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Nexium Price, Coupons and Generic
- Lowest U.S. online pharmacy price
- $9.95 per daily dose$900.50 for 90 days (90 daily doses), shipping included · FDA-approved brand Nexium 40 mg · ships within the U.S.
- Lowest international online pharmacy price
- $0.60 per daily dose$69.59 for 90 days (90 daily doses), shipping included · brand Nexium 40 mg, not FDA-approved · ships from Turkey
FDA-approved generic esomeprazole 40 mg from $59.90 for 90 days at U.S. pharmacies
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Quick answerAs of Nov 3, 2026, brand Nexium 40 mg costs from $69.59 for 90 days at licensed pharmacies abroad we compared, vs. $825.89 at the U.S. list price (90 capsules). FDA-approved generic esomeprazole is sold in the U.S.
Name check: Nexium 24HR is a separate over-the-counter 20 mg product for frequent heartburn, sold without a prescription. Prescription Nexium comes in 20 and 40 mg.
Compare Nexium prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $825.93 for 90 days ($9.18 per daily dose), brand Nexium 20 mg or 40 mg before insurance. The prices below are from U.S. pharmacies that publish cash prices and from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per daily doseOnline pharmacy A | Generic Equivalent to Nexium 40mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.40 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $27.62for 90 daily doses$0.31 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $42.57 for 90 days= $42.57 for 90 daysSave 95%incl. $14.95 shippingChecked Nov 7 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed U.S. pharmacy B | Esomeprazole 20mg Capsules20 mg · genericMaker listed by pharmacy: Somerset Therapeutics, LLCShips from United StatesShips within the U.S. (no customs) · checked Nov 4, 2026 | $40.50for 90 daily doses$0.45 per daily dose | $5Pharmacy's estimate: 2–8 business days | $45.50 for 90 days= $45.50 for 90 daysSave 94%incl. $5 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy C | Nexium 20mg (Turkey pack, ships from Singapore)20 mg · brand · Filled in SingaporeMaker listed by pharmacy: AstraZenecaMade for Turkey | $39for 84 daily doses$0.46 per daily dose | $9.95Pharmacy's estimate: 4–6 weeks | $48.95 for 84 days= $52.45 for 90 daysSave 94%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 20MG TABLET 84 (BRAND FROM TURKEY) (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: ASTRAZENECA | $39for 84 daily doses$0.46 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $53.95 for 84 days= $57.80 for 90 daysSave 93%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed U.S. pharmacy B | Esomeprazole 40mg Capsules40 mg · genericMaker listed by pharmacy: Biocon Pharma Inc.,Ships from United StatesShips within the U.S. (no customs) · checked Nov 4, 2026 | $54.90for 90 daily doses$0.61 per daily dose | $5Pharmacy's estimate: 2–8 business days | $59.90 for 90 days= $59.90 for 90 daysSave 93%incl. $5 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy E | Nexium 20mg Tablet (Delayed-Release) (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in AustraliaMaker listed by pharmacy: Maker not shown by pharmacy | $64.31for 90 daily doses$0.71 per daily dose | Fee not publishedDelivery time not stated | $64.31 for 90 days= $64.31 for 90 days+ shippingSave 92%incl. $0 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy E | Nexium 40mg Tablet (Delayed-Release) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in AustraliaMaker listed by pharmacy: Maker not shown by pharmacy | $68.52for 90 daily doses$0.76 per daily dose | Fee not publishedDelivery time not stated | $68.52 for 90 days= $68.52 for 90 days+ shippingSave 92%incl. $0 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 40MG TABLET 84 (BRAND FROM TURKEY) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: ASTRAZENECA | $50for 84 daily doses$0.60 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $64.95 for 84 days= $69.59 for 90 daysSave 92%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy C | Esomeprazole 40mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.40 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex Inc | $62.10for 90 daily doses$0.69 per daily dose | $9.95Pharmacy's estimate: 4–6 weeks | $72.05 for 90 days= $72.05 for 90 daysSave 91%incl. $9.95 shippingChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 20MG TABLET 90 (GENERIC ESOMEPRAZOLE FROM INDIA)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.20 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: SUN PHARMACEUTICALS | $58for 90 daily doses$0.64 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $72.95 for 90 days= $72.95 