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Key takeaways
Without insurance, Veozah costs an average of about $778 for a 30-day supply.
Insurance companies don’t always cover Veozah, and those that do often impose restrictions on coverage.
Women can save money by switching to a different medication or using discount coupons.
Veozah is a brand-name prescription medication that treats the vasomotor symptoms (VMS) of menopause, such as hot flashes and night sweats. Its active ingredient is fezolinetant, a nonhormonal drug that affects the brain to improve its ability to regulate body temperature when estrogen levels are low. As a brand-name drug with no generic version, Veozah carries a premium price, but there are ways to save money.
RELATED: Estrogen costs & coupons
How much does Veozah cost without insurance?
The average Veozah cost without insurance is about $778 for a 30-day supply (30, 45 mg tablets). That’s about $26 per pill and approximately $9,300 per year. Drug prices fluctuate, though, and vary by pharmacy, location, and dosage prescribed.
Compare Veozah prices to related drugs |
|||
|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Veozah (fezolinetant) | $777 for 30, 45 mg tablets | $573 for 30, 45 mg tablets of brand-name Veozah at Kroger | See latest prices |
| Lynkuet
(elinzanetant) |
$785 per 60, 60 mg capsules | $785 per 60, 60 mg capsules of brand-name Lynkuet at Kroger | See latest prices |
| Estrogel
(ethinyl estradiol) |
$234 per 37.5 gm of 0.75 mg/1.25 gm (0.06%) gel | $74 per 37.5 gm of 0.75 mg/1.25 gm (0.06%) of generic estradiol gel at CVS Pharmacy | See latest prices |
| Prempro (conjugated estrogens and medroxyprogesterone acetate) | $364 for 28, 0.3-1.5 mg tablets | $237 for 28, 0.3-1.5 mg tablets of brand-name Prempro at Kroger | See latest prices |
| Duavee
(conjugated estrogens and bazedoxifene) |
$270 for 30, 0.45-20 mg tablets | $192 for 30, 0.45–20 mg tablets of brand-name Duavee at Kroger | See latest prices |
| Paroxetine mesylate | $260 for 30, 7.5 mg capsules | $51 for 30, 7.5 mg capsules of generic paroxetine mesylate at Publix | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing in ZIP code 23666 as of March 10, 2026. 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.
1. Use a 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, 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 $573 for 30, 45 mg tablets at Kroger instead of $778. That saves about $200 per month. The actual discount will vary by pharmacy. You can earn bonus savings with SingleCare’s bonus loyalty program. Each SingleCare discount purchase can earn greater discounts on future purchases and refills.
2. 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.
3. Talk to your healthcare 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