Last updated: March 2026
How Much Does Fludrocortisone (Florinef) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| 0.1mg Tablets Generic (30-day) | $15 – $60 | $0 – $15 |
| 0.1mg Tablets (90-day) | $40 – $80 | $5 – $20 |
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: Covered as Tier 2 generic on most plans
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
Fludrocortisone replaces aldosterone in adrenal insufficiency (Addison's disease) and treats orthostatic hypotension by helping the body retain salt and water.
Generic fludrocortisone costs $15 to $60 per month, which is reasonable for a chronic medication.
Yes, fludrocortisone can cause fluid retention and weight gain. Blood pressure and potassium levels should be monitored regularly.