for 90 daysSave 91%incl. $14.95 shippingChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 40MG TABLET 90 (GENERIC ESOMEPRAZOLE FROM INDIA)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.40 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: SUN PHARMACEUTICALS | $58for 90 daily doses$0.64 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $72.95 for 90 days= $72.95 for 90 daysSave 91%incl. $14.95 shippingChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Esomeprazole 20mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.20 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $58.06for 90 daily doses$0.65 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $73.01 for 90 days= $73.01 for 90 daysSave 91%incl. $14.95 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Esomeprazole 40mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.40 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Sun Pharmaceuticals | $68.03for 90 daily doses$0.76 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $82.98 for 90 days= $82.98 for 90 daysSave 90%incl. $14.95 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy A | Brand Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: AstraZeneca | $76.85for 84 daily doses$0.91 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $91.80 for 84 days= $98.36 for 90 daysSave 88%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy C | Nexium 40mg (Turkey pack, ships from Singapore)40 mg · brand · Filled in SingaporeMaker listed by pharmacy: AstraZenecaMade for Turkey | $84for 84 daily doses$1.00 per daily dose | $9.95Pharmacy's estimate: 4–6 weeks | $93.95 for 84 days= $100.66 for 90 daysSave 88%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy G | Brand Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: AstraZeneca | $79.50for 84 daily doses$0.95 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $94.45 for 84 days= $101.20 for 90 daysSave 88%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy A | Brand Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: AstraZeneca | $79.87for 84 daily doses$0.95 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $94.82 for 84 days= $101.59 for 90 daysSave 88%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy H | Brand Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: AstraZeneca | $81.09for 84 daily doses$0.97 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $96.04 for 84 days= $102.90 for 90 daysSave 88%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy H | Brand Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: AstraZeneca | $82.53for 84 daily doses$0.98 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $97.48 for 84 days= $104.44 for 90 daysSave 87%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy G | Brand Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: AstraZeneca | $82.53for 84 daily doses$0.98 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $97.48 for 84 days= $104.44 for 90 daysSave 87%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy A | Brand Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in AustraliaMaker listed by pharmacy: AstraZeneca | $94.44for 90 daily doses$1.05 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $109.39 for 90 days= $109.39 for 90 daysSave 87%incl. $14.95 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy G | Brand Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in AustraliaMaker listed by pharmacy: AstraZeneca | $98.49for 90 daily doses$1.09 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $113.44 for 90 days= $113.44 for 90 daysSave 86%incl. $14.95 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy H | Brand Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in AustraliaMaker listed by pharmacy: AstraZeneca | $103.89for 90 daily doses$1.15 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $118.84 for 90 days= $118.84 for 90 daysSave 86%incl. $14.95 shippingChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy A | Brand Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in AustraliaMaker listed by pharmacy: AstraZeneca | $106.82for 90 daily doses$1.19 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $121.77 for 90 days= $121.77 for 90 daysSave 85%incl. $14.95 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy G | Brand Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in AustraliaMaker listed by pharmacy: AstraZeneca | $115.28for 90 daily doses$1.28 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $130.23 for 90 days= $130.23 for 90 daysSave 84%incl. $14.95 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy H | Brand Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in AustraliaMaker