Generally, over-the-counter (OTC) orlistat (Alli) is cheaper upfront than prescription orlistat (Xenical). However, the total cost and value depend on several factors.
- Dosage: OTC Alli contains 60mg per capsule, while prescription Xenical offers 120mg. You’ll need to take two Alli capsules to match one Xenical capsule, potentially making Alli more expensive in the long run. Insurance Coverage: Your insurance may significantly reduce or eliminate Xenical’s cost. Check your plan for details. OTC Alli is never covered by insurance. Price per Capsule: Alli typically costs less per capsule than Xenical. However, remember to consider the dosage difference. Potential Savings on Related Costs: Weight loss can indirectly reduce expenses on certain health issues. Xenical, with its higher dose, may lead to faster weight loss, creating potential savings down the line. This is not guaranteed and should not be the deciding factor.
To make an informed decision:
Check your insurance: Determine if your plan covers Xenical. Compare costs per dose: Calculate the cost per 120mg dose for both Alli and Xenical, factoring in the number of capsules needed. Consider long-term savings: Weigh the potential cost savings from faster weight loss with Xenical against the higher upfront cost. Consult your doctor: Discuss your options and determine which medication best suits your needs and budget.
Remember, price shouldn’t be the sole determining factor. Your doctor can help you choose the best option for your health and financial situation.


