Pembrolizumab (brand name Keytruda) has become one of the most effective and widely used immunotherapy drugs for cancer treatment in India. As cancer cases rise and immunotherapy becomes a crucial part of modern oncology, patients and caregivers often ask one critical question — “What is the cost of Pembrolizumab in India?”

This Complete 2026 Guide covers the latest pembrolizumab prices, treatment protocols, factors affecting cost, insurance options, safety information, and expert insights to help families make informed decisions.

Pembrolizumab Cost in India (2026 Updated Prices)

Current Price per Vial (India)

As of 2026, the average cost of Pembrolizumab in India ranges between:

₹1,50,000 to ₹5,00,000 per 100 mg vial

Cost varies significantly based on:

  • Brand (Keytruda vs biosimilars)
  • Hospital pricing
  • Location (Metro vs Tier-2 cities)
  • Availability & import fees
  • Patient assistance eligibility

Total Treatment Cost in India (Full Course)

A typical Pembrolizumab treatment cycle lasts 6 months to 2 years. Depending on dosage frequency (every 3 or 6 weeks), the total treatment cost may fall between:

₹18 lakh to ₹1 crore+ (approx.)

Even though India offers significantly lower prices than Western countries, Pembrolizumab remains financially challenging for most Indian families.

Will The Pembrolizumab Injection Price In India Or The Pembrolizumab Injection Cost In India Differ From Place To Place?

India is a vast country with many states and regions. While the general range of the Pembrolizumab injection price in India or the Pembrolizumab injection cost in India will remain the, it could sometimes differ between places and regions. This may be because of different state laws, the demand, and supply of the medication in that particular region, the pharmacy where the drug may have been bought, etc. The Pembrolizumab injection price in India or the Pembrolizumab injection cost is a significant factor for those who are being tr ate using it, so one must figure out what the price of it is in their region or the pharmacy that they want to buy it from in advance, mainly if they have just been prescribed with it.

Why Have The Costs Related To Healthcare Risen So Much In The Last Few Years?

Healthcare costs worldwide have risen a great deal in the last few years for many reasons. This has dramatically affected patients and how much they can afford treatments to improve any health issues they may face to cure them. The coronavirus pandemic put much pressure on the healthcare industries and healthcare professionals worldwide. Due to the lack of medical staff, resources, the medical services at this time, and manu othe problems, the costs of many medicines and treatments sharply rose. 

There were also other reasons for the this rise, such as political tensions, inflation, etc., that led to increased costs related to healthcare and drugs to treat people. 

It is best for patients to try know about the price of their medications. Many people may want to keep aware of Pembrolizumab cost in India or the cost of Pembrolizumab in India because they are either suffering from a health issue for which they need Pembrolizumab medication. The rising healthcare costs have been a significant burden to many people. There needs to be a proper way of addressing the issue of the rise in health-related expenses and medicines so that people can afford the necessary treatments and medication and do not have to struggle to be able to afford this.

Are There Any Alternative Names For Pembrolizumab?

Many medications have alternative names. These names may be helpful for a range of different reasons. The brand name of the drug is Keytruda. This alternative or brand name of Pembrolizumabmahy is used during treatment by your doctor, oncologist, or any other suitable medical professional.

What Should I Tell My Care Team Before I Take This Medication?

Patients may have or be suffering from some conditions affecting their Pembrolizumab treatment. One must stay aware of them and discuss them beforehand to avoid unwanted situations, reactions, etc. This is very important for the well-being of the patient. 

Your doctor or an appropriate medical professional that is overlooking your treatment with Pembrolizumab may need to know if you have any of the following conditions:

  • Any autoimmune issues or diseases such as Crohn’s disease, ulcerative colitis, or lupus
  • Have you had or are going to have an allogeneic stem cell transplant, which uses someone else’s stem cells at any point 
  • Have any history of organ transplants, whether it be donating an organ to someone or receiving an organ
  • Have you had chest radiation treatment done for any reason 
  • Have experienced issues related to the nervous system like myasthenia gravis or Guillain-Barre syndrome
  • Have you had any reaction to pembrolizumab or any other drugs?
  • Have you had any adverse reactions to foods, dyes, or preservatives?
  • Are you currently pregnant, or are you trying to get pregnant?
  • Are you presently nursing or breast-feeding a child?

How Shall Pembrolizumab Medication Be Used?

Pembrolizumab is a medicine afforded to a person by infusion into a vein. A doctor, oncologist, or any other medical professional or staff may give it in a hospital or clinic setting. While it may be helpful to be aware of and comprehend how Pembrolizumab medication is used or administered, a person must refrain from self-administering it under any circumstances. Pembrolizumab must only be given to a person by a trained medical professional to be safe and attain the best results when it comes to the person’s health.

