Valtoco (diazepam) is a brand-name nasal spray that’s prescribed for cluster or repetitive seizures in adults and some children. The cost of the drug with and without insurance can depend on several factors.

For information about Valtoco, including Valtoco side effects, Valtoco dosage, and how to use the Valtoco nasal spray, visit this article.

As with all medications, the cost of Valtoco can vary. Factors that may affect the price you’ll pay include:

  • your treatment plan
  • your insurance coverage
  • the pharmacy you use
  • whether Valtoco has a savings program (see the “Financial and insurance assistance” section below)

To find out what the cost of Valtoco will be for you, talk with your doctor, pharmacist, or insurance provider. Or look below in the next section to learn how much you can save by using an Optum Perks coupon.

To save money on your Valtoco prescription, explore these Optum Perks coupons.

Save on your Valtoco prescription

Save on Valtoco 10 MG Dose without insurance.

Enter your information:




1 diazepam rectal gel (1 Box)

Save money without using insurance

Simply show the Optum Perks coupon at your preferred pharmacy or order online and instantly save up to 80% without using insurance. The coupon doesn’t expire, so be sure to save it for refills.

Find your pharmacy

Retail price refers to the manufacturer’s published list price and is up to date as of 3/2023. Retail and discounted prices are U.S.-only and can vary based on region and pharmacy. We cannot guarantee that the discounted price listed here will exactly match the price at your pharmacy. Please contact your pharmacy for the exact price.

Optum Perks and Healthline are subsidiaries of RVO Health.



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Valtoco is only available as a brand-name drug. It doesn’t come in a generic version. A generic drug is an exact copy of the active ingredient in a brand-name medication.

Generics tend to cost less than brand-name drugs.


Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.

If you need financial support to pay for Valtoco, or if you need help understanding your insurance coverage, help is available. For example:

  • A program called myNEURELIS is available for Valtoco. For more information and to find out if you’re eligible for support, call 866-696-3873 (1-866-myNEURELIS) or visit the program website.
  • Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:

To learn more about saving money on prescriptions with or without insurance, check out this article.

Here are answers to some frequently asked questions about drug cost and Valtoco.

Why is Valtoco so expensive?

Valtoco is a brand-name drug. Typically, brand-name drugs are more expensive than generics.

If you can’t afford Valtoco, there may be resources to help assist with paying for your prescription. See the Financial assistance section above for more information.

And, to find out more about Valtoco cost and coupons, see the above section, Valtoco coupons and savings.

How does Valtoco’s cost compare with that of Nayzilam’s cost?

The price you would pay for Valtoco versus that of Nayzilam (midazolam) depends on various factors.

Some factors that can affect your prescription cost include:

  • the length of your treatment
  • whether there are payment assistance programs for your prescribed treatment
  • whether you’re paying out of pocket or have insurance

To learn more about the cost of Valtoco compared with other treatments for your condition, talk with your doctor, pharmacist, or insurance provider.

Below is information you may want to consider if you have insurance and receive Valtoco.

If you have insurance, your insurance company may require prior authorization before it covers Valtoco. This means the company and your doctor will discuss Valtoco in regard to your treatment. The insurance company will then determine whether the medication is covered.

If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Valtoco requires prior authorization.

Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.