Repatha costs $500-$700/month without help. Learn how to pay as little as $5/month with the Amgen copay card, patient assistance programs, and other savings strategies.
Let's start with the number that makes most people's eyes widen: Repatha (evolocumab) costs approximately $500–$700 per month at retail cash price, or about $5,850 per year at Amgen's net list price. For a medication you may need to take for the rest of your life, that's a serious financial commitment.
But here's what many patients don't realize: most people with commercial insurance can get Repatha for as little as $5 per month, and uninsured patients may qualify to receive it completely free. The key is knowing which programs exist and how to access them.
Without any insurance or discount programs, here's what you're looking at:
These are cash prices — what you'd pay without insurance, a copay card, or any discount program. The actual price varies by pharmacy, so it's worth comparing options.
Repatha is a biologic medication — a complex protein manufactured using living cells, not a simple chemical compound like most pills. Biologics are significantly more expensive to develop, manufacture, and store than traditional drugs. There's also no generic version available yet; biosimilars (the biologic equivalent of generics) are still in development.
This is the single most impactful savings program for Repatha and should be the first thing you set up:
If you have commercial insurance and your copay for Repatha is $200/month, the copay card brings it down to $5. This single program eliminates the cost barrier for the majority of commercially insured patients.
Discount cards like GoodRx, SingleCare, and RxSaver can sometimes help, but their effectiveness for specialty biologics like Repatha is limited:
Bottom line: For Repatha specifically, the Amgen copay card is almost always a better deal than third-party discount cards. Use GoodRx or SingleCare only if you don't qualify for the manufacturer program.
If you're uninsured, underinsured, or on government insurance with high out-of-pocket costs, these programs can help:
This is Amgen's patient assistance program that provides free Repatha to qualifying patients:
A bridge program for patients experiencing insurance access delays:
If your insurance doesn't cover Repatha well, it may cover a competitor better:
Prices can vary between specialty pharmacies, even with insurance. Use Medfinder to compare pricing and availability across pharmacies in your area.
If you're on Medicare and struggling with Repatha costs:
Some specialty pharmacies offer 90-day supplies, which can reduce per-dose costs and shipping frequency. Ask your specialty pharmacy about extended fill options.
Repatha doesn't have to break the bank. Here are the key takeaways:
For more on accessing Repatha, check out our guides on how to find Repatha in stock, why Repatha is hard to find, and alternatives to Repatha if cost remains a barrier.
You focus on staying healthy. We'll handle the rest.
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