Last updated: March 2026
How Much Does Micafungin (Mycamine) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| 50mg IV Vial | $300 – $600 | $50 – $150 |
| 100mg IV Vial | $500 – $1,200 | $100 – $300 |
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 under medical benefit for infusion; prior authorization required
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
Micafungin is an IV echinocandin antifungal used to treat candidemia, esophageal candidiasis, and as prophylaxis in stem cell transplant patients.
Micafungin is given as an IV infusion over 1 hour in a hospital or infusion center. It is not available in oral form.
A typical course costs $3,000 to $15,000 total depending on duration. Insurance covers most of the cost when medically necessary.