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Cost comparison only — not medical advice
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Drug Prices

Ofev Price by Country: $12,622 in the US, about $1,467 in France

Generic nintedanib reached US pharmacies in August 2026. Here is what 60 capsules — 30 days — of brand and generic cost in eight places.

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

Key Takeaways

  • A US generic is already 94% cheaper than the 2024 list price. US pharmacies paid $12.06 per generic nintedanib 150 mg capsule in November 2026 — $723 for 60 — against the $12,622 that CMS recorded as Ofev’s 2024 list price for 30 days (CMS NADAC; our calculation: $723 ÷ $12,622 = 6%). The generic first appeared in the survey on August 19, 2026, at $16.18 per capsule.
  • $6,350 for Medicare from 2027. Medicare’s negotiated price for Ofev takes effect on January 1, 2027 — 50% below the 2024 list price, according to CMS. Per capsule it is $108.97, or $6,538 for 60 — about nine times what pharmacies now pay for the generic (our calculation: $6,538 ÷ $723).
  • Europe, brand Ofev: about $1,467 to $2,879 for 30 days. Official prices for 60 capsules of 150 mg, converted at ECB rates: France $1,467, Switzerland $1,926, the Netherlands $2,486, Austria $2,533, the UK $2,879 (our calculation).
  • Germany rated the benefit highly. The Joint Federal Committee found a hint of considerable added benefit over best supportive care in idiopathic pulmonary fibrosis (2019). Nintedanib has no Festbetrag.

Ofev / Nintedanib 150 mg Price by Country (November 2026)

Ofev 150 mg (nintedanib) is taken twice a day for idiopathic pulmonary fibrosis and other fibrosing lung diseases (FDA label) — so 30 days = 60 capsules, which is also the European pack size. Where a generic is listed, we show it as well. US dollars at European Central Bank reference rates of November 6, 2026. The price types differ — list price, negotiated price, pharmacy acquisition cost, retail price — and are labelled.

30 days = 60 capsules of 150 mg. US: CMS fact sheet (list price for a 30-day supply, 2024), CMS data file ($108.972348 per capsule from 2027 × 60, our calculation), CMS NADAC for generic nintedanib (as of November 4, 2026). UK: NHS dm+d. France: public medicines database. Switzerland: BAG public price. Austria: Erstattungskodex, November 2026 (excl. VAT). Netherlands: Zorginstituut average price (to November 1, 2026). Converted at ECB rates of November 6, 2026 (our calculation).
CountryOfficial price30 days in US dollarsWhat a patient typically pays
🇺🇸 United States (list, 2024)Ofev $12,622 for a 30-day supply (CMS, 2024)$12,622Commercially insured patients may get Ofev for as little as $0 a month; not for Medicare, Medicaid or cash payers (maker’s terms)
🇺🇸 United States (pharmacy cost)Generic nintedanib 150 mg $12.05711 per capsule (CMS NADAC, Nov 4, 2026); Ofev not in the surveygeneric $723—
🇺🇸 United States (Medicare, 2027)Ofev $6,350 negotiated price per 30-day supply, from Jan 1, 2027 (CMS); $108.972348 per capsule$6,538Depends on the Part D plan and coverage phase
🇬🇧 United KingdomOfev £2,151.10 for 60 capsules (NHS price, since Sep 24, 2015); generics £1,505.77 to £2,151.10$2,879£9.90 per item in England; free in Scotland, Wales and Northern Ireland
🇨🇭 SwitzerlandOfev CHF 1,577.15 for 60 capsules; generic from CHF 295.65 (public prices; limitation)$1,926 (generic $361)40% share for Ofev, 10% for the generic, after the annual deductible
🇫🇷 FranceOfev €1,313.61 for 60 capsules; generic €607.14 (official prices excluding dispensing fee)$1,467 (generic $678)70% of the price unless a complementary insurer covers it (30% reimbursed)
🇳🇱 NetherlandsOfev €2,226.88 for 60 capsules; generic (Viatris) €1,397.38 (average pharmacy prices)$2,486 (generic $1,560)Fully reimbursed; counts toward the annual deductible
🇦🇹 AustriaOfev €2,268.90 for 60 capsules; generic from €450.65 (social-insurance prices excl. VAT)$2,533 (generic $503)€7.55 prescription fee per pack; Ofev needs insurer approval first
🇩🇪 GermanyNo statutory price ceiling (Festbetrag) for nintedanib; no official price found——

We compare prices; we do not recommend where to buy medicine. Whether to switch between brand and generic is a decision for your doctor and pharmacist.

What the Numbers Mean

Medicare’s brand price versus the new generic

The $6,350 is the price Medicare negotiated for Ofev under the Inflation Reduction Act, effective January 1, 2027; CMS’s data file sets $108.972348 per capsule, or $6,538 for 60 (our calculation). Generic nintedanib 150 mg cost US pharmacies $12.05711 per capsule in November 2026 — $723 for 60, or 11% of Medicare’s 2027 price for the brand (our calculation: $723 ÷ $6,538). In 2024 about 24,000 people with Medicare Part D used Ofev, and Part D spent $2.09 billion on it before rebates (CMS).

