Filled in CanadaProduct of Canada | 100 tablets | $0.59 per tablet | $58.99 | Fee not publishedDelivery time not stated | $58.99+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy B | Viokace20,880 USP units · brand · Filled in CanadaProduct of Canada | 300 tablets2 other pack sizes
| $0.62 per tablet | $187.35 | Fee not publishedDelivery time not stated | $187.35+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed Canadian pharmacy D | Viokace 1040010,440 USP units · brand · Filled in CanadaMaker listed by pharmacy: NESTLE CLINICAL NUTRITION | 300 tablets2 other pack sizes
| $0.64 per tablet | $191.23 | $9.95Pharmacy's estimate: 3–6 weeks | $201.18Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy C | Viokace20,880 USP units · brand · Filled in CanadaProduct of Canada | 300 tablets2 other pack sizes
| $0.66 per tablet | $197.99 | Fee not publishedDelivery time not stated | $197.99+ shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | Viokace 10400 (Pancrelipase (Amylase;Lipase;Protease))10,440 USP units · brand · Filled in CanadaMaker listed by pharmacy: Accelera Pharma Canada Inc | 300 tablets2 other pack sizes
| $0.80 per tablet | $240.93 | FreePharmacy's estimate: 2–3 weeks | $240.93Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy F | Viokace10,440 USP units · brand · Filled in CanadaProduct of Canada | 100 tablets | $0.86 per tablet | $86.39 | $9.95Delivery time not stated | $96.34Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed Canadian pharmacy D | Viokace 2088020,880 USP units · brand · Filled in CanadaMaker listed by pharmacy: NESTLE CLINICAL NUTRITION | 300 tablets2 other pack sizes
| $0.88 per tablet | $262.79 | $9.95Pharmacy's estimate: 3–6 weeks | $272.74Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | Viokace10,440 USP units · brand · Filled in CanadaMaker listed by pharmacy: Aptalis Pharma | 100 tablets | $0.88 per tablet | $88.29 | $14.95Pharmacy's estimate: 4–6 weeks | $103.24Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy E | Viokace 20880 (Pancrelipase (Amylase;Lipase;Protease))20,880 USP units · brand · Filled in CanadaMaker listed by pharmacy: Accelera Pharma Canada Inc | 300 tablets2 other pack sizes
| $0.89 per tablet | $267.10 | FreePharmacy's estimate: 2–3 weeks | $267.10Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy F | Viokace20,880 USP units · brand · Filled in CanadaProduct of Canada | 300 tablets2 other pack sizes
| $0.94 per tablet | $281.49 | $9.95Delivery time not stated | $291.44Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitOnline pharmacy G | Viokace20,880 USP units · brand · Filled in CanadaMaker listed by pharmacy: AptalisPharma | 100 tablets | $1.15 per tablet | $114.56 | $14.95Pharmacy's estimate: 4–6 weeks | $129.51Checked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest price per unitLicensed U.S. pharmacy H | Viokace Tablet20,880 USP units · brandU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | 360 tablets2 other pack sizes
| $8.15 per tablet | $2,932.88 | FreePharmacy's estimate: 3–5 business days | $2,932.88Checked 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 Viokace from Canada?
| Strength | Lowest brandper unit, before shipping | Lowest generic abroadper unit, not FDA-approved |
|---|---|---|
| Viokace 10,440 USP units | $0.44 per tablet | — |
| Viokace 20,880 USP units | $0.58 per tablet | — |
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 tablet from 5 licensed pharmacies abroad shipping to the U.S.: $0.44 to $1.15, any strength, before shipping.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Viokace · Similar drugs · Uses · FAQ
Viokace (pancrelipase) tablets replace digestive enzymes in adults with chronic pancreatitis or after pancreas surgery. Two strengths are sold.
Viokace cost at a glance
- U.S. list price: a bottle of 100 Viokace tablets lists at $435.19 for 10,440 USP units (about $4.35 a tablet) and $858.55 for 20,880 USP units (about $8.59 a tablet), the maker's wholesale price before discounts (Texas DSHS).
- No U.S. generic: no generic Viokace is sold in the U.S. It is approved as a biologic, and its label says not to swap in other pancreatic enzyme products (DailyMed).
- How we compare: the dose is set for each person by body weight or the fat in meals and snacks, so there's no set number of tablets a day. We list each pharmacy's packs as sold and compare the price per tablet.
- 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: $0.58 to $1.15 per tablet of brand Viokace 20,880 USP units (Canadian packs and U.S. packs), before shipping (checked Nov 11, 2026). The U.S. list price is about $8.59 a tablet.
