Last updated: March 2026
How Much Does Hydroxyzine Pamoate (Vistaril) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| 25mg Capsules Generic (30-day) | $8 – $25 | $0 – $8 |
| 50mg Capsules Generic (30-day) | $10 – $35 | $0 – $10 |
| 25mg/5mL Oral Suspension | $15 – $40 | $5 – $12 |
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 1 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
Hydroxyzine pamoate treats anxiety, itching, and insomnia. It is a non-addictive antihistamine often used as an alternative to benzodiazepines.
Both are antihistamines. Hydroxyzine is prescription-only and has stronger anti-anxiety effects. It is not habit-forming.
Generic hydroxyzine pamoate costs $8 to $35/month, making it very affordable for anxiety and allergy management.