listed by pharmacy: AstraZeneca | $123.73for 90 daily doses$1.37 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $138.68 for 90 days= $138.68 for 90 daysSave 83%incl. $14.95 shippingChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy C | Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in United KingdomMaker listed by pharmacy: AstraZeneca | $138for 84 daily doses$1.64 per daily dose | $9.95Pharmacy's estimate: 4–6 weeks | $147.95 for 84 days= $158.52 for 90 daysSave 81%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Nexium 20mg (Turkey pack, ships from Mauritius) (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in MauritiusMaker listed by pharmacy: AstraZenecaMade for Turkey | $135.43for 84 daily doses$1.61 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $150.38 for 84 days= $161.12 for 90 daysSave 80%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 20MG TABLET 84 (BRAND FROM UK) (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in United KingdomMaker listed by pharmacy: ASTRAZENECA | $139for 84 daily doses$1.65 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $153.95 for 84 days= $164.95 for 90 daysSave 80%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in AustraliaMaker listed by pharmacy: AstraZeneca | $153.60for 90 daily doses$1.71 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $168.55 for 90 days= $168.55 for 90 daysSave 80%incl. $14.95 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Nexium 40mg (Turkey pack, ships from Mauritius) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in MauritiusMaker listed by pharmacy: AstraZenecaMade for Turkey | $148.27for 84 daily doses$1.77 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $163.22 for 84 days= $174.88 for 90 daysSave 79%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 40MG TABLET 90 (BRAND FROM AUSTRALIA) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in AustraliaMaker listed by pharmacy: ASTRAZENECA | $161.25for 90 daily doses$1.79 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $176.20 for 90 days= $176.20 for 90 daysSave 79%incl. $14.95 shippingChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in AustraliaMaker listed by pharmacy: AstraZeneca | $172.74for 90 daily doses$1.92 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $187.69 for 90 days= $187.69 for 90 daysSave 77%incl. $14.95 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy I | Nexium 40mg Tablet (Delayed-Release) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in United KingdomMaker listed by pharmacy: Astrazeneca | $218.89for 84 daily doses$2.61 per daily dose | FreePharmacy's estimate: 2–3 weeks | $218.89 for 84 days= $234.53 for 90 daysSave 72%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy C | Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in United KingdomMaker listed by pharmacy: AstraZeneca | $225for 84 daily doses$2.68 per daily dose | $9.95Pharmacy's estimate: 4–6 weeks | $234.95 for 84 days= $251.73 for 90 daysSave 70%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 10MG GRANULES 90 (BRAND FROM AUSTRALIA) (tablet; U.S. Nexium is a capsule)10 mg · brand · Filled in AustraliaMaker listed by pharmacy: ASTRAZENECA | $262.50for 90 daily doses$2.92 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $277.45 for 90 days= $277.45 for 90 daysincl. $14.95 shippingChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 40MG TABLET 84 (BRAND FROM UK) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in United KingdomMaker listed by pharmacy: ASTRAZENECA | $246for 84 daily doses$2.93 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $260.95 for 84 days= $279.59 for 90 daysSave 66%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy C | Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in CanadaMaker listed by pharmacy: AstraZeneca | $252for 84 daily doses$3.00 per daily dose | $9.95Pharmacy's estimate: 4–6 weeks | $261.95 for 84 days= $280.66 for 90 daysSave 66%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy C | Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in CanadaMaker listed by pharmacy: AstraZeneca | $255for 84 daily doses$3.04 per daily dose | $9.95Pharmacy's estimate: 4–6 weeks | $264.95 for 84 days= $283.88 for 90 daysSave 66%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy I | Nexium 20mg Tablet (Delayed-Release) (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in CanadaMaker listed by pharmacy: Astra-Zeneca Canada Inc. | $291.59for 84 daily doses$3.47 per daily dose | FreePharmacy's estimate: 2–3 weeks | $291.59 for 84 days= $312.42 for 90 daysSave 62%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy A | Brand Nexium DR 