Spironolactone Cost Comparison 2026

In 2026, spironolactone prices vary widely depending on where you buy it. A 90-tablet supply of 25 mg generic spironolactone can cost as little as $12.74 at some pharmacies, while others, like CVS, charge as much as $34.15 - a price difference of over 150%. On average, a 30-day supply without insurance costs $17.66, though using discount programs or telehealth services can significantly lower costs.

Key Takeaways:

• Cheapest Option: Walmart offers a 30-day supply for $6.89 or less with discounts.
• Telehealth Alternative: Oana Health provides spironolactone, free shipping included, for $17/month with a one-time $20 consultation fee.
• Brand vs. Generic: Generic spironolactone costs around $17.66/month, while brand-name Aldactone can cost over $275 for 100 tablets.
• Discount Programs: Coupons like SingleCare and GoodRx can reduce costs to as low as $3.80/month.

Quick Comparison:

Provider	30-Day Cost (25 mg)	90-Day Cost (25 mg)	Discount Options
Walmart	$6.89	$14.16	SingleCare: $5.28
CVS	$16.81	$34.15	GoodRx: $5.40
Walgreens	$11.97	$13.09	WellRX: $9.92
Kroger	$15.95	$20.91	SingleCare: $4.08
Albertsons	$11.70	$5.40 (with discounts)	GoodRx: $1.49
Oana Health	$17/month (telehealth)	N/A	Includes consultation/shipping

To save money, compare pharmacy prices, use discount programs, or consider telehealth services for convenience and affordability.

1. Oana Health Spironolactone Pricing

Cost Without Insurance

Oana Health offers an affordable telehealth service for spironolactone, starting at just $17 per month, with free shipping included. To access prescriptions, there’s a one-time $20 consultation fee. The process is straightforward: it begins with a quick, 5-minute online health intake, followed by a consultation with U.S.-licensed providers. By utilizing telemedicine and compounding pharmacy services, Oana Health keeps costs low. Plus, new users who sign up for their newsletter can get $20 off their first treatment, effectively covering the initial consultation fee.

Generic vs Brand-Name Pricing

Oana Health emphasizes affordability by offering generic and compounded versions of spironolactone instead of pricier brand-name options like Aldactone. Their prices are competitive, especially when compared to the national average retail price of $20.55 for 30 tablets of 25 mg generic spironolactone. For reference, brand-name Aldactone can cost as much as $275.14 for 100 tablets at traditional pharmacies.

Virgie S., a patient who uses spironolactone, shared her experience:

"I love how easy and accessible it is to get my Spiro. Their patient support team and doctors are very eager and quick to help whenever I have questions."

2. CVS Pharmacy Pricing

CVS Pharmacy stands out as one of the top choices for purchasing spironolactone, thanks to its competitive pricing. For a 30-day supply of 25 mg generic spironolactone, CVS charges $16.81. This pricing makes it an appealing option for those who are paying out-of-pocket. However, the final cost can vary based on insurance coverage and other factors.

Cost With Insurance/Medicare

If you have commercial insurance or Medicare Part D, you're in luck - generic spironolactone is often covered under the lowest-cost tier. That said, your actual copay will depend on your specific plan, including its formulary, deductible, and coverage terms. In some situations, especially when spironolactone is prescribed off-label for conditions like acne, your insurance provider might require prior authorization. Interestingly, using a coupon can sometimes bring the cost lower than your insurance copay.

Generic vs. Brand-Name Pricing

When comparing options, generic spironolactone is clearly the more budget-friendly choice. At CVS, the generic version costs $16.81 for a 30-day supply of 25 mg tablets, while the brand-name alternative, Aldactone, is priced at approximately $275.14 for 100 tablets. The price difference is substantial, making generic spironolactone a more practical option for most buyers.

Savings Opportunities

CVS also provides opportunities for additional savings through discount programs and coupons. For instance, a SingleCare coupon can reduce the price to $11.25, while GoodRx offers discounts that can bring the cost down to as low as $5.40 - a savings of up to 55%. These programs can make a big difference for those looking to minimize their expenses.

3. Walmart Pricing

After reviewing CVS pricing, Walmart stands out with even more competitive options for generic spironolactone in 2026. For instance, a 30-day supply of 25 mg tablets costs about $6.89, significantly undercutting CVS's price of $16.81. Let’s break down the costs further by dosage and insurance status.

Cost Without Insurance

If you're paying out of pocket, prices vary depending on the dosage and quantity. A 90-tablet supply of 25 mg tablets is priced at approximately $14.16 (around $0.16 per tablet). Meanwhile, a 30-day supply of 50 mg tablets costs about $31.11. These prices are available through Walmart's online pharmacy, which also offers a subscription option for automated refills, making it convenient for those managing long-term prescriptions.

