In recent years, the escalating price of the brand-name EpiPen has placed a significant burden on individuals with life-threatening allergies. In response, major pharmacies like CVS have worked to provide more affordable options. A crucial question for many consumers is, "Does CVS have an alternative to the EpiPen?"
The CVS Alternative: The Authorized Generic for Adrenaclick
CVS Pharmacy has long been a provider of a lower-cost epinephrine auto-injector, offering an authorized generic version of Adrenaclick. This is a crucial distinction from a standard generic. An authorized generic is an identical copy of a brand-name drug but is sold under a generic name and is not necessarily rated as substitutable with other brand-name products. It contains the same active ingredient, epinephrine, as an EpiPen, in the same dose. However, the device mechanism is different, so it is essential for patients and caregivers to receive proper training on the specific device prescribed.
How to Get the CVS Generic Epinephrine Auto-Injector
Obtaining this generic option requires a specific prescription from your doctor. Since the authorized generic for Adrenaclick is not a direct substitute for EpiPen, a pharmacist cannot automatically swap a prescription written for EpiPen.
To get the lowest-cost option at CVS:
- Speak with your healthcare provider about prescribing a generic auto-injector.
- Ask them to write the prescription for "epinephrine auto-injector," rather than a specific brand name like EpiPen.
- If you already have a prescription on file at CVS Pharmacy, you can ask your pharmacist to check with your prescriber about making the change.
- After picking up the medication, review the instructions carefully and watch any available training videos from the manufacturer.
Comparison of Epinephrine Auto-Injectors
Understanding the differences between the various epinephrine auto-injector products available is important for patients. While the active ingredient, epinephrine, is the same, the devices and features vary. This table compares the EpiPen, the CVS generic (Adrenaclick authorized generic), and another competitor, Auvi-Q, based on information from search results.
| Feature | EpiPen | CVS Generic (Adrenaclick) | Auvi-Q |
|---|---|---|---|
| Manufacturer | Mylan | Impax Laboratories (via CVS) | kaléo |
| Device Mechanism | Auto-injector, specific steps | Auto-injector, different steps | Auto-injector with voice prompts |
| Needle Retraction | Retracts automatically | Does not retract automatically | Retracts automatically |
| Training Device | Available (sometimes separate) | Often not included | Included with product |
| Voice Prompts | No | No | Yes |
| Prescription Required | Yes | Yes (specific wording helpful) | Yes |
| Availability at CVS | Yes, but typically at a higher cost | Yes, widely available at CVS | Not typically carried in-store at CVS; shipped directly from manufacturer |
Other Alternatives Beyond the CVS Generic
In addition to the authorized generic for Adrenaclick available at CVS, other epinephrine auto-injector products are on the market, offering patients a wider range of choices based on their needs, insurance coverage, and budget. Exploring these options can be beneficial for finding the best fit.
- Generic EpiPen (by Teva): In 2018, Teva Pharmaceuticals received FDA approval for a “true” generic of the EpiPen. This means it has the same active ingredient and similar functionality, allowing for pharmacist substitution in some cases.
- Auvi-Q: This auto-injector features a compact, cell-phone-like design and provides voice prompts to guide users through the injection process. It is available through the manufacturer via a mail-order program, which may offer significant discounts for commercially insured patients.
- Symjepi: Instead of an auto-injector, Symjepi is a pre-filled epinephrine syringe. It requires manual injection, making the process slightly different from traditional auto-injectors. The manufacturer also offers a patient assistance program.
- Neffy: A more recent development, Neffy is an epinephrine nasal spray that was FDA-approved in August 2024. This offers a needle-free option for those with severe needle phobia.
Considerations When Switching Auto-Injectors
Choosing an alternative requires careful consideration, especially regarding the device's specific mechanics. Each auto-injector has a different set of instructions for use.
Critical steps for a safe switch:
- Consult Your Doctor: Before making any changes, discuss the potential alternative with your physician or allergist to ensure it's medically appropriate for your needs.
- Get Proper Training: If switching devices, request a training session with your doctor or pharmacist. Use the trainer devices or watch manufacturer-provided videos to become completely familiar with the new device.
- Inform Caregivers: Anyone who might need to administer your medication—family members, school nurses, etc.—should also be trained on the new device.
- Update Your Prescription: Work with your prescriber to ensure the prescription is written correctly to obtain the desired product.
Conclusion
Yes, CVS does have an alternative to the EpiPen in the form of a low-cost, authorized generic version of the Adrenaclick epinephrine auto-injector. This option is significantly more affordable for many patients, especially those paying cash. While it delivers the same life-saving medication, the device functions differently, requiring patients to be trained on its specific use. By working with their doctor and pharmacist, patients can navigate the options available at CVS and beyond to secure the emergency allergy treatment they need at a price they can afford.
For more information on epinephrine auto-injectors and anaphylaxis, visit the Cleveland Clinic Health Essentials website.
