FingolimodPrices, Coupons & Savings

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  2. Fingolimod HCl
    Generic for Gilenya
    30 capsules $293.03 USD
    Save $12774.11
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Do you need a prescription for fingolimod?

Yes, fingolimod is only available with a valid physician Rx.

How much is fingolimod without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase fingolimod, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for fingolimod in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a fingolimod savings card?

Yes. Save up to 90% on your fingolimod with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a fingolimod coupon provider in the US?

No. Now Patient does not provide fingolimod coupons or FREE fingolimod samples.

Do you accept commercial, Medicare or Medicaid coverage for fingolimod in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much fingolimod?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using fingolimod. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much fingolimod. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is fingolimod?

Fingolimod is a medication used in the treatment of relapsing forms of multiple sclerosis (MS). It belongs to a class of drugs known as sphingosine-1-phosphate receptor modulators and works by reducing inflammation and immune system activity in the central nervous system.

FDA approval of fingolimod

Fingolimod is approved by the U.S. Food and Drug Administration (FDA) for the treatment of relapsing forms of MS, including relapsing-remitting MS and active secondary progressive MS.

Active ingredient of fingolimod

The active ingredient of fingolimod is fingolimod hydrochloride.

US brand name of fingolimod and manufacturer

Fingolimod is available in the United States under the brand name Gilenya. It is manufactured by Novartis Pharmaceuticals Corporation.

UK brand name of fingolimod and manufacturer

In the United Kingdom, fingolimod is also marketed under the brand name Gilenya. The manufacturer of Gilenya is Novartis.

Generic availability of fingolimod

Currently, there are no generic versions of fingolimod available. The brand-name medication Gilenya is the only formulation approved for use in the treatment of MS.

Prescription requirement for fingolimod

Fingolimod is a prescription medication in the United States and the United Kingdom. It is important to consult a healthcare provider who specializes in the treatment of MS to determine if fingolimod is appropriate for you.

Availability of fingolimod in the UK with NHS prescription

Fingolimod is available with a National Health Service (NHS) prescription in the United Kingdom. It can be obtained from pharmacies with a valid prescription from a healthcare professional.

Conditions treated by fingolimod

Fingolimod is primarily used for the treatment of relapsing forms of multiple sclerosis (MS), including relapsing-remitting MS and active secondary progressive MS. It helps decrease the number of episodes and may prevent or delay disability.

How does fingolimod work?

Fingolimod works by binding to certain receptors in the body, specifically the sphingosine-1-phosphate receptors. This action prevents certain immune cells from leaving the lymph nodes and entering the central nervous system, reducing inflammation and immune system activity that can contribute to the progression of MS.

Forms of fingolimod available

Fingolimod is available as an oral capsule.

Dosage of fingolimod

The dosage of fingolimod may vary depending on individual factors, such as the severity of the disease and response to treatment. It is important to follow the dosage instructions provided by the healthcare provider and not exceed the prescribed dose.

Directions for fingolimod use

Fingolimod is taken orally once daily. It is important to take fingolimod as prescribed by the healthcare provider and follow their instructions regarding the dosing schedule and any specific precautions.

Side effects of fingolimod

Common side effects of fingolimod may include headache, diarrhea, nausea, cough, sinusitis, back pain, tiredness, and high blood pressure.

In rare cases, more serious side effects can occur, such as an increased risk of infections, including serious viral infections like progressive multifocal leukoencephalopathy (PML), which can be life-threatening. Other serious side effects may include macular edema (swelling of the retina), breathing problems, liver problems, and heart problems.

Warnings and precautions

  • Fingolimod can cause a temporary slowing of the heart rate when first starting the medication, so patients are typically monitored with an electrocardiogram (ECG) before starting treatment and for at least 6 hours after the first dose of fingolimod. In addition, periodic monitoring of heart rate and blood pressure is recommended
  • Fingolimod can potentially cause liver injury and elevate liver enzymes therefore liver function tests should be performed before starting treatment and periodically thereafter
  • Fingolimod can decrease the number of white blood cells, including lymphocytes, which can increase the risk of infections. Regular blood tests are needed to monitor these cell counts and ensure they remain within the normal range
  • Fingolimod may cause macular edema (swelling of the retina), which can affect vision. Therefore, an eye examination is recommended before starting treatment and periodically thereafter
  • Fingolimod may increase the risk of developing skin cancer (e.g. basal cell carcinoma, melanoma) and lymphoma
  • Before starting treatment you will have tests to check for immunity against the virus that causes chicken pox and your blood pressure and pulse will be measured
  • This medicine should come with a medication guide. Read and follow the instructions carefully. Ask your doctor if you have any questions to avoid adverse events
  • If you have certain conditions, including heart failure, angina, liver disease or a condition affecting your eyes, you may need an additional medical assessment before fingolimod is prescribed

Drug interactions 

Fingolimod may interact with certain medications, including other immunosuppressant drugs and certain medications that affect the heart rhythm. It is important to inform your healthcare provider about all medications, supplements, and herbal products you are taking to avoid potential interactions.

Is fingolimod safe to take if I am pregnant or planning on becoming pregnant?

It is not recommended to use fingolimod during pregnancy. Fingolimod is a medication used to treat multiple sclerosis, but it has been shown to have potential risks to the developing fetus. Studies conducted on animals have shown adverse effects on fetal development, including increased incidences of birth defects and fetal death. Additionally, there have been limited clinical trials conducted on pregnant women, so the full extent of the risks to human pregnancy is not well understood. Therefore, it is crucial for women of childbearing potential to use effective contraception while taking fingolimod, and to discuss any potential pregnancy plans with their healthcare provider.

Is fingolimod safe to take if I am breastfeeding?

Fingolimod may pass into breast milk, and its use during breastfeeding is not recommended. It is important to consult with a healthcare provider for individualized recommendations.



Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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