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With the Patient Assistance Program from Pfizer, you can receive your medication at no cost.

| Dosage | Quantity | Retail price | GoodRx price |
|---|
| 0.65ml of 104mg/ 0.65ml | 1 syringe | $173.54 | $63.62 |
Get an extra $4.65 off Depo-Subq Provera and up to 90% off all prescriptions. Gold plans start at just $9.99/mo. Cancel any time.*
GoodRx coupon prices last updated on 05/01/26.
*Prices subject to change without notice. Sales tax may apply and is not included.