Topamax 50 Mg Tablet price: what pharmacies actually pay

Fair cash price estimate, 30 tablets (acquisition cost + $9–13 dispensing fee)

$404 – $408

Pharmacies pay ≈$395 to acquire that quantity (NADAC, 2026-07-08).

Generic equivalents (same ingredient, strength, and form)

Equivalence per FDA Orange Book therapeutic-equivalence codes. Only your prescriber can decide what you should take.

Compare a price you were quoted

Drug	Pharmacy acquisition	Fair cash estimate
Topiramate 50 Mg Tablet	$1.03	$10.03 - $14.03

Read this before acting on any number here:

NADAC is the national average price pharmacies PAY to acquire this drug. It is a benchmark, not a price you owe.
The fair cash estimate adds a professional dispensing fee range ($9-13, per state Medicaid surveys) to acquisition cost. Pharmacies may lawfully charge more or less.
If you have insurance, your copay may be lower than any cash price, and paying cash usually does not count toward your deductible.
Not medical advice. Generic alternatives listed are FDA therapeutic-equivalence matches for the same ingredient, strength, and form; only your prescriber can decide what you should take.

Source: CMS NADAC snapshot dated 2026-07-08 (artifact sha256:8e877cdbc712), 1 NDC(s). Methodology · Report an error · Agents: GET /v1/price?q=topamax+50+mg+tablet