Last updated: March 2026
How Much Does Ferrous Sulfate (Iron Supplement Rx) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Ferrous Sulfate 325mg Tablet | $4 – $8 | $0 – $3 |
| Ferrous Sulfate 220mg/5mL Elixir | $5 – $10 | $0 – $5 |
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 — covered on most plans; also available OTC
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
Ferrous sulfate costs $4 to $10 for a 30-day supply without insurance. It is very affordable in both prescription and OTC forms.
A prescription ensures insurance coverage, proper dosing for iron deficiency anemia, and medical monitoring of iron levels and response to treatment.
Take iron on an empty stomach with vitamin C (or orange juice) for best absorption. Avoid taking with calcium, antacids, or dairy. Iron may cause constipation and dark stools.