How much does Viokace cost in the U.S.?
| If you have | What Viokace costs | Source |
|---|---|---|
| No insurance (list price) | Brand Viokace, 100 tablets: $435.19 (10,440 USP units) or $858.55 (20,880 USP units). Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| Private or employer insurance | Your copay depends on your plan's drug list and whether it covers Viokace. | Drugs@FDA |
| 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 Viokace 20,880 USP units lists at $858.55 for 100 tablets, about $8.59 a tablet, and 10,440 USP units at $435.19, about $4.35 a tablet (Texas DSHS). How many tablets you need depends on your dose. List prices are what makers charge wholesalers; what a pharmacy charges you can differ.
Viokace 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 Viokace depends on your plan's drug list.
| Medicare Part D | What Viokace 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 |
Viokace 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 Viokace coupons. eDrugSearch has no coupons of its own. These programs can help with the cost of Viokace:
- Zenpep and Viokace Patient Assistance Program: if you're approved, you get a three-month supply at no charge, shipped to your prescriber's office. Approval depends on your application and household income. People with Medicare can apply; Part D enrollees with income below 150% of the federal poverty level must include an Extra Help denial letter. Call 855-210-6228. (Nestlé Health Science)
- 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 Viokace?
No. No generic Viokace is sold in the U.S. Viokace is approved as a biologic (BLA 022542), and its label says not to substitute other pancreatic enzyme products.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 10,440 USP units | No | — | |
| 20,880 USP units | No | — |
Outside the U.S.: Online pharmacies abroad may sell pancrelipase products made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: Drugs@FDA: Viokace (BLA 022542). As of Nov 11, 2026.
Compare Viokace with similar drugs
Other pancreatic enzyme medicines. The labels say not to swap one enzyme product for another, and your prescriber decides which medicine is right for you. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Pancreazepancrelipase | Pancreatic enzyme replacement (pancrelipase) | From $0.92 per capsule | See prices |
| Pertzyepancrelipase | Pancreatic enzyme medicine | Checking prices | 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 Viokace used for?
Viokace (pancrelipase) is a mix of digestive enzymes taken from pig pancreas. According to its FDA label (DailyMed), it is used:
- Together with a proton pump inhibitor (an acid reducer), to treat exocrine pancreatic insufficiency (EPI) caused by chronic pancreatitis or removal of the pancreas, in adults.
Viokace is taken with meals and snacks. The dose is based on lipase units and set for each person by body weight or the fat in the diet. The label says to take it with a proton pump inhibitor. Your prescriber decides which medicine is right for you.
Is it safe to order Viokace from Canada?
Many Americans do, but U.S. law and customs rules apply. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, Viokace is marketed in the same two lipase strengths, 10,440 and 20,880 units (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 Viokace without insurance?
The U.S. list price of Viokace is $435.19 for 100 tablets of 10,440 USP units and $858.55 for 100 tablets of 20,880 USP units, in the Texas 2026 drug price filing. The pharmacies we compared charged from $0.58 per tablet of Viokace 20,880 USP units in our latest check (Nov 11, 2026), before shipping.
Is there a generic for Viokace?
No. Viokace is a biologic with no generic sold in the U.S. Its label says not to substitute other pancreatic enzyme products for it.
Is there a Viokace coupon or patient assistance program?
Nestlé Health Science runs the Zenpep and Viokace Patient Assistance Program, which can provide a three-month supply at no charge if you're approved. eDrugSearch doesn't offer coupons of its own.
How much does Viokace 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.
Why is Viokace priced per tablet?
Because there's no standard daily dose. Your prescriber sets the number of tablets by your weight or the fat in your meals, so we compare the price per tablet and show each pack as the pharmacy sells it.
Can I buy Viokace from Canada?
Viokace is marketed in Canada in the same two lipase strengths as in the U.S. The price table shows where each pack comes from and labels packs that aren't FDA-approved.
Sources
- Texas DSHS: 2026 annual WAC report (Aimmune Viokace bottles of 100: 10,440 USP units $435.19 (73562-0104-10); 20,880 USP units $858.55 (73562-0208-10))
- VIOKACE U.S. prescribing information (DailyMed) (Aimmune Therapeutics, label version 7 (effective August 14, 2025))
- Drugs@FDA: Viokace (BLA 022542) (approved March 1, 2012; two strengths, prescription)
- Nestlé Health Science: Pharmaceutical Patient Assistance Programs (three-month supply at no charge if approved; phone 855-210-6228; checked 2026-11-11)
- Nestlé Health Science: patient assistance FAQ (names the Zenpep and Viokace Patient Assistance Program; Medicare and Extra Help rules)
- Health Canada Drug Product Database: Viokace (DIN 02230019 (10,440) and 02241933 (20,880), Nestlé Enterprises, marketed; checked 2026-11-11)
- 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
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.