Topiramate: what pharmacies actually pay
Prices below are the National Average Drug Acquisition Cost (NADAC) — the federal government's weekly survey of what pharmacies actually pay their wholesalers, as of 07/22/2026. Your pharmacy's cash price includes their markup and dispensing cost, so it will be higher — but if it's many times this number, that's a signal to shop around.
| Form & strength | Pharmacy cost | Unit | Type |
|---|---|---|---|
| TOPIRAMATE 100 MG TABLET | $0.06 | per tablet/unit | Generic |
| TOPIRAMATE 15 MG SPRINKLE CAP | $0.31 | per tablet/unit | Generic |
| TOPIRAMATE 200 MG TABLET | $0.11 | per tablet/unit | Generic |
| TOPIRAMATE 25 MG SPRINKLE CAP | $0.27 | per tablet/unit | Generic |
| TOPIRAMATE 25 MG TABLET | $0.03 | per tablet/unit | Generic |
| TOPIRAMATE 25 MG/ML SOLUTION | $1.59 | per mL | Generic |
| TOPIRAMATE 50 MG SPRINKLE CAP | $4.37 | per tablet/unit | Generic |
| TOPIRAMATE 50 MG TABLET | $0.03 | per tablet/unit | Generic |
| TOPIRAMATE ER 100 MG CAPSULE | $10.50 | per tablet/unit | Generic |
| TOPIRAMATE ER 100 MG SPRINK CAP | $5.32 | per tablet/unit | Generic |
| TOPIRAMATE ER 150 MG SPRINK CAP | $7.94 | per tablet/unit | Generic |
| TOPIRAMATE ER 200 MG CAPSULE | $23.75 | per tablet/unit | Generic |
| TOPIRAMATE ER 200 MG SPRINK CAP | $10.53 | per tablet/unit | Generic |
| TOPIRAMATE ER 25 MG CAPSULE | $4.12 | per tablet/unit | Generic |
| TOPIRAMATE ER 25 MG SPRINKL CAP | $2.47 | per tablet/unit | Generic |
| TOPIRAMATE ER 50 MG CAPSULE | $6.36 | per tablet/unit | Generic |
| TOPIRAMATE ER 50 MG SPRINKL CAP | $3.67 | per tablet/unit | Generic |
Rough math: a typical 30-day supply of one tablet/day equals 30× the per-unit cost.
This is pricing information, not medical advice. Talk to your doctor or pharmacist before changing any medication.
Which Medicare plans cover this drug?
Pick your state and county to see every plan there, filtered to this drug — with the tier, prior-authorization status, and estimated copay.
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