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Drug Info

Gemtesa savings guide

Although there’s no low-cost generic available, there are a few ways to save
Leandra Beabout
By | Jul. 15, 2025 Medically reviewed by Chad Shaffer, MD
A prescription bottle with several $20 bills: Gemtesa savings guide

Key takeaways

  • The average retail price of a 30-day supply of Gemtesa (75 mg tablets) is about $689. 

  • Some insurance plans cover Gemtesa, but prior authorization or step therapy may be required. 

  • You may be able to lower the cost of Gemtesa with Gemtesa coupons from SingleCare, manufacturer savings programs, and federal assistance programs like Medicare’s Extra Help.

In this article:

If you’ve been prescribed Gemtesa, you know that this oral medication is used to treat overactive bladder (OAB). The medication has been approved by the Food and Drug Administration (FDA) to relieve symptoms such as incontinence (leakage), frequent urination, and urinary urgency. Without a generic alternative, Gemtesa can be expensive, but there are ways to save, even if you don’t have health insurance.  

How much does Gemtesa cost?

The average retail price of 30, 75-milligram (mg) Gemtesa tablets is about $689. However, drug prices fluctuate and vary by pharmacy. 

You may be able to get coverage for Gemtesa through commercial or private insurance, Medicare, or Medicaid if the drug is included in the plan’s formulary, a list of preferred and covered drugs. That said, coverage varies by plan. 

“Since it is a newer and higher-costing medication, many insurance companies, and often Medicaid and Medicare, require treatment with more cost-effective options first,” says JaLorean Hayes, a registered nurse, public health consultant, and founder of Hayes Global Health Strategies. This is known as step therapy. Some health plans also require prior authorization before covering Gemtesa, meaning that the prescribing healthcare provider must provide evidence that the drug is the most suitable for use. 

How to save money on Gemtesa

If you do not have insurance or your insurance doesn’t cover Gemtesa, there are still ways to lower your out-of-pocket drug costs. Here are some ways to save on Gemtesa.

 1. Gemtesa coupons from SingleCare

“Patients can shop around online utilizing pharmacy discount cards to see where they can fill their prescription for less,” says Hayes. For instance, cash payers can lower the out-of-pocket cost of Gemtesa to as little as $427 for 30, 75 mg tablets with a SingleCare Prescription Discount Card or coupons. That’s more than $200 less than the retail price. 

To access these discounts, visit the SingleCare website and type the name of your prescription. You’ll then be able to compare the prices at local pharmacies and choose where you want your healthcare provider to send your prescription. Click “Get free coupon” to have the Gemtesa coupon emailed or texted to you, and present your coupon to the pharmacy staff when you’re ready to pay. Keep in mind that prices vary by quantity, strength, form, and pharmacy. 

2. Medicare Extra Help

Current Medicare Part D beneficiaries may be eligible for the Extra Help program, also known as the Low-Income Subsidy (LIS). This financial assistance program helps people with limited resources pay copays, premiums, deductibles, and medications. 

You can find the full eligibility criteria and apply for the Extra Help program online. If you’re approved, prescription refills for brand-name drugs like Gemtesa will cost no more than $12.15 in 2025.

3. Sumitomo Pharma Gemtesa savings card

“If my patient is struggling to pay for Gemtesa, I recommend getting in contact with the pharmaceutical company,” Hayes says. 

Gemtesa is made by a drug company called Sumitomo Pharma Co., Ltd., which is offering the GEMTESA Simple Savings Card through 2025 to patients who meet specific eligibility criteria. However, you need commercial health insurance to be eligible; there is a maximum savings limit per fill; and people with Medicare, Medicaid, or other federal or state programs are ineligible. 

4. Bulk-order medication

Sometimes, patients can get Gemtesa at a lower price by ordering it in bulk. If your insurance company approves this, ask your healthcare provider to submit a Gemtesa prescription for a 90-day supply instead of a 30-day supply.

5. Try a different pharmacy

“Check with local or mail-order pharmacies for competitive pricing,” Dr. Sparacino says.

Not all pharmacies charge the same price for the same drugs. It’s a good idea to call pharmacies in your area to compare the cost of Gemtesa. Your prescriber might also have suggestions for affordable pharmacies near you. An easy way to do this is by using the SingleCare website and entering your ZIP code to view prices at local pharmacies. 

Is there a cheaper alternative to Gemtesa?

A Gemtesa prescription isn’t your only option for treating urinary incontinence or other OAB symptoms. There are Gemtesa alternatives that your healthcare provider may recommend that could be cheaper. For instance, Dr. Sparacino often points her patients to Myrbetriq (mirabegron), another beta agonist that is FDA approved to treat OAB. However, Myrbetriq is also a brand-name drug, so whether it is cheaper than Gemtesa depends on insurance coverage. Your prescription drug plan may cover generic mirabegron ER instead.

For other OAB drugs with lower retail prices, Dr. Sparacino points patients to generic antimuscarinic medications such as oxybutynin or tolterodine. “While these work through a different mechanism, they are also effective in reducing bladder overactivity for many patients,” she explains. Solifenacin is another generic antimuscarinic for OAB. 

It’s important to seek personalized medical advice from a healthcare professional when considering Gemtesa versus other overactive bladder medications. Only a prescriber who knows your medical history, history of allergic reactions, other chronic conditions, and the other drugs you’re taking can determine the best OAB treatment plan for you.