Key takeaways:
Veozah (fezolinetant) is a brand-name medication that relieves menopause hot flashes. The average retail cost for a 30-day supply of Veozah without insurance is $685.39.
Many insurance plans cover Veozah. But your plan may require you to get prior authorization or do step therapy first.
If you have commercial insurance, you may be able to pay as little as $0 for your first month of Veozah with a manufacturer copay savings card. After that, refills may cost as little as $30 per month with the card. A patient assistance program is also available for people who are uninsured.
Save on related medications
There are many medications available for managing hot flashes caused by menopause. If you’re looking for a hormone-free option, you and your prescriber may be considering Veozah (fezolinetant). This oral tablet works in areas of your brain that help regulate body temperature.
With an average retail price of over $600 per month without insurance, it may seem like Veozah is out of reach at first glance. But there are ways to help lower costs, regardless of insurance status.
How much does Veozah cost without insurance?
As of January 2025, the manufacturer’s list price for a 1-month supply of Veozah was $566.50. If you don’t have insurance, you could pay more than this after wholesaler and pharmacy markups.
Veozah comes as a 45 mg tablet that you take by mouth once a day. The average retail price for a 1-month supply of Veozah without insurance is $685.39. And the average cost of a 90-day supply is $2000.48.
Veozah is a brand-name medication. It doesn’t have a generic version available.
What factors affect the cost of Veozah?
Many factors affect the cost of Veozah, including:
Location: Where you live can affect how much you pay for medications. For example, people in Atlanta generally pay less overall for prescription medications than people in Milwaukee.
Pharmacy: Different pharmacies, even in the same neighborhood, may charge different prices for medications. Consider using GoodRx to compare costs at pharmacies in your area before filling your prescriptions.
Quantity: The number of tablets you fill at one time will also affect the total cost.
Insurance and discounts: Using insurance (if you have it) or applying discounts can help you lower your prescription costs.
Does insurance cover Veozah?
Insurance coverage for Veozah varies among plans. Nearly all Medicaid plans and close to 70% of commercial plans cover the medication. And nearly 60% of Medicare and Affordable Care Act (ACA) marketplace plans also cover it.
Across insurance types, it’s common for plans to require prior authorization before they’ll cover Veozah. To get prior authorization, your prescriber will need to submit information to your insurance provider explaining why you need the medication.
Your plan may also require you to complete step therapy before they’ll cover Veozah. Step therapy involves trying another, typically lower-cost, medication to manage your symptoms or condition first.
It’s a good idea to check your insurance plan’s formulary (list of covered medications) and summary of benefits and coverage. You can use these resources to determine if your plan covers Veozah. If you’re unsure, call the member services number on your prescription insurance card for more details.
How different insurance plans cover Veozah
The table below highlights how different insurance providers cover Veozah. It also shows the likelihood of plans requiring prior authorization or step therapy.
Insurance type | Enrollees covered for Veozah | Enrollees required to get prior authorization | Enrollees required to do step therapy |
57.6% | 51.9% | 45% | |
Commercial plans (excluding ACA plans) | 69.1% | 40.6% | 32.9% |
Medicare (Medicare Advantage and Part D plans) | 57.9% | 56.4% | 4.2% |
Medicaid, including state-run and managed care plans | 99.7% | 60% | 16.7% |
Source: Managed Markets Insight & Technology, LLC™, as of September 11, 2025. (See methodology below.)
What to do if Veozah isn’t covered by your insurance
If your insurance doesn’t cover Veozah, consider trying these options:
See if you qualify for Veozah’s manufacturer copay savings card or patient assistance program (discussed below).
Request a formulary exception from your insurance company. If your request is denied, you have the right to appeal the decision to seek coverage.
Discuss alternatives with your prescriber. There are several other options available for managing menopause symptoms. Your plan may offer better coverage for one of these.
When it’s time for open enrollment, compare different health insurance plans to find one that provides better coverage for Veozah.
Ways to save on Veozah
There are ways to save on Veozah with or without insurance. Below are four savings tips to consider.
1. See if you qualify for a copay savings card
If you have commercial insurance, you may pay as little as $0 for your first month of Veozah with a copay savings card. Subsequent refills may cost as low as $30 per month. The card provides up to $4,000 in savings per year.
