Prescription guides / Cost and access
Intrarosa cost: 28-insert savings and separate Medicare terms
At a glance
The manufacturer advertises eligible commercial patients may pay as little as $35 for 28 Intrarosa inserts. A separate Medicare program advertises an $85 minimum with different conditions; its headline does not specify quantity. Confirm the exact fill before comparing.
Price and savings evidence
Published figures below are a dated reference, not a pharmacy quote for you. Cash-price guides are secondary sources; manufacturer offers have separate eligibility rules. Confirm the exact product and final charge before filling. Prices and programs can change.
| Product or payment route | Published amount | What the amount means |
|---|---|---|
| Eligible commercial Intrarosa offer | As little as $35 / 28 inserts | Manufacturer headline; confirm current card limits with the pharmacy. Millicent: Intrarosa commercial savings. |
| Separate Medicare outside-benefit program | Advertised as little as $85 | Program page does not specify quantity beside this headline; obtain the exact pack and supply before comparing. Intrarosa Medicare outside-benefit program terms. |
A 28-insert pack is four weeks of labeled use
Intrarosa contains prasterone 6.5 mg per vaginal insert. The label specifies one insert at bedtime for the indicated menopausal painful-intercourse condition. It is not an oral DHEA supplement or a vaginal estradiol generic. Intrarosa prescribing information.
At that schedule, 28 inserts cover 28 days. Use actual refill dates for annual spending; twelve packs do not cover 365 days. The commercial program’s pack-based headline does not automatically apply to larger supplies or to a Medicare-specific offer.
Medicare patients have a separate decision
The manufacturer links a Medicare program outside Part D. Its introduction mentions noncoverage or opting out, but enrollment certification includes a noncovered-prescription condition. Ask the program to resolve your eligibility before enrolling. Intrarosa Medicare outside-benefit program terms.
The terms require no Medicare reimbursement, no deductible or true-out-of-pocket credit, and program use rather than the Medicare benefit for Intrarosa through the calendar year. Compare that arrangement with the plan’s coverage or exception route. A lower single-fill charge can have different annual consequences. Intrarosa Medicare outside-benefit program terms.
What should the pharmacy confirm?
Ask for the 6.5 mg product, insert count, days supplied, payment route and final charge. If the quote is a manufacturer minimum, ask which eligibility and benefit caps apply. If another prescription is offered instead, confirm it with the prescriber rather than treating all vaginal treatments as equivalent.
The medicine’s price does not include evaluation of unexplained vaginal bleeding or other clinical issues. The label contains contraindication and breast-cancer-history information that the prescriber must consider. Intrarosa prescribing information.
Questions about this decision
Is a 28-insert pack a full month?
It is four weeks at the labeled once-daily schedule, not every calendar month.
Can the commercial offer be used as a Medicare copay card?
No. The manufacturer links a separate Medicare outside-benefit program with its own conditions.
Does the Medicare-program purchase count toward the Part D cap?
The terms prohibit counting it toward deductible or true out-of-pocket costs.
Is over-the-counter DHEA the same product?
No. This price guide is for the prescribed 6.5 mg vaginal insert.
This guide helps prepare cost and coverage questions. It does not recommend starting, stopping or changing medicine. Your clinician and pharmacist should review the prescription and the full product label.
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Sources and limits
Selected source facts checked 2026-09-17. Medical facts use the linked labels; program details use the named official source. Cash-guide prices are secondary references, not verified local pharmacy quotes. No independent clinician review is claimed.