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in CanadaMaker listed by pharmacy: AstraZeneca | $284.97for 84 daily doses$3.39 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $299.92 for 84 days= $321.34 for 90 daysSave 61%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy A | Brand Nexium DR 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in CanadaMaker listed by pharmacy: AstraZeneca | $287.88for 84 daily doses$3.43 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $302.83 for 84 days= $324.46 for 90 daysSave 61%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy I | Nexium 40mg Tablet (Delayed-Release) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in CanadaMaker listed by pharmacy: Astrazeneca | $307.66for 84 daily doses$3.66 per daily dose | FreePharmacy's estimate: 2–3 weeks | $307.66 for 84 days= $329.64 for 90 daysSave 60%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed Canadian pharmacy J | Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in CanadaMaker listed by pharmacy: Astra-Zeneca Canada Inc. | $311.35for 84 daily doses$3.71 per daily dose | $9.95Pharmacy's estimate: 3–6 weeks | $321.30 for 84 days= $344.25 for 90 daysSave 58%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed Canadian pharmacy J | Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in CanadaMaker listed by pharmacy: Astra-Zeneca Canada Inc. | $313.50for 84 daily doses$3.73 per daily dose | $9.95Pharmacy's estimate: 3–6 weeks | $323.45 for 84 days= $346.55 for 90 daysSave 58%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy G | Brand Nexium DR 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in CanadaMaker listed by pharmacy: AstraZeneca | $311.47for 84 daily doses$3.71 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $326.42 for 84 days= $349.74 for 90 daysSave 58%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy G | Brand Nexium DR 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in CanadaMaker listed by pharmacy: AstraZeneca | $314.67for 84 daily doses$3.75 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $329.62 for 84 days= $353.16 for 90 daysSave 57%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy H | Brand Nexium DR 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in CanadaMaker listed by pharmacy: AstraZeneca | $327.04for 84 daily doses$3.89 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $341.99 for 84 days= $366.42 for 90 daysSave 56%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy H | Brand Nexium DR 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in CanadaMaker listed by pharmacy: AstraZeneca | $330.40for 84 daily doses$3.93 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $345.35 for 84 days= $370.02 for 90 daysSave 55%Worked out from an 84-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Nexium 40mg (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in CanadaMaker listed by pharmacy: Astrazeneca | $407.82for 84 daily doses$4.86 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $422.77 for 84 days= $452.97 for 90 daysSave 45%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Nexium 20mg (tablet; U.S. Nexium is a capsule)20 mg · brand · Filled in CanadaMaker listed by pharmacy: Astrazeneca | $413.80for 84 daily doses$4.93 per daily dose | $14.95Pharmacy's estimate: 4–6 weeks | $428.75 for 84 days= $459.38 for 90 daysSave 44%Worked out from an 84-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed U.S. pharmacy B | Esomeprazole DR 10mg Oral Suspension Granules- 30 Unit Dose Packets10 mg · genericMaker listed by pharmacy: Maker not listedShips from United StatesShips within the U.S. (no customs) · checked Nov 4, 2026 | $255per 30 daily doses · 3 packs = $765$8.50 per daily dose | $5Pharmacy's estimate: 2–8 business days | $770 for 90 days= $770 for 90 daysincl. $5 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed U.S. pharmacy B | Nexium 20mg Capsules20 mg · brandMaker listed by pharmacy: AstraZeneca Pharmaceuticals LPShips from United StatesShips within the U.S. (no customs) · checked Nov 4, 2026 | $895.50for 90 daily doses$9.95 per daily dose | $5Pharmacy's estimate: 2–8 business days | $900.50 for 90 days= $900.50 for 90 daysincl. $5 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed U.S. pharmacy B | Nexium 40mg Capsules40 mg · brandMaker listed by pharmacy: AstraZeneca Pharmaceuticals LPShips from United StatesShips within the U.S. (no customs) · checked Nov 4, 2026 | $895.50for 90 daily doses$9.95 per daily dose | $5Pharmacy's estimate: 2–8 business days | $900.50 for 90 days= $900.50 for 90 daysincl. $5 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed U.S. pharmacy B | Nexium DR 2.5mg Powder- 30 Unit