Cost With Insurance or Medicare

For those with insurance, spironolactone is typically covered with minimal copays. To save even more, compare your insurance copay with the cash price to determine the better deal. Additionally, spironolactone purchases are eligible for payment through FSA or HSA funds, offering another way to manage costs.

Savings Opportunities

Walmart provides multiple ways to cut costs further. Using a SingleCare discount card, you can reduce the price of a 30-tablet supply (25 mg) to around $5.28. While spironolactone isn’t explicitly part of Walmart’s $4 generic program, it’s worth asking your pharmacist if your specific dosage qualifies. This program offers 30-day supplies for $4 and 90-day supplies for $10. Opting for a 90-day supply can significantly lower the per-tablet cost. If you’re ordering online, consider using Walmart+ or taking advantage of their 30-day free trial, which includes free delivery on medications.

Next, we’ll explore even more strategies to maximize your savings.

4. Walgreens Pricing

When it comes to cost comparisons, Walgreens stands out with pricing that’s competitive but varies depending on the product and payment method. As of January 13, 2026, a 30-day supply of 25 mg generic spironolactone is priced at $11.97 without insurance. This positions Walgreens as a middle-ground option - less expensive than CVS's $16.81 but higher than Walmart's $6.89.

Cost Without Insurance

For those paying out of pocket, a 30-tablet supply costs $11.97, which breaks down to about $0.40 per tablet. If you opt for a 90-tablet supply and use a WellRX coupon, the price drops significantly to $13.09, or approximately $0.15 per tablet. To get the most accurate pricing for your specific dosage, you can contact your local Walgreens or visit their online pharmacy at 877-250-5823.

Cost With Insurance or Medicare

Walgreens accepts most Medicare plans, and generic spironolactone is typically covered. However, it’s always a good idea to compare your copay with the cash price to ensure you’re getting the best deal. This makes Walgreens a reasonably priced option for those with insurance.

Generic vs. Brand-Name Pricing

The price gap between generic and brand-name spironolactone at Walgreens is substantial. While the generic version costs $11.97 for a 30-day supply, the brand-name Aldactone is priced at around $109.30 for the same quantity. For even more context, CaroSpir, a brand-name oral suspension, costs over $321.92 for 118 ml. Unless your doctor specifically recommends the brand-name version, the generic option offers a clear cost advantage.

Savings Opportunities

Walgreens provides several ways to save. By using SingleCare, the price for 30 tablets drops to about $9.92. Additionally, Walgreens offers an Rx Savings Finder tool, powered by RxSense, to help you compare prices across various discount programs. If your prescription is for the brand-name Aldactone, you might want to explore Patient Assistance Programs like Rx Outreach, which provides a 180-day supply for roughly $20, or the HealthWell Foundation for further savings.

5. Kroger Pharmacy Pricing

Kroger's pharmacy pricing, like other major chains, depends on dosage and available discounts. When comparing costs, Kroger falls in the middle range, positioned between CVS and Walmart. For instance, as of January 13, 2026, a 30-day supply of 25 mg generic spironolactone is priced at $15.95 without insurance. This is slightly less than CVS's $16.81 but higher than Walmart's $6.89.

Cost Without Insurance

For a 30-day supply of 25 mg tablets, Kroger charges $15.95, which works out to about $0.53 per tablet. At Dillons, a Kroger subsidiary, the cost for 30 tablets of 100 mg spironolactone is $42.51. However, discount programs can significantly reduce these prices. For example, SingleCare offers the same 30-day supply for just $4.08. If you're looking for a 90-day supply, WellRX can bring the cost down to approximately $20.91, or about $0.23 per tablet.

Cost With Insurance or Medicare

Generic spironolactone is covered by most insurance and Medicare plans, though copays can vary depending on the specifics of your plan. It's worth comparing your copay to discount program prices, as the SingleCare rate of $4.08 may actually be cheaper than what you'd pay through insurance. Programs like these can make a significant difference, as one customer, Jerry M., shared:

"The discount card saved us, too at Kroger"

Generic vs. Brand-Name Pricing

Generic spironolactone is a much more affordable option compared to the brand-name version, Aldactone. At Kroger, 30 tablets of generic spironolactone cost $15.95, while the same quantity of Aldactone averages $109.30. This makes the generic option roughly 85% cheaper, a trend consistent with national pricing averages.

