How much does 1 mg tacrolimus cost?

In the pharmaceutical industry, Tacrolimus 1 mg is a critical calcineurin inhibitor used for immunosuppression in transplant patients. As a pharmacist and manufacturer, I view its pricing as highly variable based on whether it is for domestic retail, B2B wholesale, or international export from your WHO-GMP facility in Mumbai.

The cost structure for 2026 reflects a competitive generic market in India and a more regulated environment in the West.

For local retail in India, the price for a strip of 10 capsules typically ranges from ₹220 to ₹450, depending on the brand.

Generic Brands (e.g., Tacromus, Pangraf, Tacrol): Average ₹325–₹360 per strip of 10.
Premium/MNC Brands (e.g., Prograf by Astellas, Tacsant by Novartis): ₹410–₹600 per strip of 10.
Per Unit Cost: Approximately ₹22 to ₹45 per 1 mg capsule.

From your perspective as a trading and exporting firm in Mumbai, wholesale bulk prices are significantly lower:

Domestic Wholesale: Bulk purchases for hospitals or pharmacies can bring the price down to ₹180–₹250 per strip.
Export Pricing (FOB Mumbai): For international markets, generic Tacrolimus 1 mg is often priced between $5.00 and $7.00 per box (of 60 or 100 capsules) depending on quantity and dossier requirements.

In the US market, the price difference between generic and brand-name is stark:

Generic (No Insurance): 60 capsules of generic 1 mg average around $135 (approx. $2.25 per capsule).
Brand Name (Prograf): Can exceed $200 for 5 mg strengths, with 1 mg versions significantly higher than Indian generics.
With Insurance: Many patients pay a copay as low as $3.00.

From a production and B2B standpoint at your facility:

The “Bioequivalence” USP: For your marketplace, market your 1 mg capsules as “Bioequivalent to Prograf.” This is the primary concern for B2B buyers in the transplant segment, where therapeutic windows are narrow.
Stability & Packaging: Tacrolimus is highly sensitive to moisture. Utilizing Alu-Alu blister packaging is mandatory to ensure a 36-month shelf life in Zone IVb tropical regions.
Dossier Support: We provide full CTD/eCTD Dossiers to support your firm’s registration in international health tenders and for bidding on hospital supply contracts.

Tacrolimus Tablets