Last updated: March 2026
How Much Does Guanfacine (Intuniv) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Guanfacine 1mg Tablet (generic IR) | $10 – $20 | $0 – $8 |
| Guanfacine ER 1mg Tablet (generic) | $15 – $30 | $3 – $12 |
| Guanfacine ER 2mg Tablet (generic) | $15 – $40 | $5 – $15 |
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 1–2 generic — covered for ADHD and hypertension; ER form preferred for ADHD
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 guanfacine costs $10 to $40 per month without insurance. The extended-release form for ADHD is slightly more expensive than the immediate-release.
Guanfacine is an alpha-2 agonist used to treat ADHD (extended-release form) and high blood pressure (immediate-release form). It can be used alone or alongside stimulant medications.
No, guanfacine is a non-stimulant ADHD medication. It works differently from stimulants by modulating prefrontal cortex activity. It may cause drowsiness and low blood pressure.