Savings Opportunities

Kroger works with several discount programs to help lower prescription costs. For example, SingleCare offers prices as low as $4.08 for a 30-day supply, and WellRX provides 90-day supplies for about $20.91. If you need brand-name Aldactone, programs like Rx Outreach may provide up to a 180-day supply for around $20. Additionally, the HealthWell Foundation offers financial assistance for eligible patients.

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6. Albertsons Pharmacy Pricing

Albertsons Pharmacy offers affordable options for generic spironolactone, keeping costs manageable for customers. As of January 13, 2026, a 30-day supply of 25 mg generic spironolactone is priced at $11.70 without insurance. This is 33% below the U.S. average of $17.66 but still above Walmart's $6.89 price point.

Cost Without Insurance

At Albertsons, a 30-day supply of 25 mg tablets costs $11.70, breaking down to roughly $0.39 per tablet. By using discount cards, this price can drop significantly, with some customers paying as little as $5.40. For other dosages, 50 mg tablets are typically priced around $7.49 with discounts, while 100 mg tablets range between $5.29 and $10.66.

Cost With Insurance or Medicare

Generic spironolactone is usually covered by insurance plans, but it’s worth comparing your copay to the discounted cash price. In many cases, using a coupon or discount card can result in a lower cost than your insurance copay. This highlights the importance of exploring all pricing options when managing medication expenses.

Generic vs. Brand-Name Pricing

The cost gap between generic and brand-name spironolactone is stark. At Albertsons, the generic version costs $11.70 for 30 tablets, while the brand-name equivalent, Aldactone, averages $109.30 for the same quantity. This reflects an 89% savings with the generic option, saving nearly $100 per month compared to the brand-name version.

Savings Opportunities

Albertsons works with major discount programs like SingleCare, GoodRx, and Optum Perks, which can significantly lower costs. With these discounts, a 30-day supply can cost as little as $5.40, and in some cases, as low as $1.49. Opting for a 90-day prescription instead of a 30-day supply can also reduce the per-tablet cost and minimize trips to the pharmacy. These savings options make Albertsons a competitive choice for those looking to cut medication costs while maintaining convenience.

7. Discount Programs and Coupons

Savings Opportunities (Discounts, Coupons, Programs)

If you're looking to save on spironolactone, discount programs and coupons can make a huge difference. Services like SingleCare, GoodRx, and WellRx offer discounts that can slash the cost of spironolactone by up to 80%–90% at over 65,000 pharmacies across the U.S.. You don’t even need insurance to take advantage of these savings. It’s simple: search for the medication on their website or app, pick a coupon, and show it to your pharmacist during checkout. For example, a 30-day supply of 25 mg generic spironolactone can cost as little as $3.80 with a SingleCare coupon, compared to the average retail price of $20.55. According to SingleCare, "You could pay the lowest price of $3.80 for 30, 25mg tablets of Spironolactone prescription with SingleCare's Spironolactone coupons".

For those facing financial challenges, Patient Assistance Programs (PAPs) can provide additional support. Groups like the PAN Foundation, HealthWell Foundation, and Rx Outreach help eligible individuals cover medication costs. While generic spironolactone is generally affordable, these programs can be especially helpful for those who need the brand-name version, Aldactone. To qualify, you’ll usually need U.S. residency, insurance, and an income within 300% to 500% of the Federal Poverty Level.

It’s important to note that discount programs can’t be combined with private insurance, Medicare, or Medicaid - they’re designed as an alternative to insurance. In many cases, though, the coupon price may be lower than your insurance copay, so it’s worth comparing both options before filling your prescription. To save even more, ask your doctor for a 90-day supply instead of the usual 30 days. This not only reduces the cost per tablet but also cuts down on trips to the pharmacy.

For those using spironolactone to manage hormonal acne or PCOS, Oana Health offers a convenient telehealth option. Starting at $14 per month, their service includes the medication, a consultation, and free shipping. This direct-to-patient model keeps things simple and affordable while ensuring you get the care you need. You can check them out at Oana Health.

Pros and Cons

Following the earlier pricing comparisons, let’s break down the pros and cons of each purchasing option. Every choice comes with its own set of benefits and trade-offs, particularly when it comes to convenience, cost, and accessibility across various pharmacy types.

Big-box stores like Walmart and Costco are known for offering some of the lowest per-tablet prices. For Costco members, the Member Prescription Program (CMPP) can provide even deeper discounts. However, shopping here requires an annual membership, and pharmacy hours might be more limited compared to 24-hour chains.

Grocery store pharmacies, such as Kroger and Albertsons, are convenient for combining prescription pickups with regular shopping trips. However, prices can vary significantly depending on the location.

