Affordability Check
How to afford Qsymia
Generic name: phentermine and topiramate
Pick how you're covered. We'll show you the cheapest legitimate way to get Qsymia — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.
Pick an option above to see your specific path.
Different insurance means different laws and different savings. For example, Medicare patients cannot use manufacturer copay cards (federal law) — but the manufacturer almost always has a Patient Assistance Program that gives the drug free.
About Qsymia and its cost
What is this medication? Qsymia is a prescription drug that combines two specific medications, phentermine and topiramate extended-release, to help people manage their weight over the long term. It is intended for adults with a body mass index of 30 or higher, which is classified as obese, or for those with a body mass index of 27 or higher who also have at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol. This medication is also approved for use in certain pediatric patients who are twelve years of age or older and meet specific weight criteria based on their age and sex.
The medication works by using its two active ingredients to target different aspects of weight loss, such as reducing appetite and increasing the feeling of being full after eating. It is not meant to be used as a standalone treatment but should instead be incorporated into a comprehensive management plan that includes a reduced-calorie diet and increased physical activity. Because it is a controlled substance and carries specific safety risks, it must be taken under the guidance of a healthcare professional who monitors the patient's progress and health throughout the treatment.
Qsymia is made by a pharmaceutical manufacturer. Like most brand-name drugs, it's priced at a high list price — but patients rarely pay that list price. The options above are the real paths most people use to get it affordably.
Common questions
What's the cheapest way to afford Qsymia?
It depends on your insurance. On Medicare, apply for the manufacturer's Patient Assistance Program (PAP) — it gives the drug free if you meet income requirements. With private insurance, the manufacturer copay card usually drops your copay to $0-$25. Uninsured patients should compare the PAP with Cost Plus Drugs cash price.
Can I use a copay card with Medicare for Qsymia?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But the manufacturer has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover Qsymia?
Part D coverage varies by plan. We query the CMS Prescription Drug Plan file to show you what percentage of plans cover it and at what tier. For your exact copay, pick "Medicare" above and check your plan's Summary of Benefits, or log in to Medicare.gov.
How long does a Patient Assistance Program take?
Most PAPs take 2-6 weeks from application to first fill. Ask the manufacturer about a "bridge supply" — many will ship 30 days free while your application is being reviewed so you don't go without the drug.
What if I have a high-deductible plan?
For generics, Cost Plus Drugs cash price is often cheaper than your deductible-phase copay. For brand names, the manufacturer copay card almost always wins. A GoodRx coupon can be a last resort for uncovered drugs, but it doesn't count toward your deductible.
Are there charity grants for Obesity?
Charities like HealthWell Foundation, PAN Foundation, Good Days, and the National Organization for Rare Disorders provide copay help for specific conditions. Funds often run out mid-year — apply early. We list the specific grants for your condition in the options above.
More about Qsymia
Full Qsymia drug page
FDA label, prior authorization rules, full indications list
More options for Obesity
Drugs, grants, and assistance for this condition
Guide to Patient Assistance Programs
How PAPs work, who qualifies, typical wait times
If your insurance denied coverage
5-level appeal playbook — Medicare has a 60% win rate at Level 3