What Must I Do In Case I Miss A Dose Of Pembrolizumab Medication?

A person taking Pembrolizumab medication must try not to miss a dose. They must take the drug as their doctor has directed them. One must inform their doctor, oncologist, or any other medical professional that they have missed a dose of the medication if they do.

How Will A Patient Be Given A Dose Of Pembrolizumab?

A doctor or any other suitable medical professional will give a person a dose of Pembrolizumab. They must schedule an appointment at a hospital, clinic, or other medical facility. They will be told a date and time. They must then attend the appointment when they are told to. One must try to attend all appointments they have set up to receive the Pembrolizumab injection. If they do not receive the medication at the proper time, this may impact the effect that the treatment is supposed to have on them. This may prolong their treatment. This could sometimes even minimize or eliminate their chances of recovery.

What Side Effects May I Notice From Receiving This Medication?

The primary purpose of any medication is to affect a patient positively. While this may usually be the case, medicines may sometimes have adverse effects too, which patients must try and keep aware of. When patients are aware of the side effects of the medication, they will be able to recognize them much more easily. After identifying them, they can correctly approach the side effects they are facing or get the necessary medical assistance. There are also some side effects that a person may experience when they are taking Pembrolizumab. Patients must be aware of these possible side effects for their good.

Side effects that you must inform your doctor or medical professional about as soon as possible are:

  • Reactions that may be allergic such as rashes on one’s skin, itching or hives, swollen face, lips, or tongue
  • Difficulty or experiencing issues breathing 
  • Issues related to vision
  • Experiencing pain in many parts of one’s body, particularly the chest region 
  • Feeling chills in one’s body
  • Feeling confused for no apparent reason
  • Feeling experiencing constipation
  • Persistent cough
  • Upset stomach 
  • Feeling disoriented or lightheaded
  • The beating of the heart that is fast or irregular
  • An unexplained rise in body temperature or fever 
  • Experiencing flushing
  • Pain in joints
  • Low blood counts as the medicine may reduce the number of white blood cells, red blood cells, and platelets, which may raise the risk of suffering from infections and bleeding
  • Pain in muscles 
  • Weakness in muscles 
  • Pain, tingling, numbness in hands or feet
  • Prolonged and unexplained headache
  • Redness, blisters, peeling or loosening of one’s skin, also inside mouth
  • High blood sugar levels that may lead to dizziness; dry mouth; dry skin; fruity breath; nausea; stomach pain; increased hunger or thirst; increased urination
  • Kidney injury, which may lead to difficulty urinating or changes in urine quantity
  • A liver injury may involve dark urine, stools that are light in color, depletion of appetite, feeling nauseous, pain in the belly, yellowing of eyes or skin
  • Experiencing unexplained sweating
  • Lymph nodes that are swollen 
  • Loss of weight

Side effects may not generally need medical attention, but you must report to your doctor or medical professional if they persist or increasingly bother you over time:

  • Loss of appetite 
  • Loss of hair 
  • Feeling lethargic for no apparent reason

The above list may not cover all the possible side effects that a person could experience while taking this medication. You must inform your doctor or a suitable medical professional if you may need some medical advice or guidance when it comes to the side effects of Pembrolizumab.

Where Should I Keep My Medication?

Properly storing any medication is vital to preserve its original composition and prevent unwanted situations. One may want to know about the storage of Pembrolizumab. Pembrolizumab medication is given to a patient in a hospital, clinic, or other suitable or appropriate medical facility. It is essential to know that medicine is not stored at home. It should only be kept in proper medical facilities or pharmacies away from people who are not appropriate medical staff or medical professionals who do not know how to store or administer it. No children or animals shall come near the medication, and it must be handled professionally.

What Should I Do If I Experience An Overdose Of The Medication?

It would be best if you took Pembrolizumab as has been directed to you by your doctor. Since Pembrolizumab will be given to a patient by a doctor, medical professional, or some medical staff, you may not have to worry about administering the medicine. However, one may still experience an overdose because of human error, where they have been given too much of the drug. In such a situation, wherein you believe you have been given excessive Pembrolizumab medicine, you must act fast and appropriately. If you do not experience any severe or sudden symptoms from taking medication, you may contact your doctor or a suitable medical professional and ask them what you must do. If you experience severe and sudden symptoms from taking the medication, you should contact a poison control hotline or service or an emergency room as soon as possible. You will be able to get the necessary medical assistance for your reactions to the overdose.

