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Key takeaways
Some insurance and Medicare plans may cover Ajovy, but others won’t.
Ajovy’s manufacturer offers a discount card, but people enrolled in government-sponsored programs such as Medicare or Medicaid are not eligible.
Several alternatives to Ajovy might be cheaper or have better insurance coverage, including beta blockers, triptans, and other CGRP antagonists.
Anyone who’s had a migraine knows how disruptive it can be. In the moment, your focus is likely on getting relief, but once it passes, preventing the next migraine becomes the priority. Ajovy (fremanezumab-vfrm) is a preventive migraine treatment taken monthly or quarterly to help reduce how often migraines occur, but with its high cost, many patients look for ways to make it more affordable. The Ajovy copay card is a reliable option that can lower out-of-pocket expenses, though there are a few important details to understand before applying.
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Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.
How much does Ajovy cost?
Ajovy can be expensive for people without insurance. The average price is around $1,042 for one pen of 1.5 mL of 225 mg/1.5mL, which is typically a one-month supply. Over time, that can add up to more than $12,000 annually.
Insurance coverage for Ajoy varies by plan. Some plans may cover it, but coverage is not guaranteed. Because Ajovy is an expensive, brand-name only drug, and there are more affordable alternatives available, insurance providers may require prior authorization, step therapy, or quantity limits.
Because of these restrictions, your out-of-pocket cost will depend on your specific plan coverage requirements and whether Ajovy is approved.
How to save money on Ajovy
Insurance coverage isn’t an option for everyone, but there are a few other ways to save on Ajovy, including coupons, patient assistance programs, government assistance, and price comparisons.
1. Free Ajovy coupons
SingleCare offers discounts for thousands of prescription drugs, including Ajovy.
With a coupon, you could pay as little as $690 per 1.5ml of a 225 mg/1.5 mL pen at certain Kroger pharmacies instead of $1,042. SingleCare prices vary by quantity, strength, form, and pharmacy. Signing up for a SingleCare discount card is optional and always free, but our registered members get access to our lowest prices on Ajovy and other medications. Present your free coupon at a participating pharmacy to apply the savings.
2. Manufacturer copay card
The manufacturer of Ajovy, Teva Pharmaceuticals, offers a savings program, often referred to as a copay card, for eligible patients. Some patients with commercial insurance may pay as little as $15 per month.
However, not everyone qualifies. Patients who are uninsured or enrolled in government-funded programs such as Medicare, Medicaid, TRICARE, or VA benefits are typically not eligible. A valid prescription and commercial insurance are required to use the manufacturer’s Ajovy copay card.
3. Medicaid
Medicaid is a government program that helps people cover the cost of prescription medications. To qualify for Medicaid, individuals must meet income requirements that vary by state.
RELATED: Does Medicaid cover Nurtec?
4. Medicare Extra Help
Medicare beneficiaries may also qualify for the Extra Help program, which helps pay for prescription drug costs. There are income limits, but if you qualify, you’ll pay no more than $12.65 for Ajovy if your Part D plan covers it. Coverage varies by plan, and prior authorization may be required.
5. Patient assistance programs
Some non-profits, such as the Patient Advocate Foundation and the PAN Foundation, also offer prescription assistance to eligible patients. These programs also usually have eligibility requirements, though they may still be worth exploring.
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?
Are there alternatives to Ajovy? Absolutely. Are they less expensive? Not always. Some options might cost significantly less, while others are similarly priced, or even more expensive. But that doesn’t account for insurance, and some insurance providers might offer better coverage for one of these alternatives. Here are a few of the most common Ajovy alternatives:
- Other CGRP antagonists: Drugs like Aimovig (erenumab), Emgality (galcanezumab-gnlm), and Nurtec (rimegepant) work similarly to Ajovy, but they often have comparable retail prices.
- Beta blockers: Typically prescribed for cardiovascular conditions, drugs like Inderal LA (propranolol) and Toprol XL (metoprolol) can help prevent migraines by widening blood vessels in the brain and blocking the effects of certain chemicals. They are also significantly cheaper than Ajovy, especially with SingleCare coupons.
- Triptans: Medications like Imitrex (sumatriptan), Maxalt (rizatriptan), and Relpax (eletriptan) target blood flow and pain signals in the brain and are often less expensive than Ajovy. However, they are typically used to treat migraines rather than to prevent them.
- NSAIDs: Over-the-counter versions of aspirin and ibuprofen are much cheaper than Ajovy and other prescription migraine medications. Though they are also used for migraine treatment rather than prevention
How to choose the right Ajovy alternative
Of course, choosing a new medication isn’t always straightforward. Your healthcare provider can help determine the best option for you based on your medical history, overall health, and treatment goals.
Always consult a healthcare provider before discontinuing Ajovy treatment and starting a new drug.
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 don’t work for you, talk to your healthcare provider about more affordable migraine-preventive treatments.
- AJOVY- fremanezumab-vfrm injection, DailyMed
- Fremanezumab-vfrm injection, MedlinePlus
- How to get help with your prescription drug costs, National Council on Aging (2025)
- Effect of fremanezumab monthly and quarterly doses on efficacy responses, Headache (2020)
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