How to save on Veozah for hot flashes

In this article:

• How much does Veozah cost?
• Does insurance cover Veozah?
• How to save money on Veozah
• Is there a cheaper alternative to Veozah?

In this article

• How much does Veozah cost?
• Does insurance cover Veozah?
• How to save money on Veozah
• Is there a cheaper alternative to Veozah?

Veozah (fezolinetant) is a brand-name prescription medication that’s approved to treat moderate to severe menopause symptoms of hot flashes and night sweats. Veozah is a relatively new medication that launched in 2023, and there’s no generic alternative. It can be expensive without insurance, but there are ways to save money on Veozah.

How much does Veozah cost?

The average retail price of Veozah is $769 for a month’s supply of 30, 45 mg tablets without insurance. The amount you may pay for Veozah depends on your location, the pharmacy, and whether your insurance covers it.  

Does insurance cover Veozah?

According to Astellas, the manufacturer of Veozah, health insurance plans cover about 64% of people who are prescribed this menopause medication. 

Coverage varies by plan, but large health insurance companies, such as Anthem Blue Cross and Blue Shield, UnitedHealthcare, and Aetna Health, are among those that offer commercial, marketplace, or Medicare plans with Veozah coverage.

Medicaid drug lists are managed by each state, so coverage depends on where you live. Many Medicaid programs don’t cover Veozah, but some, like North Carolina, do. 

Some insurance plans require prior authorization or proof that you’ve tried and failed low-cost alternatives (known as step therapy) before they’ll cover Veozah. Others categorize it as a nonpreferred drug, which means you’ll pay a higher coinsurance or copay. 

Because copays can be expensive, medications like Veozah may be more affordable by bypassing insurance and using a SingleCare discount card instead. We’ll explain how it works below. 

How to save money on Veozah

It’s difficult for most people to pay more than $9,000 per year on Veozah. Fortunately, there are ways to save money on this prescription with or without insurance. 

1. Veozah coupons from SingleCare

SingleCare is a free prescription discount program that allows you to access Veozah coupons at pharmacies near you. Redeeming a SingleCare coupon drops the price of Veozah as low as $556 per 30, 45 mg tablets. That’s about a 27% decrease in cost compared to the average retail price, but SingleCare prices can vary based on quantity and pharmacy. 

SingleCare coupons can’t be combined with insurance, so they work best for people whose health insurance plan doesn’t cover Veozah, or when the cost of coinsurance is higher than the cost of Veozah with SingleCare.

To get a SingleCare coupon, enter your ZIP code on the Veozah coupon page. Compare prices at pharmacies near you. Choose the pharmacy you’d like to use, then click the “Get free coupon” button. Text, email, or print the coupon to save it. This is also easy to do by using the SingleCare app.

If you choose a pharmacy that’s different from the one currently on file with your healthcare provider, ask your healthcare provider to send your Veozah prescription to the new pharmacy. 

When your medication is ready for pickup, show the SingleCare coupon to the pharmacy staff, and they’ll apply the discount at checkout. 

2. Veozah savings card

Astellas offers a savings card for people with commercial health insurance and a valid Veozah prescription. The savings card limits your copay or coinsurance to $0 for the first month and $30 every month thereafter until you reach the maximum savings limit.

The maximum benefit you can receive with the manufacturer’s savings card depends on whether your insurance plan covers Veozah:

• When insurance approves a claim: Up to $4,000 per calendar year
• When insurance denies claim: Up to two monthly refills worth up to $1,250

A Veozah savings card typically pays for a few months’ worth of Veozah tablets before reaching the maximum limit. Then, you’ll have to pay your full deductible and coinsurance as outlined in your health insurance plan. 

For example, with the UnitedHealthcare Silver-X Advantage EPO plan, beneficiaries pay the full price of Tier 4 medications like Veozah until they reach a deductible of $2,500. Then, they pay 50% coinsurance.

Savings cards don’t count toward your deductible. If you hadn’t already reached your deductible through other healthcare expenses, you would need to pay the full price of Veozah after reaching the $4,000 card limit. This happens after approximately five months. You’d then pay out of pocket for the full cost of Veozah for the next three months. At that point, you’d meet the plan’s deductible and would pay 50% of the cost for the rest of the year.

If you have a high deductible, consider starting the year with the manufacturer’s savings card, then switching to a SingleCare card when it runs out. By bypassing insurance altogether, you might save more money in the long run.     

There are no income eligibility requirements for using the Veozah savings card, but you can’t combine it with government-funded insurance, including Medicare, Medicaid, or Tricare. 

3. Patient assistance program

The Astellas patient assistance program (PAP) is for people without insurance. Astellas doesn’t list the eligibility requirements online, so it’s best to call the PAP support number or apply online to find out if you qualify. You may pay $0 for Veozah through the PAP, so it’s worth looking into. 

4. Medicare Extra Help

Some Medicare Part D and Medicaid plans cover Veozah, but not all do. 

If your plan does cover Veozah but the out-of-pocket expenses make this prescription unaffordable, look into the Medicare Extra Help program (also called the low-income subsidy). To be eligible, you must meet at least one of the following criteria:

• Have full Medicaid coverage
• Receive state-funded assistance for Medicare Part B premiums
• Receive Supplemental Security Income (SSI) payments
• Meet income and resource requirements

If you qualify for Extra Help, you’ll pay $12.65 for each brand-name drug like Veozah in 2026. 

Is there a cheaper alternative to Veozah?

Yes, there are more affordable Veozah alternatives that can help treat and manage vasomotor symptoms (i.e., hot flashes, excessive sweating, and heart palpitations) caused by menopause. 

Gail Clifford, MD, an Orlando-based healthcare provider, prescribes menopausal hormone therapy for hot flashes. Estradiol, a generic female hormone replacement therapy, works by increasing estrogen levels to help the body regulate its temperature. It’s available in various forms and is typically more affordable than Veozah, but it may not be suitable for everyone. Women who have a history of breast cancer, cardiovascular events, or blood clots are contraindicated from taking systemic estrogen, and Veozah is a non-hormonal option for vasomotor symptoms. 

Other medications that treat moderate to severe vasomotor symptoms include Brisdelle (paroxetine mesylate), which is a selective serotonin reuptake inhibitor (SSRI), and Duavee (conjugated estrogens and bazedoxifene). Here’s how much they cost with a SingleCare discount:

• $51 for 30, 7.5 mg capsules of generic paroxetine mesylate
• $192 for 30, 0.45–20 mg tablets of brand-name Duavee

“Other SSRIs/SNRIs (e.g., venlafaxine and escitalopram) have been shown to reduce hot flashes in trials and are usually much cheaper than Veozah. They do have some side effects, though, including nausea, sleep disruption, sexual effects, and interaction with other medications,” Dr. Clifford says. 

Research suggests gabapentin may also help control hot flashes, but Dr. Clifford warns that it can cause dizziness and sedation. Gabapentin is taken three times per day and costs $9 per 90, 300 mg tablets with a SingleCare coupon.

Clonidine is perhaps the most affordable Veozah alternative at a price of $4 per 30, 0.1 mg tablets with a SingleCare coupon. However, Dr. Clifford says clonidine is less effective than Veozah, and because it’s primarily a hypertension medication, it can cause low blood pressure, especially in patients already taking blood pressure medication. 

Ultimately, talking to a healthcare provider is the best way to find a Veozah alternative that can manage your menopause symptoms and fit your budget. A SingleCare prescription discount card can help make any medication more affordable without insurance. 

The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Dec. 9, 2025. Prices vary by pharmacy. Visit our Veozah coupon page for updated Veozah prices near you.