Cost & Availability of Drugs in Panama

Wondering about the cost & availability of prescription and over-the-counter medications in Panama?

We compiled a list of the 50 most prescribed medications in the United States and researched their price and availability in Panama. Subscribe below to get that list.

To determine if the drug you need is available and what it costs, check prices at
Farma Value or Arrocha.

It’s important to mention that availability changes constantly. We’ve learned there are many reasons for this. Sometimes due to changes in what is allowed by the health department. Sometimes due to a lack of supply from the pharmaceutical companies.

In Panama, you don’t need a prescription for most medications and the prices are usually less than what you’d pay in the United States.

For example, Lisinopril (brand names Prinivil & Zestril), which is used in the treatment of high blood pressure is available over-the-counter and sells for $11.56 in Panama. The same dose and quantity in the United States costs approximately $15.40 to $17.36 – over 33% more.

Metformin (brand names Glucophage, Fortamet, Glumetza, Riomet), which is used for the treatment of diabetes, sells for $7.25 in Panama. It’s also available over-the-counter. The same dose and quantity in the United States typically costs 160% more – $19.20.

Not all drugs cost less in Panama – Venlafaxine (brand name Effexor), which is used to treat depression and anxiety, can cost 700% more in Panama.

Some good news: If you have a Panama pensionado residency visa or if you have any residency visa and are 55+ for women or 60+ for men, you will receive a 10% discount on medications in Panama. Some pharmacies offer a 20% discount on certain days of the week.

If you take prescription medications, it’s a good idea to research their cost & availability before you move to Panama.

To get our full report on medications in Panama, enter your email address in the box below. When you do, we’ll email you the report. You’ll also be subscribed to our email newsletter to get other tips about moving to Panama.

Medications in Panama

Jackie Lange

Jackie Lange is the founder of Panama Relocation Tours and lives in the highlands of Boquete Panama. She has helped thousands of people relocate to Panama.

Reader Interactions


  1. Jennings Cynthia says

    Hi Jackie, I take Metformin, but I order my 90 day supply from the US (Amazon) for $17. Otherwise, when I purchase it in Boquete, I paid $1.50 per pill for a 30 day supply, which is quite a bit higher. So for a 90 day supply it would cost $135. Wish we could get Armour Thyroid here!! It’s super expensive in the US but the synthetic formulations are horrible for the body. Thanks!

    • Jackie Lange says

      Metformin is only 24 cents a pill at the pharmacies we contacted. That’s a huge difference. You should check prices with other pharmacies. Remember, hospital pharmacies are often much more affordable.

  2. Wade says

    We are flying to pty Sunday, then off to David, any chance of getting the names of inexpensive pharmacy’s. My wife takes the armour thyroid. We might have to have it shipped in from Miami.

    • Jackie Lange says

      see the list of sources on the report of the top 10 medications.

  3. Sheryl GRIFFITHS says

    Hi Jackie,
    Do you have cyprolex on your list?

  4. Brenda Morrow says

    Hi Jackie, I didn’t see Epi-pens/auto injectors on the list (for anaphylaxis allergy reactions)?

    • Jackie Lange says

      the list is only the top 50 medications prescribed, not ALL medications in Panama.

      You can contact Arrocha, the largest pharmacy to check on particular meds.

      • Rafael says

        Hi Jackie can I get trelegy ellipta inhaler or breztri inhaler for Copd and how can I get it thru an insurance with a co pay, I’ll be in panama in august For 3 to 6 months and I’ll be getting your online guide but I cannot be without the inhaler I’m just traveling and exploring to see where am I going to live by the beach or boquete and hopefully sometime I can meet you personally you are a wonderful and helpful lady. Thank you

        • Jackie Lange says

          You may be able to get your inhalers mailed to Panama using a mail forwarding service. You would not be able to get health insurance in Panama for COPD and most Panama health insurance does not cover medications. Some people have breathing problems at the higher elevations so you need to be careful when you come to Panama.

          • steven d says

            the dr at the local clinic wrote me a prescription for a inhaler. $13.20 plus $10 office visit. maybe they will use the link you shared. thank you for sharing your knowledge about panama.

  5. Anastasia says

    Hi there. Is advagraf available in Panama? It’s quiet pricey in Canada. Would you by any chance have any information?

    • Jackie Lange says

      you would need to call a pharmacy in Panama to determine if it is available Try

      • Kevin Dwight Dobson says

        Was able to check the list and find that the prescription drugs I’m on are available except the vitamin d3 25mcg. I’ll continue to check. Thank you so much for this information 🙏.

        • Jackie Lange says

          Kevin, Vitamin D3 is available but I don’t know if they have 25mg. I’ve seen 100, 500, 1000, and 5000MG at pharmacies

  6. Roger Nair says

    How much is a 90 day supply of eliquis

    • Jackie Lange says

      You will need to call a Panama pharmacy to get the price of the medications or look at the free report for prices.

  7. Darrell Bowers says

    Can you tell me what the cost of Ozempic insulin is in Panama?

    Thank you!

    • Jackie Lange says

      you would need to call a Panama pharmacy to get the price of drugs. The two biggest pharmacies are Arrocha and REvilla.