Can Pregnant Women Take Pembrolizumab Medication?

People planning to or trying to get pregnant may want to know f they can take Pembrolizumab. One must avoid getting pregnant while taking this medicine or for four months after their final Pembrolizumab dose. People planning on getting pregnant must discuss the same with their doctor or any other suitable medical professional if they want to, are planning to become pregnant, or think they might be pregnant. 

Taking Pembrolizumab medication should be avoided because the medicine could harm the child that has not been born yet and is still in the womb. This is because they receive their food and nutrients from their mother. If the mother takes a strong medication like Pembrolizumab, they may experience some reactions to it. These reactions could be cognitive issues, developmental delays, disabilities, etc. The drug may only be given to a pregnant person in life-saving situations. The best approach to a pregnant person taking Pembrolizumab is to discuss the same with your doctor, gynecologist, or any other appropriate medical professional or pharmacist for more information.

Can Breastfeeding Women Take This Medication?

A breastfeeding person may wonder if they can take Pembrolizumab. While they may sometimes be prescribed this medication, even then, it is a good idea to approach your prescription and use this medication with as much caution as possible. One must try and avoid breastfeeding a child while taking this medicine or for four months after taking their final dose.

Can Children Take This Medication?

One may wonder if children can take Pembrolizumab. One may have to consult their pediatrician when using Pembrolizumab for treating a child. Pembrolizumab could sometimes be prescribed for treating children as young as six months for some health impediments they may be facing. It is still essential to recognize the fact that the state of health of children may be much more sensitive than the state of adults. Therefore, certain precautions may be taken when children receive treatment using Pembrolizumab.

Would I Be Told To Have Some Specific Diet When Being Given Pembrolizumab?

Everybody’s body and state of health are different, even when they suffer from the same medical issues. People may suffer from co-morbidities that make their health more sensitive than others. People may be curious if they have to consume some specific diet while taking Pembrolizumab. While a person may usually not be told to have a particular diet when taking Pembrolizumab, a doctor may sometimes feel like it may help the patient. This will depend on the medical opinion and the patient’s health.

One must continue to take their regular diet unless their doctor advises them to do differently. You may not need to change your diet when taking Pembrolizumab under normal circumstances, but you may inquire about the same from your doctor if you want to know more about this. If your doctor has told you to take the medication before., during, or after some meal, you must follow their directions as this will be for your good.

Monitoring Of The Patient

The health condition of a person may be monitored carefully when they are being given Pembrolizumab. Different kinds of tests may be done on a patient whenever they are undergoing monitoring of the state of their health to ensure that they are no issues. A doctor or medical professional may also recommend getting a blood test or blood work done while taking Pembrolizumab. Monitoring the state of health of a person is vital because this will ensure that they are not experiencing any unwanted effects or reactions to the medicine. Monitoring also helps ensure that the treatment is going as it should and that the medication or the treatment that is being afforded to the patient has the intended effect.

How Will A Doctor Or Medical Professional Determine Whether This Medication Suits Your Treatment?

Every patient has a slightly different state of health, even when suffering from the same disease or health impediment. This may be because of the co-morbidities that they are suffering from, their age, weight, height, etc. The doctor or medical professional will review the sort of cancer that you are suffering from. They will also go over your medical history and the treatments available at the time. This will help to figure out if pembrolizumab may be the right medicine to use when treating you.

Conclusion

Knowing about and understanding different details about a medication you are taking or will take. This will help to ease your confusion and make the treatment process better for you. It also allows the doctor to afford the treatment to you much more reduced as there will be less confusion about the treatment and less explaining what they must do. That will ensure that the treatment goes as intended and planned. In the best-case scenario, the patient may be cured of their health issue, and their health will return to normal before they start being treated for a particular health issue using Pembrolizumab.

FAQs

What is the cost of Pembrolizumab in India in 2026?

Between ₹1.5 lakh to ₹5 lakh per vial, depending on brand and hospital.

Is Pembrolizumab available in Indian hospitals?

Yes, available in major cancer centers across India.

How often is Pembrolizumab given?

Every 3–6 weeks as an intravenous infusion.

Does insurance cover Pembrolizumab treatment?

Some policies cover it partially or fully. Coverage varies by insurer.

Why is Pembrolizumab so expensive?

High production costs, advanced biotechnology, import charges, and limited biosimilars contribute to the price.

pembrolizumab cost in india, Impact Guru
Written By Shivani Gupta

Shivani Gupta is a Healthcare Content Specialist at ImpactGuru, specializing in creating informative content on healthcare awareness, medical fundraising, and patient support in India.