Orlistat pricing varies wildly by source. This guide shows where to buy cheapest and how much you will actually pay.

Orlistat Pricing by Source

Alli (60mg, OTC): Boots £15, Superdrug £14.99, Amazon £12-16 per box (42 capsules)

Xenical (120mg, Prescription, NHS): Free if eligible (BMI 28+ with risk factors)

Xenical (120mg, Private): £40-80 per month depending on pharmacy

Generic Orlistat (120mg, Online): £99-150 per month with online consultation

Annual Cost Comparison

Alli: £180-240/year (24 boxes). Best for occasional use or testing.

Xenical Private: £480-960/year. Moderate cost with medical oversight.

Generic Online: £1,188-1,800/year. Highest upfront but similar to private Xenical.

NHS (if eligible): Free. Significant saving for eligible patients.

How to Minimize Cost

1. Start with Alli (£15/box) to test tolerance before committing to prescription strength.

2. Check NHS eligibility. Free orlistat saves £480-960/year.

3. Buy generic online in bulk (3-month supply) for modest discount vs monthly.

4. Compare online pharmacies: prices vary by £20-30/month between providers.

Hidden Costs to Factor

Online providers include consultation fees (£20-40) in advertised price. Private prescriptions add £25-35 per consultation. Factor these into annual budgets.

Best Value Options

Budget: Alli from Boots (£15/box)

Mid-range: NHS Xenical if eligible (free)

Premium with support: Generic online (£99-150/month with consultation included)

Savings Strategy

If not NHS-eligible, start Alli for 4 weeks (£30-40 cost). If it works, move to generic online subscription (£1,200/year saves £200-300 vs private Xenical).