Last updated: March 2026
How Much Does Enalapril Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Enalapril 5mg (generic) | $4 – $10 | $0 – $4 |
| Enalapril 10mg (generic) | $4 – $12 | $0 – $5 |
| Enalapril 20mg (generic) | $4 – $15 | $0 – $6 |
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 1 generic — one of the original ACE inhibitors; very affordable
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
Generic enalapril costs $4 to $15 per month without insurance. It is one of the most affordable ACE inhibitors and is widely available at $4 generic programs.
Both are ACE inhibitors used for blood pressure and heart failure, but they are different drugs. Lisinopril is more commonly prescribed, but enalapril is equally effective and similarly priced.
Yes, ACE inhibitors like enalapril help protect kidney function, particularly in patients with diabetes or protein in the urine. They reduce pressure in the kidney's filtering units.