      • Vaughn Gaston says

        I have disc / vertebra issues with neck as well my back. My Doctor placed me with pain management and periodically I am given injections both neck and back. He also subscribed hydro codeine. What is the cost of hydro codeine and the injections?

        • Jackie Lange says

          Vaughn, I don’t know if hydrocodeine injections are available in Panama. You’d need to contact a doctor to find out if it’s available and what it costs. Contact
          [Name] Juan Luis Carbone Picard-Ami, MD
          [Mobile] +507 6496-6166
          (Office) 507-204-8329
          (Email) – [email protected]

          He can do telemedicine or you can make an appointment to see him at his office in Pacific Salud (Johns Hopkins hospital).

          He speaks perfect English.

  8. Peter Yannacone says

    Can I get a drug called Jakafi for my Myleo Fibrosis in Panama

  9. John Baldwin says

    Hi Jackie,

    Thank you for sending your list of medications available in Panama. I did not see Eliquis (apixaban) on the list. This is a very common blood thinner widely used for heart conditions such atrial fibrillation. Is there anyway I can find out if it is available in Panama even though it is not on your list. Thank you for your help.

    • Jackie Lange says

      Eliquis is available at some pharmacies. See these prices —
      Eliquis 2.5 mg 60 tabletas recubiertas $81.58
      Eliquis 5 mg 60 tabletas recubiertas $75.90

  10. Cassie says

    Hi Jackie,

    Do you know if tamoxifen, a drug used for breast cancer treatment, is readily available in Panama and what the cost might be?

    Thank you,

    • Jackie Lange says

      I do not know if it is available. You could set up a $35 telemedicine consultation with a Panama doctor to find out. go to

  11. Charisse Sisselman says

    Can you buy wygovy or ozempic in Panama without a prescription and the cost if so

  12. Mitsuhiro Tsuchida says

    Hello, Can we buy a Diamox(Acetazolamide) for attitude sickenss without prescription in Panama City?

    Thank you very much

  13. Herold says

    Hey Jackie,
    Can I fill my adhd meds there? I take adderall

    • Jackie Lange says

      Herold, you would need to contact a pharmacy to see if your medications are available. The biggest pharmacy is or you can contact to set up a telemedicine appointment.

  14. Fred Quinn says

    Hi Jackie,
    Please clarify for me that one of the least expensive places to buy Meds in Panama is from the Pharmacy in a Public Hospital? You mentioned in one of your videos that they will only fill prescriptions that were written by one of the Doctors at that hospital. So even if the medications do not require a prescription in Panama you need to have a prescription (or some kind of Doctor’s order) from one of their Doctors to purchase medications at a Public Hospital Pharmacy?
    Many Thanks, Fred

    • Jackie Lange says

      Fred, it’s $2 to see a doctor at a public hospital. private hospitals also have good med prices and you may not need a prescription for many meds.

  15. John says

    Hi Jackie,

    You mentioned a private and public hospital pharmacy, any chance you would a name and a phone number of a public pharmacy and a private pharmacy that I could call to check on some prices. I checked a few of the websites you recommended but just wanted to check these other places.

    Many Thanks,

    • Jackie Lange says

      John, see the two links in the article of a pharmacy where you can check prices of meds.

  16. Zo Pak says

    Hi Jackie,

    Is Adderall prescribed in Panama? If not, what are the alternatives?

    • Jackie Lange says

      Zo, see the link to two websites in the article to check the availability of drugs. if it’s not available, you will need to contact a Panama doctor for an alternative

  17. Anasthasie Cantrell says

    Dood day Ms. Jackie.
    Would Benicar be available? I think the generic is Olmesartan.

    Thank you so much.

    • Jackie Lange says

      hello Anasthasie, click on the Farma Value links in the article to determine if that medication is available and what it costs.

  18. Joe R. says

    Hi Jackie,

    I’m thinking about the telehealth call with Expat Health. Will the doctor be looking for a medical history form or should I have access to my medical records etc? I’m wondering how comprehensive the discussion will be. I can sometimes be difficult to medical history with a physician.

    • Jackie Lange says

      Hi Joe. I do not recommend expat health. You can get excellent service and a thorough consultation with

      [Name] Juan Luis Carbone Picard-Ami, MD
      [Mobile] +507 6496-6166
      (Office) 507-204-8329
      (Email) – [email protected]

      He can do telemedicine or you can make an appointment to see him at his office in Pacific Salud (Johns Hopkins hospital).

      He speaks perfect English.

      He’s glad to answer your questions via email too.

      If necessary, he can make recommendations to specialists in Panama too!

  19. Lyle ford says

    Good morning I’m visiting panama do you know if I can by ozempic here and if so what is the process?

    • Jackie Lange says

      Hello Lyle. In the article, there is a link to a pharmacy where you can check the availability and price of medications. Most medications do not require a prescription

  20. Victoria Thibeau says

    Hi. Is it fairly easy to get MS drugs (aubagio, osrevus, etc) in Panama? MS drug’s are generally very expensive. Is that the case in Panama?

    • Jackie Lange says

      see the link in the article for ARROCHA, it’s a pharmacy. You can check the availability and price of your medications there.

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