Key takeaways

  • Evenity (romosozumab-aqqg) is a prescription injection used to treat postmenopausal osteoporosis. The drug’s cost may depend on whether you have health insurance and the cost of doctor visits to receive your injection.
  • There are several options to help reduce the cost of Evenity, such as manufacturer support programs and copay cards.
  • Having insurance coverage, especially obtaining prior authorization, is helpful to avoid paying the full price for Evenity.

The price you pay for Evenity can vary. Your cost may depend on your treatment plan and your insurance coverage (if you have it). It will also depend on how much you have to pay for an office visit with your doctor to receive Evenity.

To find out how much you’ll pay for Evenity, such as the cost per year or per month, talk with your doctor or insurance provider.

The cost of Evenity without insurance versus with insurance can vary based on several factors. Generally, the cost is lower with health insurance than without insurance.

Some factors that may affect the cost of Evenity without insurance include:

  • the cost of visits to your doctor’s office or clinic to receive your injections
  • whether you qualify for any cost savings programs, such as Amgen SupportPlus resources from Evenity’s manufacturer

The same factors affect the cost of the drug if you’re paying through insurance. In addition, your cost with insurance may depend on:

  • your particular plan benefits
  • any prior authorization requirements for your plan (see the “Insurance considerations” section for more information)
  • whether you qualify for Evenity’s copay program for people with private insurance (see the “Can I get help paying for Evenity?” section for more details)

To find out more about your cost with and without insurance, check with your doctor, pharmacist, or insurance provider.

Below are answers to some frequently asked questions about Evenity and cost.

Is Evenity covered by Medicare?

It’s possible. There are different Medicare plans, and each plan can vary in its drug coverage. Medicare coverage for Evenity will depend on the benefits of your specific plan.

For example, most of the cost to receive Evenity at your doctor’s office may be covered by Medicare Part B. And if you also have a supplemental Medigap plan, it may cover your out-of-pocket costs to receive Evenity.

To find out if your Medicare plan covers Evenity, call your plan provider. They can tell you the cost of Evenity based on your plan benefits. You can also get details on how to pay for Evenity with Medicare on the manufacturer’s website. Your doctor can also talk with you about Medicare coverage for Evenity.

How does the cost of Evenity compare with the cost of Prolia?

Your cost of Prolia or Evenity may depend on certain factors, such as:

  • whether you have health insurance or are paying out of pocket
  • the specific benefits of your health insurance plan
  • any additional savings programs available to you

The cost of either drug is usually lower with health insurance than without insurance. If you have private insurance, both Prolia and Evenity currently have a copay savings program available. (See the “Can I get help paying for Evenity?” section for more details about Eventiy’s copay program)

Your cost could also depend on how much you need to pay for an office visit to receive Evenity or Prolia injections. For Evenity, you’ll receive an injection once per month for 12 months. For Prolia, you’ll receive an injection once every 6 months for as long as your doctor recommends.

Your doctor can tell you more about the exact cost of Evenity versus Prolia based on your situation.

Evenity is a biologic drug, which means it’s made from parts of living organisms. It doesn’t come in a biosimilar form. Biosimilars are like generic drugs. But unlike generics, which are made for nonbiologic drugs, biosimilars are made for biologic drugs.

Why is there such a cost difference between biologic drugs and biosimilar drugs?

Biologic drugs can be expensive because of the research and testing needed to ensure their safety and effectiveness. The drugmaker of a biologic drug can sell it for up to 12 years. When the biologic drug’s patent expires, other drugmakers can create biosimilar versions. This competition in the market may lead to lower costs for biosimilars. And because biosimilars are very similar to biologic drugs, they don’t need to be studied again. This can also lead to lower costs for biosimilars.

If you need help covering the cost of Evenity or understanding your insurance, check out these resources:

On these sites, you can find insurance information, details on drug assistance programs, and links to savings cards and other services. The Evenity website provides resources for people with and without insurance.

If you don’t have insurance, a program called Amgen SupportPlus could cover the cost of your medication. To learn if you’re eligible for assistance, call 866-264-2778.

If you have questions about how to pay for your prescription, talk with your doctor.

You may want to consider the following information if you have insurance and are prescribed Evenity.

Prior authorization: If you have insurance, your insurance company may require prior authorization before it covers Evenity. This means the company and your doctor will discuss the drug in regard to your treatment. The insurance company will then determine whether Evenity 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 Evenity requires prior authorization.

Type of insurance coverage: Evenity is given by your doctor or another healthcare professional. If you have insurance, the price of your Evenity doses may be billed through your medical coverage instead of the prescription drug portion of your insurance plan. This depends on your specific insurance plan and where you receive your Evenity doses, such as at your doctor’s office, an infusion clinic, or a hospital. If you have questions about this process, contact your doctor or your insurance provider.

Disclaimer: Healthline 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.