Dose Packets2.5 mg · brandMaker listed by pharmacy: AstraZeneca Pharmaceuticals LPShips from United StatesShips within the U.S. (no customs) · checked Nov 4, 2026 | $917.94for 90 daily doses$10.20 per daily dose | $5Pharmacy's estimate: 2–8 business days | $922.94 for 90 days= $922.94 for 90 daysincl. $5 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed U.S. pharmacy B | Nexium DR 5mg Powder- 30 Unit Dose Packets5 mg · brandMaker listed by pharmacy: AstraZeneca Pharmaceuticals LPShips from United StatesShips within the U.S. (no customs) · checked Nov 4, 2026 | $917.94for 90 daily doses$10.20 per daily dose | $5Pharmacy's estimate: 2–8 business days | $922.94 for 90 days= $922.94 for 90 daysincl. $5 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed U.S. pharmacy B | Nexium DR 10mg Powder- 30 Unit Dose Packets10 mg · brandMaker listed by pharmacy: AstraZeneca Pharmaceuticals LPShips from United StatesShips within the U.S. (no customs) · checked Nov 4, 2026 | $933.03for 90 daily doses$10.37 per daily dose | $5Pharmacy's estimate: 2–8 business days | $938.03 for 90 days= $938.03 for 90 daysincl. $5 shippingChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 40MG TABLET 180 (GENERIC ESOMEPRAZOLE FROM INDIA)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.40 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: SUN PHARMACEUTICALS | $71for 180 daily doses$0.39 per daily doseOver 3-month supply | $14.95Pharmacy's estimate: 4–6 weeks | $85.95 for 180 days= $42.98 for 90 daysSave 95%Worked out from an 180-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 40MG TABLET 168 (BRAND FROM TURKEY) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: ASTRAZENECA | $78for 168 daily doses$0.46 per daily doseOver 3-month supply | $14.95Pharmacy's estimate: 4–6 weeks | $92.95 for 168 days= $49.79 for 90 daysSave 94%Worked out from a 168-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy C | Esomeprazole 20mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.20 mg · generic · Filled in CanadaMaker listed by pharmacy: Teva Pharmaceuticals | $75for 100 daily doses$0.75 per daily doseOver 3-month supply | $9.95Pharmacy's estimate: 4–6 weeks | $84.95 for 100 days= $76.46 for 90 daysSave 91%Worked out from a 100-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy F | Esomeprazole 40mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.40 mg · generic · Filled in CanadaMaker listed by pharmacy: Teva | $87.09for 100 daily doses$0.87 per daily doseOver 3-month supply | $14.95Pharmacy's estimate: 4–6 weeks | $102.04 for 100 days= $91.84 for 90 daysSave 89%Worked out from a 100-day orderChecked Nov 4 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed Canadian pharmacy J | Esomeprazole 40mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.40 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex | $94.47for 100 daily doses$0.94 per daily doseOver 3-month supply | $9.95Pharmacy's estimate: 3–6 weeks | $104.42 for 100 days= $93.98 for 90 daysSave 89%Worked out from a 100-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy I | Esomeprazole 40mg TabletNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.40 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex | $121.29for 100 daily doses$1.21 per daily doseOver 3-month supply | FreePharmacy's estimate: 2–3 weeks | $121.29 for 100 days= $109.16 for 90 daysSave 87%Worked out from a 100-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy D | NEXIUM 40MG TABLET 180 (BRAND FROM AUSTRALIA) (tablet; U.S. Nexium is a capsule)40 mg · brand · Filled in AustraliaMaker listed by pharmacy: ASTRAZENECA | $236.25for 180 daily doses$1.31 per daily doseOver 3-month supply | $14.95Pharmacy's estimate: 4–6 weeks | $251.20 for 180 days= $125.60 for 90 daysSave 85%Worked out from an 180-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseLicensed Canadian pharmacy J | Esomeprazole 20mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.20 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex | $190for 100 daily doses$1.90 per daily doseOver 3-month supply | $9.95Pharmacy's estimate: 3–6 weeks | $199.95 for 100 days= $179.96 for 90 daysSave 78%Worked out from a 100-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
| Lowest per daily doseOnline pharmacy I | Esomeprazole 20mg TabletNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.20 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex | $219.99for 100 daily doses$2.20 per daily doseOver 3-month supply | FreePharmacy's estimate: 2–3 weeks | $219.99 for 100 days= $197.99 for 90 daysSave 76%Worked out from a 100-day orderChecked Nov 3 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Nexium from Canada?
