Last updated: March 2026
How Much Does Brivaracetam (Briviact) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| 50mg Tablets (30-day) | $400 – $700 | $30 – $90 |
| 100mg Tablets (30-day) | $500 – $900 | $40 – $120 |
| Oral Solution 10mg/mL | $450 – $800 | $35 – $100 |
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Tier 3-4 brand; prior auth typically required
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Brivaracetam is a newer anti-seizure drug related to levetiracetam (Keppra) that may have fewer behavioral side effects.
Brivaracetam is 10 to 30 times more potent at its target receptor but costs significantly more. It may cause less irritability than levetiracetam.
Briviact costs $400 to $900 per month without insurance. Manufacturer savings programs may reduce copays for insured patients.