Repatha savings guide and coupons

In this article:

• Cost per month
• Insurance coverage
• How to save money
• Cheaper alternatives

In this article

• Cost per month
• Insurance coverage
• How to save money
• Cheaper alternatives

For people with high cholesterol that isn’t well-controlled by statins alone, Repatha (evolocumab) can be a powerful next step. This injectable medication lowers low-density lipoprotein (LDL) cholesterol and reduces the risk of having a heart attack and stroke. However, Repatha can be expensive and may cost hundreds of dollars per month without insurance, but there are several ways to save. 

How much does Repatha cost per month?

The dosage form your provider prescribes, such as the syringe or SureClick autoinjector pen, determines how much Repatha injections cost.

Repatha cost comparison
Dosage form	Average price without insurance	SingleCare price	Repatha coupons
Repatha syringe	$701.50 per 2, 140 mg/mL syringes	$505.99 per 2, 140 mg/mL syringes at Kroger	Repatha coupons
Repatha SureClick	$699.91 per 2, 140 mg/mL autoinjector pens	$476.19 per 2, 140 mg/mL autoinjector pens at Kroger	Repatha SureClick coupons

RELATED: Cholesterol medication coupons & resources

Does insurance cover Repatha?

Repatha’s manufacturer, Amgen, reports that commercial insurance covers the drug for 98% of patients, while Medicaid covers 93% and Medicare covers 85%. However, most people may need to go through extra steps to get coverage. Amgen states that only about 3 in 10 commercial insurance plans don’t require prior authorization for Repatha coverage. For example, UnitedHealthcare’s Prescription Drug List includes Repatha and Repatha Sureclick, but both forms require prior authorization and step therapy. 

The cost of Repatha can vary by company and specific plan. Under some UnitedHealthcare commercial insurance plans, Repatha is a Tier 2 drug, meaning it can cost more than generic or preferred medications but less than Tier 3 medications. In some Blue Cross and Blue Shield of Texas plans, Repatha is a preferred brand-name medication, and copays range from $20-$60 per prescription based on pharmacy.  

How much does Repatha cost with Medicare?

Most Medicare plans list Repatha in their drug formularies as a Tier 3 preferred brand-name drug, but also require prior authorization and/or step therapy for coverage. Amgen states that about 73% of Medicare prescriptions for Repatha cost $50 or less per month. For example, in 2026, Aetna’s Medicare Assure is a premier plan that covers the full cost of Repatha after prior authorization is granted; however, UnitedHealthcare Medicare plans may cover Repatha as a Tier 3 preferred brand-name drug after prior authorization is approved.

How much does Repatha cost with Medicaid?

Medicaid may also cover Repatha under certain conditions, but coverage varies by state. For example, Rhode Island’s Medicaid plans offer Repatha coverage with prior authorization. Covered medications on these plans don’t always require a copay, and the drug manufacturer states that about 99% of Medicaid prescriptions for Repatha cost $10 or less per month.

How to save money on Repatha

If you don’t have insurance coverage for Repatha or your coverage doesn’t fully cover its cost, there are other ways to save. 

1. Free Repatha coupons

Helpful for: Anyone with a Repatha prescription

You can save hundreds of dollars every month on Repatha by using a SingleCare prescription discount card. Click on the pharmacy with the lowest price to get your coupon. You can save, text, or email it to yourself, or add it to your digital wallet. Then, show it to the pharmacy staff when you fill your prescription, and they’ll give you the discounted SingleCare price.

2. Compare Repatha prices at local pharmacies

Use the SingleCare app or website to compare Repatha coupons at pharmacies near you. Search for Repatha, adjust your prescription details, and enter your ZIP code to compare drug prices at pharmacies near you. You could save an additional $45+ simply by switching pharmacies. Prices fluctuate often, so compare pharmacy prices before each refill to make sure you’re getting the best Repatha coupon.

3. Apply for Medicare Extra Help or Medicaid coverage

Helpful for: People who are eligible for Medicare or Medicaid

If you have Medicare or Medicaid, you may be able to reduce your out-of-pocket costs for Repatha significantly.

For those with Medicare Part D, coverage for Repatha varies by plan, but many plans include it on their formularies. If you qualify for the Low Income Subsidy (Extra Help) program, you’ll pay no more than the maximum copay for brand-name drugs, which changes annually. You can apply for Medicare Extra Help through the Social Security Administration’s website.

Most state Medicaid programs cover Repatha for patients who meet medical necessity criteria, typically those with very high cholesterol or those who haven’t responded to statins. With Medicaid, copays for covered medications are typically $0 per fill, but they may be as high as $8 in some states.

To find out what you can expect to pay, contact your Medicare Part D provider or state Medicaid office for plan-specific details and to see if you qualify for additional assistance programs.

4. Repatha manufacturer coupon

Helpful for: People with commercial or private insurance

Amgen offers a Repatha copay card for people with commercial insurance that can reduce out-of-pocket costs. To be eligible for this Repatha savings card, patients must:

• Have a Repatha prescription
• Have commercial or private insurance
• Not receive any benefits from Medicare Part D, Medicaid, or other government programs
• Be a resident of the U.S. or its territories

Like many manufacturer programs, there are limits on how much you can save per month and per year. For 2026, the maximum amount you can save is $2,500, which can be helpful for the first few months of taking your medication.  

5. Repatha patient assistance program

Helpful for: People with limited income and no insurance

Amgen offers patient assistance for people who are uninsured and meet specific income requirements. The Amgen Safety Net Foundation administers the program and can help people get Repatha for free. To be eligible, patients taking Repatha must:

• Have lived in the United States or its territories for six months or more
• Meet household income thresholds
• Have no insurance coverage 
• Not receive any benefits from Medicare’s Extra Help program

The program covers eligible patients for up to 12 months, after which they can reapply. 

Is there a cheaper alternative to Repatha?

Drugs like Repatha are considered for people with a very high risk of atherosclerotic cardiovascular disease (ASCVD) who have tried a high-intensity statin, according to the 2026 American College of Cardiology and American Heart Association Guideline on the Management of Blood Cholesterol. 

“Cholesterol medications like statins are first-line medications to lower cholesterol,” says Claire Sullivan, MD, a cardiologist and Clinical Assistant Professor at Case Western Reserve University School of Medicine in Cleveland, Ohio. “These are generic and low-cost.” Healthcare providers prescribe high-intensity statins like Crestor (rosuvastatin) and Lipitor (atorvastatin) to lower cholesterol.

“Ezetimibe (generic for Zetia) is another low-cost option to lower cholesterol,” Dr. Sullivan says. The ACC/AHA guidelines recommend adding ezetimibe to statin therapy for people at high risk of ASCVD.

RELATED: What is the safest cholesterol medication?

Repatha belongs to a class of medications called PCSK9 inhibitors. Praluent (alirocumab) is another PCSK9 inhibitor, but its cost is similar to Repatha.

RELATED: Praluent vs. Repatha

A newer alternative to Repatha is Leqvio (inclisiran). “Inclisiran is a twice-a-year shot (after induction shots) of cholesterol-lowering medication that is given in an infusion center,” Dr. Sullivan says. However, she explains that Leqvio is around the same cost as Repatha.

Healthcare providers may also continue recommending lifestyle changes to support healthy cholesterol levels.

Ultimately, if you’re struggling to afford Repatha or unsure whether it’s the right treatment for you, talk to your healthcare provider. They can walk you through lower-cost alternatives, apply for prior authorization if needed, or help you find the most affordable option based on your health goals and insurance coverage.