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Cost comparison only — not medical advice
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Drug Prices

Austedo Price: $5,008 to $15,076 a Month in the US, Depending on the Dose

Europe authorised deutetrabenazine only in January 2026, and no official price list carries it yet. Here is what 30 days cost in the US at each dose.

Researched with AI assistance; every figure is checked against the primary source cited on this page before publishing. How we work →

Key Takeaways

  • The price depends on the dose. Austedo XR is one tablet a day, started at 12 mg and raised by 6 mg a week up to 48 mg (FDA label). US pharmacies paid $166.94 for a 12 mg tablet and $502.55 for 48 mg in November 2026 — $5,008 and $15,076 for 30 days (CMS NADAC; our calculation).
  • $4,093 for Medicare from 2027. Medicare’s negotiated price for a 30-day supply takes effect on January 1, 2027 — 38% below the 2024 list price of $6,623, the smallest cut of the 15 drugs in the 2027 round (CMS). Per tablet it is about 60% of today’s pharmacy cost at every dose (our calculation: e.g. $100.54 ÷ $166.94 at 12 mg).
  • Some doses cost the same. An 18 mg and a 24 mg tablet cost practically the same, and so do 42 mg and 48 mg — in Teva’s list prices, in pharmacy costs and in Medicare’s 2027 prices.
  • No European price to compare yet. The EU authorised Austedo on January 8, 2026, for moderate to severe tardive dyskinesia only (EMA). None of the official price lists we use — UK, France, Switzerland, Austria, the Netherlands, Germany — lists it yet. We will add them when they do.

Austedo XR Price in the US by Dose (November 2026)

Austedo XR (deutetrabenazine) is one extended-release tablet a day for chorea in Huntington’s disease or tardive dyskinesia; the dose starts at 12 mg and rises by 6 mg a week to at most 48 mg (FDA label) — so 30 days = 30 tablets of one strength. We show three common doses. US prices only: no European official price list carries deutetrabenazine yet. The price types differ — list price, negotiated price, pharmacy acquisition cost — and are labelled.

30 days = 30 Austedo XR tablets of one strength. Pharmacy cost: CMS NADAC (as of November 4, 2026) × 30. Medicare: CMS data file, price per tablet from 2027 × 30 (our calculation). No European official price yet.
CountryOfficial price30 days in US dollarsWhat a patient typically pays
🇺🇸 United States (list, 2024)Austedo / Austedo XR $6,623 for a 30-day supply (CMS, 2024)$6,623More than 90% of patients pay $10 or less a month (maker’s figure); commercially insured may pay $0
🇺🇸 United States (pharmacy cost, 12 mg)Austedo XR 12 mg $166.94247 per tablet (CMS NADAC, Nov 4, 2026)$5,008—
🇺🇸 United States (pharmacy cost, 24 mg)Austedo XR 24 mg $250.31683 per tablet (CMS NADAC)$7,510—
🇺🇸 United States (pharmacy cost, 48 mg)Austedo XR 48 mg $502.54557 per tablet (CMS NADAC)$15,076—
🇺🇸 United States (Medicare, 2027)$4,093 negotiated price per 30-day supply, from Jan 1, 2027 (CMS); per XR tablet $100.542539 (12 mg), $150.813809 (24 mg), $301.623098 (48 mg)$3,016 / $4,524 / $9,049Extra Help enrollees typically pay about $12.15 a month (maker’s figure)
🇬🇧 United KingdomNot listed in the NHS dictionary of medicines (dm+d)——
🇫🇷 FranceNo deutetrabenazine product in the public medicines database——
🇨🇭 SwitzerlandNot in the Spezialitätenliste——
🇦🇹 AustriaNot in the reimbursement code (November 2026)——
🇳🇱 NetherlandsNot listed on Medicijnkosten.nl (to November 1, 2026)——
🇩🇪 GermanyNo statutory price ceiling (Festbetrag); EU authorisation since January 8, 2026——

We compare prices; we do not recommend where to buy medicine. Dose changes for movement disorders are a decision for your doctor.

What the Numbers Mean

Medicare’s price takes effect in 2027

The $4,093 is the price Medicare negotiated for Austedo and Austedo XR under the Inflation Reduction Act for a 30-day supply, effective January 1, 2027. CMS’s data file sets a price for each tablet strength — for Austedo XR, $100.542539 at 12 mg, $150.813809 at 24 mg and $301.623098 at 48 mg, or $3,016, $4,524 and $9,049 for 30 tablets (our calculation). In 2024 about 27,000 people with Medicare Part D used Austedo, and Part D spent $1.68 billion on it before rebates (CMS).

