Esomeprazole (Nexium) Price by US State (2026 Analysis)
Estimated Esomeprazole (Nexium) retail and out-of-pocket cost (per month supply) across all 50 US states, compared with international pharmaceutical benchmarks in India (approx. $3). US state figures represent modeled healthcare-cost adjustments from the national baseline ($50).
Your estimate
Esomeprazole (Nexium) cost where you live
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Compared against about $3 per month supply in India.
US figures are modeled from state medical-cost indices, not quotes from named clinics. How we estimate prices.
Every state, side by side
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51 of 51 states
| India | |||
|---|---|---|---|
| Alabama | $45 | $3 | $42 (93%) |
| Alaska | $64 | $3 | $61 (95%) |
| Arizona | $50 | $3 | $47 (94%) |
| Arkansas | $44 | $3 | $41 (93%) |
| California | $65 | $3 | $62 (95%) |
| Colorado | $54 | $3 | $51 (94%) |
| Connecticut | $61 | $3 | $58 (95%) |
| Delaware | $53 | $3 | $50 (94%) |
| Florida | $51 | $3 | $48 (94%) |
| Georgia | $48 | $3 | $45 (94%) |
| Hawaii | $66 | $3 | $63 (95%) |
| Idaho | $48 | $3 | $45 (94%) |
| Illinois | $53 | $3 | $50 (94%) |
| Indiana | $48 | $3 | $45 (94%) |
| Iowa | $47 | $3 | $44 (94%) |
| Kansas | $46 | $3 | $43 (93%) |
| Kentucky | $45 | $3 | $42 (93%) |
| Louisiana | $47 | $3 | $44 (94%) |
| Maine | $53 | $3 | $50 (94%) |
| Maryland | $59 | $3 | $56 (95%) |
| Massachusetts | $64 | $3 | $61 (95%) |
| Michigan | $49 | $3 | $46 (94%) |
| Minnesota | $53 | $3 | $50 (94%) |
| Mississippi | $43 | $3 | $40 (93%) |
| Missouri | $46 | $3 | $43 (93%) |
| Montana | $49 | $3 | $46 (94%) |
| Nebraska | $47 | $3 | $44 (94%) |
| Nevada | $51 | $3 | $48 (94%) |
| New Hampshire | $56 | $3 | $53 (95%) |
| New Jersey | $61 | $3 | $58 (95%) |
| New Mexico | $47 | $3 | $44 (94%) |
| New York | $65 | $3 | $62 (95%) |
| North Carolina | $48 | $3 | $45 (94%) |
| North Dakota | $49 | $3 | $46 (94%) |
| Ohio | $48 | $3 | $45 (94%) |
| Oklahoma | $45 | $3 | $42 (93%) |
| Oregon | $55 | $3 | $52 (95%) |
| Pennsylvania | $52 | $3 | $49 (94%) |
| Rhode Island | $57 | $3 | $54 (95%) |
| South Carolina | $48 | $3 | $45 (94%) |
| South Dakota | $48 | $3 | $45 (94%) |
| Tennessee | $46 | $3 | $43 (93%) |
| Texas | $50 | $3 | $47 (94%) |
| Utah | $50 | $3 | $47 (94%) |
| Vermont | $56 | $3 | $53 (95%) |
| Virginia | $53 | $3 | $50 (94%) |
| Washington | $59 | $3 | $56 (95%) |
| Washington, D.C. | $67 | $3 | $64 (96%) |
| West Virginia | $45 | $3 | $42 (93%) |
| Wisconsin | $50 | $3 | $47 (94%) |
| Wyoming | $49 | $3 | $46 (94%) |
Frequently Asked Questions: Esomeprazole (Nexium) Pricing
Why do Esomeprazole (Nexium) prices differ across US states?+
Prescription drug prices in the US vary by state due to differing pharmacy dispensing fee regulations, state tax laws, regional wholesale distribution costs, and varying health insurance plan coverage formularies. Out-of-pocket prices can differ by hundreds of dollars even between neighboring states.
How does the US price of Esomeprazole (Nexium) compare to international prices?+
In the United States, Esomeprazole (Nexium) averages approximately $50 per month supply. In India, certified manufacturers produce equivalent formulations and authorized generics for about $3 per month supply — saving patients up to 90%+ without compromising therapeutic equivalence.
Are generic or biosimilar versions of Esomeprazole (Nexium) available?+
Depending on patent expiry schedules, authorized generic alternatives and international equivalents may be accessible through licensed personal importation channels.
Other Gastrointestinal Medications
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Famotidine is an H2 blocker used to reduce stomach acid for heartburn, GERD, and ulcers. Generic famotidine in India costs only a dollar or two per month.
Omeprazole
Omeprazole is a proton pump inhibitor used to reduce stomach acid for GERD, ulcers, and reflux. Generic omeprazole is one of the cheapest drugs in India.
Ondansetron (Zofran)
Ondansetron is an antiemetic used to prevent and treat nausea and vomiting, including from chemotherapy and after surgery. Indian generic ondansetron is dramatically cheaper than US retail.