Kerendia costs $670-$950/month without insurance. Learn how to save with coupons, the Bayer Savings Card, patient assistance programs, and more in 2026.
Kerendia (Finerenone) is an important medication for protecting your kidneys and heart — but its price tag can be a shock. Without insurance, a 30-day supply of Kerendia costs between $670 and $950 depending on the pharmacy and dosage. That's over $8,000 a year out of pocket.
The good news? There are several ways to significantly reduce what you pay for Kerendia. In this guide, we'll cover every option available in 2026 — from manufacturer savings cards to patient assistance programs to discount cards.
Here's what you can expect to pay for Kerendia at the pharmacy counter without any insurance or discount:
Both strengths are typically priced similarly. The exact cost depends on the pharmacy. Specialty pharmacies may have slightly different pricing than retail chains.
There is no generic version of Kerendia available. The active ingredient, Finerenone, is under patent until approximately 2029. Until generic versions enter the market, the brand-name price will remain high.
Bayer, the manufacturer of Kerendia, offers a Kerendia Savings Card for eligible patients with commercial (private) insurance. With this card, you may pay as little as $0 per month for your Kerendia prescription.
Who qualifies:
Who does NOT qualify:
The savings card has a maximum annual benefit limit. Once you hit that limit, you'll pay your regular insurance copay for the remainder of the year. To enroll, visit Bayer's Kerendia savings website or ask your doctor's office for details.
If you are uninsured or underinsured and meet certain income requirements, Bayer's Patient Assistance Program may provide Kerendia to you at no cost.
How it works:
This program is a lifeline for patients who cannot afford Kerendia and don't have insurance that covers it. Your doctor's office or a social worker can help you with the application.
Even if you don't qualify for the manufacturer's programs, prescription discount cards can help reduce the cost of Kerendia. These are free to use and accepted at most pharmacies. Here are some popular options:
These discount cards are not insurance — they're free coupons that negotiate a lower price with the pharmacy. You can use them even if you have insurance, especially if your insurance copay is higher than the discount card price.
Important tip: Always compare your insurance copay with the discount card price. Sometimes the discount card price is actually lower, especially if you haven't met your insurance deductible yet.
If you have Medicare Part D, Kerendia may be covered on your plan's formulary. However, coverage and copay amounts vary significantly between plans:
Review your Medicare plan's formulary during open enrollment to ensure Kerendia is covered, and compare plans if your current one has high out-of-pocket costs for this medication.
Here are additional strategies that can help reduce your Kerendia costs:
Many insurance plans offer lower copays for medications ordered through their mail-order pharmacy. You can often get a 90-day supply for the cost of two monthly copays. Ask your insurance company about their mail-order options for Kerendia.
Some states offer additional prescription drug assistance programs for residents who meet income qualifications. These programs can supplement Medicare coverage or provide assistance to uninsured patients. Check with your state's department of health or aging services.
Organizations like NeedyMeds (needymeds.org), RxAssist (rxassist.org), and RxHope (rxhope.com) maintain databases of patient assistance programs and may help connect you with additional resources for affording Kerendia.
If cost remains a barrier despite all available programs, discuss alternatives with your doctor. Generic MRAs like Spironolactone ($4–$20/month) and Eplerenone ($15–$60/month) are far less expensive, though they have different side effect profiles. Read more in our guide on alternatives to Kerendia.
Kerendia is an expensive medication, but you don't have to pay full price. Between the Bayer Savings Card (potentially $0 copay for commercially insured patients), the Patient Assistance Program (free medication for qualifying uninsured patients), discount cards (around $672/month), and Medicare coverage options, there are real ways to bring the cost down.
The most important thing is to not skip your medication because of cost. Kerendia plays a critical role in protecting your kidneys and heart, and missing doses can set back your treatment progress.
If you're also having trouble finding Kerendia at your pharmacy, use Medfinder to search for nearby pharmacies with it in stock. And for more information about this medication, explore our other Kerendia guides:
You focus on staying healthy. We'll handle the rest.
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