Last updated: March 2026
How Much Does Tecfidera (Dimethyl Fumarate) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Tecfidera 240mg Capsules | $7,500 – $9,000 | $300 – $1,500 |
| Generic Dimethyl Fumarate | $2,000 – $4,000 | $50 – $500 |
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: Specialty tier — oral medication; generic available
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
Brand-name Tecfidera costs $7,500 to $9,000 per month. Generic dimethyl fumarate is available for $2,000 to $4,000 per month.
Yes, generic dimethyl fumarate became available and costs significantly less than brand-name Tecfidera.
Common side effects include flushing, nausea, diarrhea, and stomach pain. These often improve after the first month of treatment.