Ajovy copay card and savings guide

In this article:

• How much does Ajovy cost without insurance?
• How to save money on Ajovy
• Does insurance cover Ajovy?
• Is there a cheaper alternative to Ajovy?

In this article

• How much does Ajovy cost without insurance?
• How to save money on Ajovy
• Does insurance cover Ajovy?
• Is there a cheaper alternative to Ajovy?

Ajovy (fremanezumab-vfrm) is a brand-name prescription medication that’s approved by the Food and Drug Administration (FDA) for the preventive treatment of migraine in adults and episodic migraine in children 6 and older who weigh at least 45 kilograms. Ajovy is an injectable medication that’s self-administered via a prefilled autoinjector pen or syringe once per month or once every three months. Each pen or syringe can be expensive without insurance, but an Ajovy coupon or savings program may lower your out-of-pocket costs. We’ll share how you can save on Ajovy in this guide.

How much does Ajovy cost without insurance?

Without insurance, Ajovy costs an average of $1,042 for one, 1.5 mL of 225 mg/1.5 mL pen as of the time of publication. Prices fluctuate and vary by pharmacy.

Two dosing schedules are available for Ajovy:

• 225 mg each month (1 pen or syringe)
• 675 mg every 3 months (3 consecutive pens or syringes)

Regardless of the dosing schedule your healthcare provider prescribes, you will need 12 Ajovy pens or syringes per year. That totals more than $12,000 per year without insurance or discounts. 

How to save money on Ajovy

Several Ajovy savings cards and assistance programs are available to help you save money on Ajovy. Each discount program has different eligibility requirements, and they can’t be combined. Find out which one is right for you.  

1. Ajovy coupons from SingleCare

SingleCare is a free prescription discount program that anyone can use to save on their prescriptions. By presenting your SingleCare Ajovy coupon at a participating pharmacy, you could pay as little as $690 per 1, 1.5 mL of 225 mg/1.5 mL autoinjector pen or syringe. That’s a savings of $352 per month and over $4,100 per year. SingleCare prices vary by quantity, strength, form, and pharmacy, so your actual savings may be different. 

Here’s how it works:

1. Go directly to the Ajovy coupon page or search for Ajovy in the search bar via the SingleCare app or website.
2. Enter your ZIP code.
3. Adjust the form, dosage, and quantity.
4. Compare Ajovy discount prices at participating pharmacies near you.
5. Click or tap the “Get free coupon” button next to your chosen pharmacy.
6. Print, text, or email your unique SingleCare prescription discount card to save it for later.
7. When collecting your Ajovy prescription, show the pharmacist your SingleCare card to receive the discount.

SingleCare coupons can’t be combined with other savings options. You can use SingleCare coupons if you have insurance, but you can’t use them together. Consider using SingleCare if you have no insurance coverage, your prescription drug plan doesn’t cover Ajovy, or your Ajovy copays are too high. 

2. Ajovy copay card

Teva Pharmaceuticals, the manufacturer of Ajovy, offers an Ajovy savings card for U.S. residents who have a commercial prescription insurance plan. People with no health insurance or government-funded insurance (like Medicare or Medicaid) aren’t eligible to use this card. 

Those who qualify may pay as little as $15 per injection. However, out-of-pocket costs may vary. Additionally, your costs may not count toward your annual deductible.  

Teva Pharmaceuticals will pay up to $3,500 toward your Ajovy prescription per year if your insurance company covers this medication. If your insurance company doesn’t cover Ajovy, this savings card will lower the out-of-pocket cost to $250 per injection for up to three Ajovy injections per year. 

3. Patient assistance program

The Teva Cares Foundation covers the full cost of Ajovy for patients who meet certain eligibility requirements. There’s no charge for applying to the program, and if you’re approved, you’ll need to reapply every year to continue receiving benefits.

To be eligible for this program, you must live in the U.S. and have a valid Ajovy prescription from a healthcare provider who practices in the U.S. You must also have a pre-tax household income that’s 300% of the federal poverty level or lower. If your household income is 150% or less than the federal poverty level, you must submit documentation showing that you’ve been denied coverage from the Medicare Extra Help low-income subsidy program.  

4. Medicare Extra Help

If you have limited income and are eligible for or enrolled in a Medicare prescription drug plan (Medicare Part D), you may qualify for a low-income subsidy program called Extra Help. 

You must show proof of limited income and resources when applying for Extra Help.

If you qualify for Extra Help, you’ll pay $0 in plan premiums and deductibles. In 2026, generic prescriptions cost no more than $5.10 each, whereas brand-name prescriptions like Ajovy cost up to $12.65 each.

Once Medicare Extra Help has paid $2,100 on your behalf, all of your prescriptions are free for the rest of the year. 

Does insurance cover Ajovy?

Insurance coverage for Ajovy varies considerably, so it’s best to check your plan’s drug formulary for details.

“Some insurance companies allow the use of newer therapies [like Ajovy] without much pushback,” says Ankit Patel, MD, a neurologist at Memorial Hermann Mischer Neuroscience Associates in Katy, Texas. “However, others may require that patients try and fail at least one or two different oral therapies in two or three different classes (potentially a total of two to six medications) before they approve the newer therapies.”

This process is called step therapy. Dr. Patel explains that these restrictions can sometimes lead to weeks of trial and error before insurance will cover a newer treatment like Ajovy. But it all depends on the specific terms of your health insurance plan. 

If your plan’s drug formulary doesn’t cover Ajovy at all, your healthcare provider can submit an exception request on your behalf. Submitting an exception request doesn’t guarantee coverage, but it could save you a lot of money if approved. 

Is there a cheaper alternative to Ajovy?

Ajovy can be an expensive medication, even with insurance and discounts. Talk to your healthcare provider about your financial concerns. They may be able to suggest other migraine prevention medications covered by your health insurance plan or with more affordable retail costs.

“When affordability is a concern, I typically start with older, well-established options such as beta blockers, amitriptyline, or Topamax [topiramate],” says Hany Demian, MD, a pain management specialist based in Naples, Florida. “In certain cases, I may also use short courses or combinations involving medications like prednisone or, less commonly, Lasix [furosemide], depending on the patient’s presentation.”

As for the most effective Ajovy alternative, Dr. Demian prefers Botox. “I still consider Botox to be the gold standard for migraine prevention. Patient compliance is extremely high, side effects are minimal, and effectiveness approaches 90% in the right candidates. And frankly, patients appreciate the added benefit of looking and feeling better overall.” 

Dr. Patel believes the most effective and tolerable migraine treatments are monoclonal antibodies targeting the calcitonin gene receptor peptide (CGRP) pathway, a class of drugs that includes Ajovy and alternatives like Aimovig (erenumab-aooe) and Emgality (galcanezumab-gnlm). He also suggests Qulipta (atogepant) and Nurtec (rimegepant).

Botox, Aimovig, Emgality, Qulipta, and Nurtec can be just as pricey as Ajovy, but it’s worth finding out whether your insurance plan will cover these alternatives and asking your healthcare provider if they’re right for you.

Bottom line

If your insurance plan won’t cover Ajovy, you don’t have to pay its full retail price. A variety of savings cards and financial assistance programs are available for people with commercial insurance, government-funded insurance, or no insurance. If these programs won’t work for you, talk to your healthcare provider about more affordable migraine treatments.

The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of March 5, 2026. Prices vary by pharmacy. Visit our Ajovy coupon page for updated Ajovy prices near you.