First of all I want to say there's a disturbing lack of real consumer-accessible information about
I am greatly attuned to the price of, and variations in different "Generic Lialda" since my insurance switched to a "high deductible" plan that requries me to pay 100% of the drug price up to my deductible and then 20% thereafter.
My official insurance started shipping me 1.2g pills of meslalamine from the company Zydus at a cost of $1240/180pills. The coating is quite different than the coating for brand name Lialda - the Zydus generic coating becomes slippery when wet, while brand-name Lialda does not. As we all know the coating on mesalamine pills is crucial to protect the mesalamine while it's in your stomach (stomach acid will ruin mesalamine) but then the coating has to fall apart when it gets to the more neutral pH in the large intestine.
I then look on GoodRx and can see that you can get generic Lialda at Publix for $430/180, though I don't know the manufacturer and this amount would not apply towards my insurance deductible.
Then I found one of these "international pharmacy referral services" that will accept a faxed prescript
ion from my doctor, and then a pharmacy in Singapore sends me generic Lialda manufactured by Sun Pharmaceuticals at a price of about
$180/180pills. Of course this is a bit riskier than going through a US pharmacy. The Sun Pharmaceuticals mesalamine pills have a coating much more similar to the brand name Lialda.
According to this FDA website there are four manufacturers making US FDA-approved AB-equivalent generic Lialda: Actavis, Mylan, Sun, and Zydus.
The Sun Pharma generic was only approved January 28 of this year.
Mylan's generic was approved 20 Nov 2018
Actavis's generic was approved March 28, 2018
Zydus's generic was approved June 5, 2017https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&applno=211858
Post Edited (UCinGV) : 5/10/2019 8:50:09 AM (GMT-6)