Retail chains like CVS and Walgreens stand out for their accessibility, with over 65,000 locations nationwide. Generic spironolactone at CVS, for example, is priced at $16.81 but can drop to $11.25 with discounts. If you need immediate access or prefer a pharmacy that operates 24/7, these chains are a reliable option, although their cash prices tend to be higher.

For those dealing with hormonal acne or PCOS, Oana Health offers a streamlined telehealth solution starting at $14 per month, which includes the medication, consultation, and free home delivery. This eliminates the hassle of comparing pharmacy prices or searching for coupons. However, it’s tailored specifically for hormonal health conditions, not general medical needs Oana Health.

Pharmacy Type	Key Advantages	Main Drawbacks
Big-Box Stores (Walmart, Costco)	Low prices; additional Costco discounts for members	Membership required for Costco; limited pharmacy hours
Grocery Pharmacies (Kroger, Albertsons)	Convenient during routine shopping; discount programs available	Prices vary by location
Retail Chains (CVS, Walgreens)	Highly accessible (65,000+ locations); 24-hour availability	Higher retail prices
Mail-Order	Home delivery; cost-effective for 90-day supplies	Requires planning ahead; no same-day access
Telehealth (Oana Health)	Comprehensive service starting at $14/month	Limited to hormonal health conditions

Each option has its strengths depending on your priorities, whether it’s savings, convenience, or specialized care.

Conclusion

In 2026, keeping spironolactone affordable boils down to three main strategies: opting for generics instead of brand-name drugs, utilizing discount cards, and requesting 90-day prescriptions. For example, generic spironolactone costs about $17.66 for a 30-day supply, while the brand-name version, Aldactone, can set you back $178. By using a SingleCare savings card, that generic price can plummet to as low as $1.49 per month, making a significant difference in annual expenses. These savings highlight the price variations across pharmacies and the value of exploring your options.

A 90-tablet supply of 25 mg spironolactone, for instance, ranges from $12.74 at Kelsey Pharmacy to $34.15 at CVS when discount coupons are applied. Coupons often beat out insurance copays, with GoodRx offering prices as low as $5.29. Similarly, the Mark Cuban Cost Plus Drug Company provides transparency with a price of $5.89, plus $5.25 for shipping.

For those managing hormonal acne or PCOS, Oana Health offers a hassle-free option at $14 per month. This price includes consultation, a prescription, and free home delivery, sparing you the effort of hunting for discounts or comparing pharmacy prices. It's a convenient alternative that complements other cost-saving methods.

Additionally, requesting 90-day prescriptions from your doctor can lower the per-tablet cost. If you're uninsured or underinsured, programs like the PAN Foundation or HealthWell Foundation may offer financial assistance. By combining these approaches, spironolactone remains an affordable option in 2026.

FAQs

What’s the best way to save on spironolactone in 2026?

To save money on spironolactone in 2026, consider using a prescription discount card or savings coupon. These tools can bring the cost of a generic 30-tablet supply down to as little as $3.80–$11.40, compared to the usual cash price of $14–$32.

Opting for the generic version and shopping around at different pharmacies can also help you cut costs. Many pharmacies accept discount cards, which can significantly lower your expenses. Be sure to confirm the final price with your pharmacy before making a purchase.

What are the advantages of using telehealth to get spironolactone?

Telehealth brings spironolactone right to your doorstep, making the process simple and convenient. With just a quick online health questionnaire, you can connect with a licensed U.S. provider who will assess your symptoms and prescribe treatment for issues like PCOS-related acne, hair thinning, or irregular periods.

Virtual appointments are designed to fit your schedule, saving you the hassle of in-person visits. Once your prescription is approved, the medication is shipped directly to your home with free and discreet delivery. Pricing is straightforward at $14 per month (billed quarterly), with no surprise charges. This approach offers an easy, budget-friendly, and private way to start spironolactone therapy tailored just for you.

How can I save money on spironolactone using discount programs?

Discount programs can make spironolactone much more affordable, often bringing the cost below standard insurance co-pays. These programs, such as savings cards or printable coupons, are free and work by negotiating reduced prices directly with drug manufacturers. Signing up is simple - just register online, receive a card or code, and present it at your pharmacy when filling your prescription.

These savings are available to cash-paying customers, so you can take advantage of them whether or not you have insurance. Many programs lower the cost of a 30-tablet supply to just a few dollars, providing a budget-friendly way to manage your medication expenses. If you’re using Oana Health’s telehealth service for your spironolactone prescription, you can seamlessly apply these programs at your pharmacy of choice to secure the best price by 2026.