90-day cost = 90 daily doses at the usual dose of 1 a day, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 3, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price of the same strength (20 mg or 40 mg); rows for other strengths show no saving. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. U.S. rows: the cash price a U.S. pharmacy published on its own website on the date shown, for whole fills, plus its standard shipping; no insurance or discount cards. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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Join to See PharmaciesAlready a member? Sign inNexium price by strength
| Strength | Lowest brand90 days | Lowest generic abroad90 days, not FDA-approved | Price per daily dose |
|---|---|---|---|
| Nexium 10 mg | $277.45 | — | $2.92 brand |
| Nexium 20 mg | $52.45 | $72.95 | $0.46 brand · $0.64 generic |
| Nexium 40 mg | $69.59 | $42.57 | $0.60 brand · $0.31 generic |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per daily dose is for that lowest pack, before shipping. Prices checked Nov 3, 2026.
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90-day prices from 8 licensed pharmacies abroad shipping to the U.S.: $42.57 to $459.38, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Nexium · Uses · FAQ
Nexium (esomeprazole) for acid reflux and ulcers, 20 and 40 mg capsules and packets. FDA-approved generic esomeprazole is sold in the U.S.
Nexium cost at a glance
- Generic Nexium is sold in the U.S. The FDA has approved generic esomeprazole capsules (20 and 40 mg) and packets from many companies, rated equivalent to Nexium (FDA Orange Book). The 2026 Texas drug price filing lists 30-capsule bottles of generic esomeprazole 20 or 40 mg at list prices of $10 (Aurobindo, Dr. Reddy's) and $25.31 (Mylan) (Texas DSHS).
- U.S. list price: $275.31 for 30 capsules of brand Nexium 20 mg or 40 mg, or $825.89 for a 90-capsule bottle. The packets list at $287.28 for 30. That's the maker's wholesale price before discounts (Texas DSHS).
- How we count: 1 capsule or tablet a day. Most adult uses on the U.S. label are 20 mg or 40 mg once a day (FDA label). Some uses have other doses.
- NEXIUM Savings Card: with commercial insurance, you may pay as low as $15 for a 30-day supply of brand Nexium, or $30 for 90 days. For eligible cash payers, the card covers up to $125 per 30-day supply (AstraZeneca).
- With Medicare: your cost depends on your Part D plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).
- From online pharmacies abroad: $69.59 to $452.97 for 90 days of brand Nexium 40 mg, shipping included (checked Nov 3, 2026). The U.S. list price for 90 capsules is $825.89.
How much does Nexium cost in the U.S.?
| If you have | What Nexium costs | Source |
|---|---|---|
| No insurance (list price) | $275.31 for 30 capsules of brand Nexium 20 mg or 40 mg ($825.89 for a 90-capsule bottle). Nexium packets (2.5, 5, 10, 20 and 40 mg) list at $287.28 for 30. Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| No insurance (generic esomeprazole) | FDA-approved generic esomeprazole is sold in the U.S. The Texas 2026 filing lists 30-capsule bottles of generic esomeprazole 20 or 40 mg at $10 (Aurobindo, Dr. Reddy's) and $25.31 (Mylan) list price. Ask your pharmacist for the cash price. | Texas DSHS 2026 WAC report |
| No insurance (NEXIUM Savings Card) | For eligible cash-paying patients, AstraZeneca's card covers up to $125 per 30-day supply of prescription Nexium; you pay the rest. Not for people in Medicare, Medicaid or other government programs. | AstraZeneca |
| Without a prescription (Nexium 24HR) | Nexium 24HR 20 mg is sold over the counter for frequent heartburn in adults, as a 14-day course. Prices vary by store. | DailyMed (Nexium 24HR label) |
| Private or employer insurance | Your copay depends on your plan. With the NEXIUM Savings Card you may pay as low as $15 per 30-day supply (up to $175 in savings) or $30 for a 60- or 90-day supply. | AstraZeneca |
| Medicare Part D | Your cost depends on your plan. The NEXIUM Savings Card can't be used by people in Medicare Part D, even if they pay cash. | Medicare.gov |
| Medicaid | Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office. | Medicaid.gov |
Brand Nexium 20 mg and 40 mg capsules have the same U.S. list price: $275.31 for 30 capsules or $825.89 for 90, in the Texas 2026 filing (Texas DSHS). The oral suspension packets list at $287.28 for 30, at every strength. FDA-approved generic esomeprazole has been sold in the U.S. for years, and its list prices in the same filing are far lower, for example $10 for 30 capsules from Aurobindo or Dr. Reddy's.
