Enzalutamide Price Comparison: USA vs. India vs. UK

Enzalutamide, a nonsteroidal antiandrogen medication, plays a critical role in the treatment of advanced prostate cancer, particularly metastatic castration-resistant prostate cancer (mCRPC). Marketed under brand names like Xtandi®, and now widely available as generic versions, Enzalutamide has significantly improved survival outcomes and quality of life for many men. However, the enzalutamide price varies widely across countries, leading many patients to explore cost-effective global options.

In this blog, we break down enzalutamide prices in the USA, India, and the UK, while exploring the reasons behind these discrepancies. If you're seeking access to affordable prostate cancer medicines, this comprehensive comparison will help you make an informed decision.

What is Enzalutamide?

Enzalutamide is an androgen receptor inhibitor that blocks the action of male hormones fueling the growth of prostate cancer cells. It's primarily prescribed in the treatment of:

Metastatic Castration-Resistant Prostate Cancer (mCRPC)

Non-metastatic Castration-Resistant Prostate Cancer (nmCRPC)

Metastatic Castration-Sensitive Prostate Cancer (mCSPC)

This therapy is typically administered long-term, meaning treatment affordability is vital for patient access and compliance.

Why Is Enzalutamide Expensive?

There are several reasons for the high cost of enzalutamide tablets 160 mg in many developed countries:

Patent Protection & Brand Monopoly – Originally developed by Medivation and Astellas, the patented version (Xtandi®) has long commanded a premium price.

High R&D Investment – Pharmaceutical companies factor in extensive clinical trials and regulatory approvals.

Lack of Generic Competition – In regions like the USA, generic versions were introduced much later.

Healthcare System Structure – Insurance reimbursement systems and centralized pricing (or the lack thereof) influence what patients ultimately pay.

Enzalutamide Price in the USA

In the US, Xtandi® remains one of the costliest oral prostate cancer medicines on the market.

Average Cost:

Xtandi 160 mg/day (30-day supply): $12,000 – $14,000

Annual Cost: Up to $150,000 USD

Even with insurance, patients often face high out-of-pocket costs unless they qualify for financial assistance programs. Brand exclusivity and delayed generic approvals have kept the Enzalutamide Generic Price relatively high compared to other nations.

Enzalutamide Price in the UK

In the UK, enzalutamide capsules 40 mg are available through both private and public healthcare systems.

Market Price:

Private Market (Xtandi®): £2,500 – £3,500/month (~$3,000 – $4,500)

Annual Private Cost: £30,000 – £40,000

Through the NHS, eligible patients can receive enzalutamide capsules at significantly reduced costs. The National Institute for Health and Care Excellence (NICE) has approved the use of Enzalutamide for multiple prostate cancer indications, allowing broader access via public healthcare.

Enzalutamide Price in India

India offers the most budget-friendly access to enzalutamide 160 mg, thanks to its robust generics industry.

Available Brands:

Enzamide (Intas)

Enzalutamide (MSN Laboratories)

Enzalu (Zydus Cadila)

Emlutamide (Cipla)

Price Range:

40 mg capsules (120 tablets/month): ₹16,000 – ₹28,000

(~$200 – $340 USD per month)

Annual Cost: $2,400 – $4,000 USD

The Enzalutamide Generic Price in India is kept low due to competitive manufacturing, lower operational costs, and less restrictive patent environments. This allows patients—both domestic and international—to access enzalutamide tablets 160 mg at a fraction of the US or UK cost.

Price Comparison Table (2025)

Country Monthly Cost (USD) Annual Cost (USD) Format (Dosage Available Type

USA $12,000 – $14,000 $144,000 – $168,000 40 mg, 160 mg Brand & limited generics

UK $3,000 – $4,500 $36,000 – $54,000 40 mg Brand only (NHS coverage)

India $200 – $340 $2,400 – $4,000 40 mg, 160 mg Multiple generics

Enzalutamide Capsules 40 mg vs. 160 mg Tablets

Enzalutamide is commonly available in two forms:

Enzalutamide Capsules 40 mg

Enzalutamide Tablets 160 mg

While the 160 mg tablet is often used for simplified once-daily dosing, the 40 mg capsules allow for flexible titration. In India, patients can choose either format depending on their prescribed dosage and availability.

Can You Import Enzalutamide from India?

Yes, it is legal in most countries to import Enzalutamide from India for personal use under certain conditions:

United States:

FDA allows import of up to a 90-day supply for personal use if there’s a valid prescription and the medication isn’t readily affordable domestically.

United Kingdom:

MHRA permits import for personal use with a valid doctor’s note or prescription, limited to a 3-month supply.

Many patients now rely on verified exporters like Oddway International, a global pharmaceutical wholesaler with expertise in sourcing and shipping enzalutamide capsules internationally.

Tips to Buy Enzalutamide from India Safely

If you are considering importing affordable enzalutamide 160 mg generics, here are tips to do it safely:

Choose a Licensed Wholesaler – Stick to exporters registered with regulatory authorities like CDSCO and WHO-GMP certified.

Ask for Documentation – Verify prescriptions, lab reports, and batch manufacturing details.

Check the Manufacturer – Brands like Cipla, Intas, and Zydus are reputable Indian pharmaceutical manufacturers.

Request Photos of Packaging – Ensures the correct dosage and authentic labeling.

Understand Import Rules – Know your country’s medicine importation guidelines.

Are Indian Enzalutamide Generics Effective?

Absolutely. Indian manufacturers follow rigorous standards, producing enzalutamide capsules 40 mg and 160 mg tablets that are bioequivalent to Xtandi®.

Regulatory Approvals:

WHO-GMP certified

CDSCO and US FDA compliant

Exported to over 150 countries

Global demand continues to rise for Enzalutamide Generic Price options that don't compromise quality.

Access and Affordability: A Global Health Issue

The dramatic enzalutamide price differences between countries highlight a major challenge in global cancer care. Patients in the US may pay more than 40x the Indian price for the same medication.

India’s pharmaceutical industry plays a vital role in closing this gap, supplying effective and affordable treatment to both local and international patients.

Conclusion: Where to Get Affordable Enzalutamide?

The answer is clear—India offers the most affordable, high-quality options for patients in need of enzalutamide capsules. With the right distributor, you can access life-saving medications at a reasonable cost.

FAQs

Q: Can I buy Enzalutamide online from India legally?

Yes, with a valid prescription and understanding of your country’s import rules.

Q: What’s the difference between Enzalutamide 160 mg tablets and 40 mg capsules?

Both offer the same efficacy; 160 mg is often taken once daily, while 40 mg may be divided into multiple doses.

Q: How much can I save by purchasing from India?

Over 90% in many cases, depending on your local pricing and insurance.

Q: Is there a trusted supplier that can ship worldwide?

Yes, companies like Oddway International specialize in global distribution of FDA-approved generics.