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Key takeaways
Without insurance, Veozah costs an average of about $762 for 30, 45 mg tablets.
A Veozah coupon from SingleCare can lower the cost of Veozah to about $556 for 30, 45 mg tablets.
There are alternative medications to Veozah that your healthcare provider may recommend that cost $10 or less per 30-day supply.
Veozah is a brand-name prescription medication that’s approved by the Food and Drug Administration (FDA) to treat symptoms of menopause, including vasomotor symptoms (VMS), such as hot flashes and night sweats. Its active ingredient is fezolinetant, a nonhormonal drug that helps balance estrogen levels and improve the body’s ability to regulate temperature. Although there’s no generic version of Veozah currently available, there are ways to save on the price of it.
How much does Veozah cost without insurance?
The average cost of Veozah without insurance is about $762 per bottle of 30, 45 mg tablets without insurance. That’s about $25 per pill and approximately $9,200 per year. Drug prices fluctuate, though, and vary by pharmacy, location, and dosage prescribed.
| Drug name | Conditions and symptoms treated | Price without insurance of brand-name drug | SingleCare price | Savings options |
|---|---|---|---|---|
| Veozah (fezolinetant) | Moderate-to-severe vasomotor symptoms caused by menopause | $762 for 30, 45 mg tablets | $556 for 30, 45 mg tablets of brand-name Veozah | See latest prices |
| Bijuva
(estradiol and progesterone) | Moderate-to-severe vasomotor symptoms caused by menopause | $346 for 30, 1–100 mg capsules | $228 for 30, 1–100 mg capsules of brand-name Bijuva | See latest prices |
| Duavee
(conjugated estrogens and bazedoxifene) | Moderate-to-severe vasomotor symptoms caused by menopause
Prevention of postmenopausal osteoporosis | $261 for 30, 0.45–20 mg tablets | $192 for 30, 0.45–20 mg tablets of brand-name Duavee | See latest prices |
| Estrogel (estradiol) | Moderate-to-severe vasomotor symptoms caused by menopause
Vaginal dryness, itching, or pain during menopause | $218 per 37.5 gm of 0.75 mg/1.25 gm (0.06%) gel | $90 per 37.5 gm of 0.75 mg/1.25 gm (0.06%) gel | See latest prices |
| Paroxetine mesylate | Moderate-to-severe vasomotor symptoms caused by menopause | $255 for 30, 7.5 mg capsules of generic paroxetine mesylate | $65 for 30, 7.5 mg capsules | See latest prices |
| Premphase (conjugated estrogens and medroxyprogesterone acetate) | Moderate-to-severe vasomotor symptoms and vulvar and vaginal atrophy caused by menopause
Prevention of postmenopausal osteoporosis | $300 per 28-tablet pack | $230 per 28-tablet pack of brand-name Premphase | See latest prices |
| Prempro (conjugated estrogens and medroxyprogesterone acetate) | Moderate-to-severe vasomotor symptoms and vulvar and vaginal atrophy caused by menopause
Prevention of postmenopausal osteoporosis | $354 for 28, 0.3 mg/1.5 mg tablets | $231 for 28, 0.3 mg/1.5 mg tablets of brand-name Prempro | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available. Click the link under “Savings options” to see the latest drug prices.
Is Veozah covered by insurance?
Veozah insurance coverage varies by plan, but Astellas Pharma Inc., the manufacturer of Veozah, claims that about 64% of people with commercial insurance have a plan that covers it.
Anthem Blue Cross Blue Shield, EmpiRX Health, and Navitus Health Solutions are among the health insurance companies that cover Veozah in their commercial health insurance plans. Medicare coverage is provided by some UnitedHealthcare and Humana plans.
When Veozah is covered, it may be listed as a non-preferred drug, which means you may be responsible for a higher copay. Insurance companies that cover Veozah also tend to require prior authorization.
As for Medicaid, coverage varies by state. Some state Medicaid programs, like North Carolina’s, consider it a non-preferred drug, while others, like Kentucky’s, don’t cover it at all.
Check with your health insurance provider to find out if Veozah is covered by your plan.
How to get Veozah without insurance
Veozah can be expensive without insurance, and its high price may be due to the fact that it’s a relatively new drug that faces little competition. Launched in May 2023, Veozah is the only available neurokinin-3 (NK3) receptor antagonist on the market.
“Another NK3 [and NK1] antagonist drug from Bayer, Elinzanetant, is expected in the coming months as it is being reviewed by the FDA,” says Alyssa Dweck, MD, the chief medical officer of Bonafide Health and a Menopause Society certified practitioner. This may be good news for people looking to save money on Veozah, as greater competition has been linked to lower drug prices.
Consumers can also expect to pay less once a generic version of Veozah is released, but that could take years. Generic medications can only be manufactured once the original patent expires, and the Veozah patent expires in 2034.
For now, you can save money each month with our tips below.
Sign up for a free SingleCare prescription discount card
The best way to save money on Veozah is with a SingleCare prescription discount card. These cards are free, reusable, and accepted at popular pharmacies around the country. To access SingleCare savings, sign up for an account online. It takes less than a minute. Then, type “Veozah” in the search field to get to the Veozah coupon page, scroll down to find the pharmacy offering the lowest Veozah price near you, and click the corresponding “get free coupon” button. From there, you can save the Veozah coupon to your account, text or email a copy to yourself, or print a paper copy.
When you pick up your Veozah prescription, show the pharmacy the digital or printed coupon in order to get the discounted price.
With a Veozah coupon from SingleCare, you could pay about $556 for 30, 45 mg tablets instead of $762. That saves you about $206 per month.
Check for manufacturer coupons and patient assistance programs
Astellas Pharma Inc. offers a Veozah savings program, but it is only for people with commercial health insurance who meet its eligibility requirements, and there’s a maximum savings of $4,000 per year. If you don’t have commercial health insurance, you may be eligible for the Astellas Patient Assistance Program. Call 1-866-239-1637 for details and eligibility requirements.
Talk to your health care provider about Veozah alternatives
Tell your healthcare provider if you’re concerned about the high out-of-pocket price of Veozah. They may be able to recommend Veozah alternatives that treat VMS like hot flashes and night sweats.
Dr. Dweck says hormone therapy is the first-line treatment for VMS and other symptoms of menopause, including osteoporosis. Hormone therapy is often a combination of estrogen and progesterone, such as Bijuva and Prempro, and Dr. Dweck warns that it shouldn’t be taken by people who have had a hysterectomy.
As for which one works the best, there’s no one-size-fits-all answer. “Choosing a pharmacologic option for VMS is a personal decision made with one’s doctor and should be based on individual circumstances and preferences, taking risks, benefits, and alternatives into account,” Dr. Dweck says. Talk to your healthcare provider to find out what’s best for you.
- Veozah savings and support, Astellas Pharma Inc. (2025)
- Understanding Veozah insurance coverage, Astellas Pharma Inc. (2025)
- North Carolina Medicaid preferred drug list, North Carolina Division of Health Benefits (2025)
- Preferred drug list, Kentucky Medicaid (2025)
- Astellas’ Veozah (fezolinetant) approved by U.S. FDA for treatment of vasomotor symptoms due to menopause, Astellas Pharma Inc. (2023)
- Generic competition and drug prices, Food and Drug Administration (2024)
- Veozah patent expiration, Pharsight