Generic spironolactone is relatively affordable at under $1 per pill. Branded spironolactone, or Aldactone, is also generally available at under $1 per pill at many pharmacies. Different insurance plans may cover any out-of-pocket costs for spironolactone. Spironolactone and Aldactone pills are not available over-the-counter (OTC) and require a valid prescription from a medical provider. Spironolactone coupons are also available at times online. Farmington Drugs & Medical Supplies takes pride in offering the most cost efficient services and prescriptions to our patients.I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.