Europe: brand Ofev at 12% to 23% of the US list price

France, Switzerland, the Netherlands, Austria and the UK publish an official price for Ofev 150 mg — about $1,467 to $2,879 for 60 capsules at ECB rates, or 12% to 23% of the 2024 US list price (our calculation: $1,467 ÷ $12,622 and $2,879 ÷ $12,622). Generics are listed at CHF 295.65 in Switzerland, €450.65 in Austria and €607.14 in France.

Germany: considerable added benefit

In 2019 the Joint Federal Committee (G-BA) found a hint of considerable added benefit of nintedanib over best supportive care for adults with idiopathic pulmonary fibrosis. Nintedanib has no Festbetrag, and we found no freely published official German price.

Frequently Asked Questions

How much does Ofev cost in the US compared with other countries?

CMS recorded a list price of $12,622 for a 30-day supply in 2024; Medicare’s negotiated price from January 1, 2027 is $6,350 (CMS). In Europe, 60 capsules of Ofev 150 mg cost €1,313.61 in France, CHF 1,577.15 in Switzerland, €2,226.88 in the Netherlands, €2,268.90 in Austria (excl. VAT) and £2,151.10 in the UK — about $1,467 to $2,879 at ECB rates.

Is there a generic Ofev?

Yes. Generic nintedanib 150 mg appears in the US pharmacy price survey from August 19, 2026, at $12.05711 per capsule by November (NADAC). In Europe, generics are listed from CHF 295.65 for 60 capsules in Switzerland, €450.65 in Austria, €607.14 in France and £1,505.77 in the UK.

Why is Medicare’s 2027 price far above the generic?

The negotiated price applies to the brand, Ofev: $108.972348 per capsule from January 1, 2027 (CMS). It was set before the generic reached US pharmacies; in November 2026 pharmacies paid $12.05711 per generic capsule (NADAC).

What do patients pay?

In the US, commercially insured patients may get Ofev for as little as $0 a month through the maker’s program, which excludes Medicare, Medicaid and cash payers. In England each prescription item costs £9.90; in Switzerland insured patients pay 40% for Ofev and 10% for a generic after the deductible; in France 30% is reimbursed; in Austria a €7.55 prescription fee; in the Netherlands it is fully reimbursed but counts toward the annual deductible.

How many capsules does 30 days take?

The label dose is 150 mg twice a day, about 12 hours apart with food — 60 capsules for 30 days (FDA label).

Sources

  1. CMS — Negotiated prices for initial price applicability year 2027 (fact sheet, November 2025): Ofev $6,350 negotiated price for a 30-day supply, $12,622 list price (2024), 50% lower; 24,000 Part D enrollees, $2,087,330,000 gross Part D costs in 2024
  2. CMS — Selected drug list and maximum fair price data file (November 2, 2026): Ofev 150 mg $108.972348 per capsule from January 1, 2027
  3. CMS — Medicare Drug Price Negotiation Program: final guidance and effectuation of the negotiated price
  4. CMS — NADAC, as of November 4, 2026: generic nintedanib esylate 150 mg $12.05711 per capsule (effective October 21, 2026); $16.17717 effective August 19, 2026; no Ofev entry
  5. DailyMed — Ofev prescribing information: 150 mg twice daily, about 12 hours apart, with food
  6. Boehringer Ingelheim — Ofev Colorado disclosure: commercial co-pay program, as little as $0 a month; patients with Medicare, Medicaid or other government insurance and cash payers not eligible
  7. NHS dm+d — Ofev 150mg capsules (Boehringer Ingelheim), 60: NHS indicative price £2,151.10 (since September 24, 2015)
  8. NHS dm+d — nintedanib 150 mg capsules, 60: generic prices £1,505.77 (Celix) to £2,151.10 (Accord), 2026
  9. NHS Business Services Authority — prescription charge £9.90 per item (England)
  10. Base de données publique des médicaments — Ofev 150 mg, 60 capsules: €1,313.61 excluding dispensing fee, 30% reimbursed; Nintedanib Accord and Arrow 150 mg: €607.14 (bulk files of November 6, 2026)
  11. Federal Office of Public Health (BAG) — Spezialitätenliste: Ofev 150 mg, 60 capsules, CHF 1,577.15, cost share 40%; Nintedanib Leman CHF 295.65, Sandoz and Mepha CHF 665.40, cost share 10%; limitation
  12. Austrian social insurance (Dachverband) — Erstattungskodex monthly data, November 2026: Ofev 150 mg, 60 capsules, €2,268.90 (yellow box, RE1); Nintedanib Stada 150 mg, 60 capsules, €450.65 (green box); excl. VAT
  13. oesterreich.gv.at — prescription fee (Rezeptgebühr) €7.55 per pack since January 1, 2026
  14. Zorginstituut Nederland — Medicijnkosten.nl: Ofev 150 mg (EU/1/14/979/004), average price €2,226.88 per pack, €37.11 per capsule, fully reimbursed (updated to November 1, 2026)
  15. Zorginstituut Nederland — Medicijnkosten.nl: Nintedanib Viatris 150 mg, €1,397.38 per pack, €23.29 per capsule
  16. Gemeinsamer Bundesausschuss — nintedanib in idiopathic pulmonary fibrosis: hint of considerable added benefit over best supportive care (decision of October 17, 2019)
  17. BfArM / GKV-Spitzenverband — Festbetrag list as of November 1, 2026 (no entry for nintedanib)
  18. European Central Bank — reference rates, November 6, 2026 (1 US dollar = €0.89566 = £0.74711 = CHF 0.8189)

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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