Nexium cost with Medicare in 2026
In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. What you pay for Nexium depends on your plan's drug list. The NEXIUM Savings Card can't be used with Medicare.
| Medicare Part D | What Nexium costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year. | Medicare.gov |
Nexium coupons and savings programs
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
eDrugSearch does not offer its own Nexium coupons. eDrugSearch has no coupons of its own. AstraZeneca offers a savings card for prescription Nexium:
- NEXIUM Savings Card (AstraZeneca): with commercial (private or employer) insurance, eligible patients may pay as low as $15 for each 30-day supply of prescription Nexium capsules or packets, with up to $175 in savings, or $30 for a 60- or 90-day supply (up to $350 or $525 in savings). For eligible people who pay cash, the card covers up to $125 per 30-day supply and you pay the rest. Not for people in Medicare Part D, Medicaid, Medigap, VA, Department of Defense programs or TRICARE, even if they choose to pay cash, and a cash purchase won't count toward a Medicare plan's deductible or the $2,100 yearly cap. With private insurance, ask your plan whether a cash purchase counts toward your deductible. U.S. and Puerto Rico residents only. AstraZeneca says the card also works with NEXIUM Direct, its home-delivery service. Questions: 1-855-687-2144. (Purplepill.com savings terms)
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Is there a generic Nexium?
Yes. The FDA has approved generic esomeprazole capsules (20 and 40 mg) from many companies, including Mylan, Dr. Reddy's, Aurobindo, Lannett, Sun Pharma, Zydus and Hetero, and generic packets from Cipla, Torrent, Zydus and Aurobindo, all rated equivalent to Nexium. Aurobindo's generic capsules have been listed as on the market since April 21, 2016. Generic esomeprazole 20 mg is also sold over the counter.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 2.5 mg | Yes | Cipla, Torrent (packets) | — |
| 5 mg | Yes | Cipla, Torrent, Aurobindo (packets) | — |
| 10 mg | Yes | Cipla, Torrent, Aurobindo (packets) | — |
| 20 mg | Yes | Mylan, Dr. Reddy's, Aurobindo, Lannett, Sun Pharma, Zydus, Hetero and others | — |
| 40 mg | Yes | Mylan, Dr. Reddy's, Aurobindo, Lannett, Sun Pharma, Zydus, Hetero and others | — |
Outside the U.S.: Online pharmacies abroad may also sell generic esomeprazole made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: esomeprazole magnesium products. As of Nov 5, 2026.
What is Nexium used for?
Nexium (esomeprazole) is a proton pump inhibitor, a medicine that lowers stomach acid. According to its FDA label (DailyMed), prescription Nexium is used:
- To heal erosive esophagitis (damage to the food pipe from stomach acid) and to keep it healed, in adults; and to heal it in children 1 month and older.
- To treat heartburn and other symptoms of gastroesophageal reflux disease (GERD) in adults and children 1 year and older.
- To lower the risk of stomach ulcers in adults taking NSAID pain medicines who are 60 or older or have had a stomach ulcer.
- With the antibiotics amoxicillin and clarithromycin, to clear H. pylori infection in adults and lower the chance that a duodenal ulcer comes back.
- For long-term treatment of conditions where the stomach makes too much acid, such as Zollinger-Ellison syndrome, in adults.