List price, pharmacy cost and what patients pay

Teva’s own price sheet still shows its list prices as of January 1, 2025: $5,003.00 for 30 XR tablets of 12 mg, $7,504.40 at 24 mg and $15,008.90 at 48 mg. US pharmacies paid almost exactly that in November 2026 (CMS NADAC). Teva says more than 90% of people taking Austedo pay $10 or less a month, that commercially insured patients may pay $0, and that Medicare enrollees with Extra Help typically pay about $12.15.

Why there is no European comparison yet

The European Commission authorised Austedo on January 8, 2026, as prolonged-release tablets for adults with moderate to severe tardive dyskinesia — not for Huntington’s chorea (EMA). As of November 2026, none of the UK, French, Swiss, Austrian, Dutch and German official lists we checked includes it, and Germany has no Festbetrag for it.

Frequently Asked Questions

How much does Austedo cost in the US?

CMS recorded a list price of $6,623 for a 30-day supply in 2024, and Medicare’s negotiated price from January 1, 2027 is $4,093 (CMS). What a month costs depends on the dose: US pharmacies paid about $5,008 for 30 Austedo XR tablets of 12 mg, $7,510 at 24 mg and $15,076 at 48 mg in November 2026 (CMS NADAC).

How much does Austedo cost in Europe?

There is no official price yet. The EU authorised Austedo on January 8, 2026, for tardive dyskinesia (EMA), but the UK, French, Swiss, Austrian, Dutch and German price lists did not include it as of November 2026.

Does a higher dose cost more?

Mostly yes, roughly in proportion to the dose — but 18 mg and 24 mg tablets cost practically the same, and so do 42 mg and 48 mg (Teva list prices, CMS NADAC, CMS data file).

What do patients pay?

Teva says more than 90% of people taking Austedo pay $10 or less a month; commercially insured patients may pay $0 with its co-pay program, and Medicare enrollees with Extra Help typically pay about $12.15 a month (maker’s figures, January 2025).

Is there a generic Austedo?

Not in the US pharmacy price survey (NADAC, November 4, 2026), which lists only Austedo and Austedo XR; CMS negotiates only drugs without generic competition.

Sources

  1. CMS — Negotiated prices for initial price applicability year 2027 (fact sheet, November 2025): Austedo; Austedo XR $4,093 negotiated price for a 30-day supply, $6,623 list price (2024), 38% lower; 27,000 Part D enrollees, $1,675,176,000 gross Part D costs in 2024
  2. CMS — Selected drug list and maximum fair price data file (November 2, 2026): Austedo XR per tablet from January 1, 2027 — 12 mg $100.542539, 24 mg $150.813809, 48 mg $301.623098
  3. CMS — Medicare Drug Price Negotiation Program: final guidance and effectuation of the negotiated price
  4. CMS — NADAC, as of November 4, 2026 (effective October 21, 2026): Austedo XR 12 mg $166.94247, 18 mg $251.16057, 24 mg $250.31683, 42 mg $498.71782, 48 mg $502.54557 per tablet
  5. Teva — Austedo XR/Austedo cost information: list prices as of January 1, 2025 (XR 30 tablets: 12 mg $5,003.00, 18 mg $7,504.50, 24 mg $7,504.40, 42 mg $15,009.00, 48 mg $15,008.90); more than 90% pay $10 or less a month; Extra Help typically $12.15
  6. DailyMed — Austedo XR prescribing information: start 12 mg once daily, raise weekly by 6 mg, maximum 48 mg a day
  7. European Medicines Agency — Austedo: authorised in the EU, marketing authorisation issued January 8, 2026 (Teva GmbH); prolonged-release tablets for moderate to severe tardive dyskinesia in adults
  8. NHS dm+d — product search: no Austedo product (November 9, 2026)
  9. Base de données publique des médicaments (France) — no deutetrabenazine product (bulk files of November 6 and 9, 2026)
  10. Federal Office of Public Health (BAG) — Spezialitätenliste: no Austedo or deutetrabenazine entry (November 9, 2026)
  11. Austrian social insurance (Dachverband) — Erstattungskodex monthly data, November 2026 (no deutetrabenazine)
  12. Zorginstituut Nederland — Medicijnkosten.nl: no result for deutetrabenazine or Austedo (updated to November 1, 2026)
  13. BfArM / GKV-Spitzenverband — Festbetrag list as of November 1, 2026 (no entry for deutetrabenazine)

Wellness Vision Editorial Policy

Wellness Vision does not sell medicine, recommend pharmacies or suppliers, or take payments from drug makers. Every price above comes from the official source cited; currency conversions and 30-day figures are our own calculations, shown with their formula. This is a cost comparison, not medical advice.

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