To be eligible for the Veozah copay savings card, you must:
Have commercial insurance that covers part of your Veozah prescription
Not have government-funded insurance, such as Medicare, Medicaid, or Tricare
Have a valid prescription for Veozah
Live in a U.S. state, Washington, D.C., or Puerto Rico
You can sign up for the Veozah copay savings card online or by texting ‘SAVE’ to 90222. Your prescriber or pharmacist can also help you apply.
2. Check if you’re eligible for a patient assistance program
If you’re uninsured, you may be eligible for Veozah’s patient assistance program. People who meet certain financial requirements may be able to get Veozah at no cost through this program.
To qualify for Veozah’s patient assistance program, you must:
Be uninsured
Have a valid prescription for Veozah
Live in a U.S. state, Washington, D.C., or Puerto Rico
Not be using the Veozah copay savings card
Meet certain financial requirements and be able to submit proof of income
Your prescriber can begin the application process online. For questions about Veozah’s patient assistance program, call 1-866-239-1637 to speak with a representative.
3. Ask about 90-day supplies
Some pharmacies and insurance providers offer discounts when you fill a 3-month supply at once. If discounts are available, this can help lower your monthly Veozah costs in the long run. It will also help reduce the number of trips you make to the pharmacy.
What’s more, some insurance plans may offer lower copays or coinsurance amounts if you fill 3-month supplies through their preferred mail-order pharmacy. Contact your insurance provider to see if this option is available for you.
4. Tap into your HSA, FSA, or HRA
Consider using a health savings account (HSA), flexible spending account (FSA), or health reimbursement arrangement (HRA) to purchase Veozah. These accounts let you use pretax dollars to pay for qualified medical expenses, such as prescription medications. This can help you spend less through tax savings.
Just make sure you review your plan’s details regarding expiration dates. With an FSA, you need to use funds before they expire, which is typically at the end of the plan year. HSA funds roll over and can be saved for later use. HRA funds may or may not roll over, depending on the plan.
The bottom line
Veozah (fezolinetant) is a brand-name medication that can relieve hot flashes caused by menopause. The average retail cost of Veozah without insurance is $685.39 for a 1-month supply. Many insurance plans cover this medication. But you may need to obtain prior authorization or complete step therapy before your plan will cover it.
If you have commercial insurance, you may be able to get your first month of Veozah for as low as $0 with a copay savings card. Subsequent refills may cost as little as $30 per month. If you’re uninsured, you may qualify for Veozah’s patient assistance program, which provides the medication at no cost.
Why trust our experts?
Methodology
We obtained national prescription coverage data for each medication from Managed Markets Insight & Technology (MMIT). The data reflects health insurance coverage as of September 2025.
We calculated the percentage of enrollees in plans that cover each medication by dividing the number of enrollees covered for the medication within a specific insurance channel (e.g., ACA, Medicare, Medicaid) by the total number of enrollees in all plans within that channel.
We determined the percentage of enrollees in plans with a prior authorization requirement by calculating the proportion of enrollees in plans that required prior authorization for the medication within each channel.
Finally, we measured the percentage of enrollees in plans with a step therapy requirement by calculating the proportion of enrollees in plans that imposed step therapy requirements for the medication in each channel.
These estimates, derived from national MMIT coverage data, provide insight into health insurance coverage for each medication. They take into account restrictions such as prior authorization, step therapy, and quantity limits. The percentages are expressed relative to the total number of enrollees covered by various insurance channels, including ACA plans, commercial (excluding ACA) plans, Medicare, and Medicaid (both state-run and managed care plans).
References
Astellas Pharma US. (2025). Wholesale acquisition cost information for Connecticut prescribing practitioners and pharmacists: Veozah (fezolinetant).
Astellas Pharma US. (2026). Veozah - fezolinetant tablet, film coated [package insert]. DailyMed.
Medicaid.gov. (n.d.). Managed care.
Veozah. (n.d.). Savings and support. Astellas Pharma.
Veozah Support Solutions. (n.d.). Patient support. Astellas Pharma.