Prescription Nexium comes as 20 mg and 40 mg delayed-release capsules and as 2.5, 5, 10, 20 and 40 mg packets that are mixed with water. The packets are the form the label lists for young children. Nexium 24HR, sold over the counter, is only for frequent heartburn in adults. Your prescriber decides which medicine is right for you.
Is it safe to order Nexium from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Nexium, compare the U.S. price of FDA-approved generic esomeprazole before you order. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, prescription Nexium is sold under the same name as 20 mg and 40 mg delayed-release tablets, not capsules (Health Canada).
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Frequently asked questions
How much is Nexium without insurance?
The U.S. list price of brand Nexium 20 mg or 40 mg is $275.31 for 30 capsules, or $825.89 for 90, in the Texas 2026 drug price filing. Licensed pharmacies abroad charged from $69.59 for 90 days of brand Nexium 40 mg in our latest check (Nov 3, 2026). FDA-approved generic esomeprazole is also sold in the U.S.; ask your pharmacist for its cash price.
Is there a generic Nexium?
Yes. The FDA has approved generic esomeprazole capsules (20 and 40 mg) and packets from many companies, rated equivalent to Nexium, and Aurobindo's generic capsules have been listed as on the market since April 2016. The generic name is esomeprazole. Ask your pharmacist whether a generic can fill your prescription.
Is Nexium sold over the counter?
Yes, one version is. Nexium 24HR (esomeprazole 20 mg) is sold without a prescription for frequent heartburn in adults, taken once a day for 14 days. Nexium 40 mg and the Nexium packets need a prescription. Generic esomeprazole 20 mg is also sold over the counter.
Is there a Nexium coupon or savings card?
Yes. With AstraZeneca's NEXIUM Savings Card and commercial insurance, you may pay as low as $15 for a 30-day supply of prescription Nexium, or $30 for a 60- or 90-day supply. For eligible cash payers, it covers up to $125 per 30-day supply. It can't be used by people in Medicare, Medicaid or other government programs.
How much does Nexium cost with Medicare?
It depends on your Part D plan. In 2026, Part D deductibles are capped at $615 and out-of-pocket costs for covered drugs at $2,100 a year. The NEXIUM Savings Card can't be used with Medicare, but people with limited income can apply for Extra Help.
How much does a 30-day supply of Nexium cost?
At the U.S. list price, 30 capsules of brand Nexium cost $275.31, for either 20 mg or 40 mg, and 30 packets cost $287.28. In the same Texas 2026 filing, several makers list 30 capsules of generic esomeprazole at $10. Pharmacies may charge more, and insurance or the savings card can change what you pay.
Is Nexium 24HR the same as prescription Nexium?
Both contain esomeprazole magnesium, and Nexium 24HR has the same 20 mg dose as the lower prescription strength. They are labeled differently: Nexium 24HR is for frequent heartburn in adults, as a 14-day course, while prescription Nexium also comes in 40 mg and is approved for more conditions. Your prescriber decides which medicine is right for you.
Sources
- Texas DSHS 2026 Annual WAC Report (brand Nexium $275.31 per 30 capsules, $825.89 per 90, packets $287.28 per 30; generic esomeprazole 30 capsules $10 (Aurobindo, Dr. Reddy's), $25.31 (Mylan))
- AstraZeneca: NEXIUM Savings Card terms (checked 2026-11-05)
- NEXIUM U.S. prescribing information (DailyMed)
- Nexium 24HR Drug Facts label (DailyMed)
- FDA Orange Book: esomeprazole magnesium products
- Drugs@FDA: NEXIUM (NDA 021153)
- Drugs@FDA data: esomeprazole magnesium generics (ANDAs) (Rx capsules and packets rated AB; over-the-counter 20 mg generics)
- FDA NDC Directory: Aurobindo esomeprazole capsules (marketing start April 21, 2016)
- Health Canada Drug Product Database: NEXIUM (DINs 02244521 and 02244522, delayed-release tablets)
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.