Written by Stephanie Anderson Witmer
Medically Reviewed by Dr. Paul Hetrick, PharmD
Published: Nov 19, 2024

Key takeaway: Anxiety medications span several drug classes — SSRIs, SNRIs, benzodiazepines, beta-blockers, and others — each suited to different anxiety profiles and severity levels. Most are available as affordable generics. Cost with insurance varies widely, but telehealth platforms make evaluation and prescribing more accessible and often more affordable than in-person psychiatry.
Need help navigating anxiety medication options? Klarity’s 2,000+ licensed providers can evaluate your symptoms and recommend the right medication online, with same-day appointments available. Insurance may cover your visit. See if you may qualify →
Coverage varies by plan. Verify your benefits before booking.
Plenty of treatment options exist to help with anxiety disorders, including prescription medication. Here are the main types of anxiety medications, how they work, and their potential side effects.
The 4 most common types of anxiety medication prescribed by healthcare providers are:
Other medications including beta-blockers, anticonvulsants, and antihistamines are also prescribed off-label for anxiety.
Benzodiazepines are the strongest and fastest-acting anxiety medications. Some start to work within minutes, making them a good choice for managing panic attacks. They enhance the effects of GABA, which inhibits brain activity and prevents excess stimulation. Common examples: Valium (diazepam), Xanax (alprazolam), and Ativan (lorazepam).
Pros: Work very quickly, effective and widely studied, provide short-term relief.
Cons: High risk of dependence and addiction, may cause drowsiness, can have significant withdrawal symptoms.
SSRIs are the first-line treatment for anxiety disorders and are generally safe and well-tolerated. They increase serotonin levels by slowing reabsorption, extending its positive effects on mood and anxiety. Common examples: Prozac (fluoxetine), Zoloft (sertraline), Lexapro (escitalopram).
Pros: Non-addictive, effective, suitable for long-term use.
Cons: Can take several weeks to work, some can cause sexual dysfunction.
SNRIs work on both serotonin and norepinephrine, making them useful when SSRIs aren’t working. Common examples: Effexor (venlafaxine), Cymbalta (duloxetine), Pristiq (desvenlafaxine).
Pros: Work with 2 neurotransmitters, suitable for long-term use.
Cons: May take several weeks, can increase blood pressure.
| Medication | Generic Name | Drug Class | Est. Cost Without Insurance (30-day) | Est. Cost With Insurance (typical copay) |
|---|---|---|---|---|
| Zoloft | Sertraline | SSRI | $10–$25 (generic) | $0–$15 (tier 1 generic) |
| Lexapro | Escitalopram | SSRI | $10–$25 (generic) | $0–$15 (tier 1 generic) |
| Effexor XR | Venlafaxine | SNRI | $15–$40 (generic) | $5–$20 (tier 1-2 generic) |
| Cymbalta | Duloxetine | SNRI | $15–$40 (generic) | $5–$20 (tier 1-2 generic) |
| Buspar | Buspirone | Azapirone | $15–$30 (generic) | $0–$10 (tier 1 generic) |
| Xanax | Alprazolam | Benzodiazepine | $15–$30 (generic) | $5–$20 (tier 2 controlled) |
| Ativan | Lorazepam | Benzodiazepine | $15–$30 (generic) | $5–$20 (tier 2 controlled) |
| Inderal/Propranolol | Propranolol | Beta-blocker | $10–$20 (generic) | $0–$10 (tier 1 generic) |
| Vistaril/Atarax | Hydroxyzine | Antihistamine/anxiolytic | $10–$25 (generic) | $0–$10 (tier 1 generic) |
| Paxil | Paroxetine | SSRI | $15–$35 (generic) | $0–$15 (tier 1 generic) |
Prices are estimates based on GoodRx data as of 2026 and vary by pharmacy, location, and insurance formulary. Coverage varies by plan. Verify your benefits before booking.
Ready to explore anxiety medication options? Klarity’s 2,000+ licensed providers can evaluate your anxiety, discuss medication options from this list, and prescribe appropriate treatment online. Check if your plan may cover this →
Coverage varies by plan. Verify your benefits before booking.
SSRIs — particularly sertraline (Zoloft) and escitalopram (Lexapro) — are the most commonly prescribed first-line medications for anxiety disorders. They are preferred because of their favorable side-effect profile, non-addictive nature, and broad efficacy across anxiety subtypes.
Most commonly prescribed generic anxiety medications are covered by insurance, typically at tier-1 or tier-2 formulary levels with $0-20 copays. Brand medications and newer options may require prior authorization. Coverage varies by plan. Verify your benefits before booking.
Yes — non-controlled anxiety medications (SSRIs, SNRIs, buspirone, hydroxyzine, beta-blockers) can be prescribed via telehealth in all states. Benzodiazepines are controlled substances and subject to additional prescribing regulations; a provider will determine eligibility during your visit.
SSRIs and SNRIs typically require 4-6 weeks at a therapeutic dose to produce full anxiolytic effects. Non-antidepressant options like hydroxyzine and benzodiazepines work within 30-60 minutes for acute symptoms. Buspirone requires 2-4 weeks.
Klarity connects patients with 2,000+ licensed US providers who can evaluate your anxiety, recommend medications from this list that fit your profile, and manage your treatment online — often with same-day appointments and insurance billing.
Find the right provider for your needs — select your state to find expert care near you.