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Treatment costs

Osimertinib Price in India: — Brand, Generic and Monthly Cost

If you or someone in your family has just been prescribed osimertinib, the cost question usually comes before anything else. This page gives indicative monthly figures for branded and generic versions as of mid-2026, and lists the schemes that may reduce what you pay.

Medically reviewed by Dr. Bharati Devi Gorantla, Medical Oncologist, MBBS · MD · DM (Adyar, Chennai) · ECMO · MRCP SCE (UK) · Last reviewed August 2026

  • Brand and generic gap is large — Indian-manufactured generics can cost a fraction of the branded innovator price per month.
  • Several schemes can help — Manufacturer assistance, government schemes, and health insurance may each reduce the total.
  • Your dose changes the cost — Osimertinib is dispensed as 80mg or 40mg tablets; confirm which you are prescribed before comparing prices.
  • Prices vary between pharmacies — The same medicine can cost differently across cities and suppliers — always check more than one.
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Osimertinib is available in India as the branded innovator product and as Indian-manufactured generics, which cost substantially less. Indicative monthly costs as of mid-2026 range from around ₹15,000 to ₹45,000 for generics and up to ₹1,80,000 for the brand before patient assistance. Several schemes may reduce what you pay significantly.

What does osimertinib cost in India?

OptionIndicative monthly cost (mid-2026)What affects the price
Branded innovator (30-tablet pack)₹1,40,000–₹1,80,000Varies by city, stockist, and whether hospital or retail pharmacy
Indian generic versions₹15,000–₹45,000Multiple manufacturers available; check availability at your hospital pharmacy first
After manufacturer patient assistanceSubstantially reduced or nilIncome-linked eligibility; apply through your oncologist or hospital social worker
Under PM-JAY or state equivalentNil or nominal co-payDepends on scheme tier and cancer type; confirm with the hospital billing desk
Under CGHS or ECHSNil or formulary rateCheck the current CGHS formulary; rates are revised periodically

Why is the generic so much cheaper than the brand?

Osimertinib was developed by AstraZeneca and sold under the brand name Tagrisso. Indian manufacturers can produce the same molecule under provisions in Indian patent law, and they sell it at a fraction of the branded cost.

A lower price does not mean lower quality for the active ingredient. The Central Drugs Standard Control Organisation (CDSCO) requires generic versions to demonstrate bioequivalence before they are approved for sale in India — meaning the molecule is absorbed by the body in the same way.

Talk to your oncologist before switching between the branded version and a generic, or between two generic manufacturers. They can advise based on your current response and any relevant formulation differences.

What will this actually cost you?

Costs depend on the regimen, the number of cycles and your scheme eligibility. Send your reports and we will give you an itemised, indicative estimate.

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How do you get osimertinib at the lowest available cost?

  1. Confirm your dose

    Ask your oncologist whether you are prescribed 80mg or 40mg. The monthly cost differs between the two, and the dose must not be changed to save money without medical guidance.

  2. Ask about generic availability

    Indian-manufactured generics may be available at the hospital pharmacy or a major medical shop. Ask specifically — they are not always offered without a direct request.

  3. Check manufacturer assistance eligibility

    AstraZeneca runs a patient assistance programme in India for Tagrisso. Ask your hospital social worker or oncology team to check whether you qualify and to initiate the application on your behalf.

  4. Check your government scheme

    If you or a family member holds a PM-JAY, CGHS, ECHS, or state equivalent card, ask the hospital billing desk which medicines are covered under your scheme and at what rate.

  5. Contact your health insurer

    If you have group or individual health insurance, ask the insurer in writing whether osimertinib is included in your cancer drug benefit and what documentation they require before the first purchase.

What documents do you need to access cost reduction schemes?

  • Oncologist's prescription stating dose, frequency, and intended duration
  • Aadhaar card and any government scheme card (PM-JAY, CGHS, ECHS)
  • Health insurance e-card or policy document
  • Recent income proof or BPL certificate if applying for manufacturer assistance
  • Hospital registration number, used by the billing desk for scheme verification

Did you know?

India is one of a very small number of countries where locally manufactured generic osimertinib has regulatory approval for sale.

For most patients elsewhere in the world, only the branded version is available — at a price that reflects global R&D costs rather than local manufacturing costs.

Source: CDSCO drug approval register

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Common questions

Frequently asked questions

Can health insurance cover osimertinib in India?

It depends on your specific policy. Many group health insurance plans and some individual plans include cancer drug riders that cover targeted therapies. Ask your insurer directly and in writing, naming osimertinib, and ask what documentation is needed — typically an oncologist's letter and the prescription. Some insurers require pre-authorisation before the first purchase. If your plan currently excludes the drug, ask whether a top-up or cancer-specific rider is available for future cycles.

What is the manufacturer patient assistance programme and who qualifies?

AstraZeneca runs a programme in India for patients who cannot afford Tagrisso at the retail price. Eligibility is generally income-linked and the terms change periodically. The application is typically initiated through your treating oncologist or the hospital social worker, not directly by the patient. Ask your team whether the programme is currently open and what the income threshold is. Do not assume you are ineligible without asking — many families who qualify never apply because they assumed it was not for them.

Is the generic version as effective as the brand?

The active molecule is identical. CDSCO requires approved generics to demonstrate bioequivalence — meaning the drug is absorbed into the body at the same rate and to the same extent as the original. The clinical question your oncologist may have is whether to change product if you are currently responding well on a particular version. That is a medical judgement, not a cost judgement, and your treating team should make it with you rather than you switching independently.

Can PM-JAY cover osimertinib?

PM-JAY covers certain cancer treatments within its package rates, but coverage of specific targeted therapies varies by state and by the empanelled hospital. Ask the hospital's Ayushman Bharat desk specifically about osimertinib before assuming it is included. If the branded version is not covered under your package, ask whether the generic falls within a different package ceiling — the cost difference is large enough to matter for scheme limits.

Do the 80mg and 40mg doses cost differently?

Yes. Osimertinib is available as both 80mg and 40mg tablets, and the cost per pack is different for each strength. Your oncologist prescribes the dose appropriate for your treatment — either as the standard dose or as a reduced dose if you have experienced side effects. Do not reduce your dose independently to save money. If the cost of your prescribed dose is a problem, say so directly to your treating team — that is the right conversation to have, not a self-adjustment.

What if I cannot afford osimertinib even after checking all these options?

Tell your oncologist directly. This is not an unusual conversation in a cancer clinic and your team should know what options exist for your situation. These may include the manufacturer programme, state government drug supply schemes, NGO-linked access programmes, or a review of whether a different treatment approach is appropriate. Saying nothing means you may reduce or stop treatment without your team knowing — which is the outcome everyone is trying to avoid. The cost conversation belongs in the clinic, not after.

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