How Much Is Repatha Without Insurance?

Brand vs. generic availability

Repatha is available only as a brand-name medication. It’s also a biologic, meaning it’s made using living systems, such as animal cells. Because biologics are complex, they can’t be copied exactly like traditional medications. Instead, similar versions called biosimilars may be developed and often cost less.

But there are no biosimilars for Repatha, which contributes to its higher price.

Dosage and quantity

Your Repatha dosage schedule can affect your total cost. Repatha is typically given as 140 mg every 2 weeks or 420 mg once monthly. In some cases, the 420 mg dose may be given every 2 weeks.

The 140 mg every-2-weeks regimen requires 2 autoinjectors per month. With the Pushtronex system discontinued, the 420 mg dose requires three back-to-back injections using autoinjectors. This can increase the number of devices needed per fill, which may raise your overall cost.

Location

Medication prices can vary by region. For example, according to GoodRx research, medications are typically more affordable in Denver than in Little Rock, Arkansas.

Pharmacy

Prices can also vary between pharmacies. Comparing prices at different locations with price-comparison tools like GoodRx may help you find a lower cost.

Insurance coverage

If you have insurance, your price for Repatha will depend on your plan’s formulary, or list of covered medications. Deductibles, copays, and coinsurances may apply. And some plans may require prior authorization or step therapy (trying other medication first) before covering Repatha.

1. Use a GoodRx coupon

GoodRx offers exclusive discounts on Repatha, regardless of insurance status. With a free GoodRx coupon, you could pay as little as $239 for 2 autoinjectors at participating pharmacies.

To access this exclusive discount:

• Go to the GoodRx website, or open the app and type “Repatha” into the search bar.

• Select your dosage form (SureClick) and quantity.

• Select your preferred pharmacy, and click “get coupon.”

• Have your discount information sent to you via text or email, or print it. If you’re using the app, keep the discount ready on your phone’s screen, or save it to your digital wallet.

To avoid delays, tell the pharmacy as soon as possible that you have a GoodRx coupon. Waiting until the pickup window can take more time to reprocess.

2. See if you qualify for a copay savings card

If you have commercial insurance that covers Repatha, you may be eligible for the manufacturer copay savings card. With the card, you could pay as little as $25 for a 1-month supply for $50 for a 3-month supply. To qualify, you must:

• Have commercial insurance that covers Repatha

• Live in the U.S. or a U.S. territory

• Have a valid prescription for Repatha

You can sign up online for the copay card by enrolling in the Amgen Support Plus program. Share the copay card information with your pharmacy to access the discount.

People who are uninsured, have commercial insurance that doesn’t cover Repatha, or have government-funded insurance (e.g., Medicare, Medicaid) aren’t eligible for the card.

3. Check if you’re eligible for a patient assistance program

If you don’t have insurance, you may be eligible to get Repatha for free through the manufacturer’s patient assistance program. To qualify, you must:

• Have lived in the U.S. or a U.S. territory for at least 6 months

• Meet income requirements

• Have no insurance coverage

• Have a valid prescription for Repatha

You can apply online or download an application to be mailed or faxed. Call 1-800-932-3060 if you have questions or need assistance.

4. Ask about 90-day supplies

If you’re responding well to Repatha, you could get 90-day supplies instead of monthly fills. You’ll have fewer trips to the pharmacy and potentially lower out-of-pocket costs. Plus, some insurance plans offer discounted pricing on 90-day supplies at certain pharmacies. Talk to your pharmacy and insurer to see if this is an option for you.

5. Tap into your HSA, FSA, or HRA

You can use tax-advantaged funds from a health savings account (HSA), a flexible spending account (FSA), or a health reimbursement arrangement (HRA) to pay for Repatha. Keep in mind that FSA funds are good for only a certain period of time, while HSA funds roll over every year. HRA benefits may be carried over, depending on the employer. Be sure to keep your receipts to show proof of eligible expenses.

6. Ask your prescriber about lower-cost alternatives

Depending on why you’ve been prescribed Repatha, other cholesterol-lowering medications may be appropriate and more affordable. Most people start with a statin, which is available as a lower-cost generic. Medications like Repatha are often added when statins aren’t effective enough or well tolerated.

There are other nonstatin options your prescriber may consider. This will depend on your health needs and treatment goals.

Why trust our experts?

Written by:

Alyssa Billingsley, PharmD

Alyssa Billingsley, PharmD, is the director of pharmacy content for GoodRx. She has over a decade of experience as a pharmacist and has worked in clinical, academic, and administrative roles.

Reviewed by:

Joshua Murdock, PharmD, BCBBS

Joshua Murdock, PharmD, BCBBS, is a licensed pharmacist in Arizona, Colorado, and Rhode Island. He has worked in the pharmacy industry for more than 10 years and currently serves as a pharmacy editor for GoodRx.

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