Last updated: March 2026
How Much Does Voriconazole (Vfend) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| 200mg Tablets Generic (30-day) | $200 – $600 | $30 – $100 |
| 200mg Tablets Brand Vfend (30-day) | $800 – $1,800 | $60 – $200 |
| IV Infusion (per vial) | $150 – $400 | $50 – $150 |
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 3-4; prior authorization often required for brand Vfend
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
Voriconazole is a specialty antifungal for serious, often life-threatening fungal infections. Generic versions ($200 to $600/month) are significantly cheaper than brand Vfend.
Voriconazole treats invasive aspergillosis, serious Candida infections, and other rare fungal infections, often in immunocompromised patients.
Yes, blood levels, liver function, and vision should be monitored during treatment, adding $100 to $500 in lab costs.