Prescription guides / Cost and access
Veozah cost, savings-card limits and liver-test expenses
At a glance
Eligible commercially insured patients may pay $0 for the first 30-day Veozah prescription and as little as $30 for later monthly fills. These are conditional savings-card amounts, not the uninsured retail price. Include separately billed liver tests in the treatment budget.
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 |
|---|---|---|
| Manufacturer savings card | $0 first 30-day fill; as little as $30 thereafter | Commercial insurance required; up to $4,000 annual assistance. An unapproved insurance claim can reduce support to $1,250 over two fills. Astellas: Veozah savings and eligibility. |
| Uninsured assistance | Potentially $0 if approved | A separate Astellas patient-assistance application; eligibility is not automatic. Astellas: Veozah savings and eligibility. |
What else belongs in the Veozah budget?
Veozah contains fezolinetant, a nonhormonal medicine for moderate-to-severe menopausal hot flashes. The label requires liver testing before treatment, monthly during the first three months, and at months six and nine. The medicine price does not establish what your laboratory or clinic will charge. Veozah prescribing information.
Request two totals: the pharmacy charge for the prescribed supply and the patient charge for the ordered laboratory panel and visits. An appointment bundled into a telehealth subscription is not proof that laboratory work is included. Record the testing provider and whether it is in your insurance network.
When the savings-card price does not apply
The commercial card excludes government-reimbursed prescriptions and cash-paying patients. If you have Medicare or Medicaid, ask the plan about the specific prescription and use the manufacturer support route for available assistance; do not assume that the commercial card will work. Astellas: Veozah savings and eligibility.
A prior-authorization rejection is different from an expensive approved claim. Ask which occurred before comparing alternatives. Also check what you will pay after the introductory fill and after any assistance cap is reached. Do not project a first-fill offer over an entire year.
Questions about this decision
Does the $30 offer cover liver tests?
No laboratory coverage is established by the medicine savings offer. Ask the laboratory or plan for the patient charge.
Is $0 the uninsured cash price?
No. Uninsured patients must qualify for a separate assistance program; a pharmacy cash quote is another payment route.
What if insurance rejects Veozah?
Ask whether prior authorization or an appeal is needed, and confirm how a rejection changes the card benefit.
Can I compare only the first month?
That can hide refill and monitoring costs. Compare the same period and the ongoing payment rules.
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.
Organize your menopause budget
Use the main-site tools with your own prescription and care costs. Calculator estimates do not verify pharmacy prices or determine treatment suitability.
Explore menopause calculators →Related prescription decisions
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.
Related comparison: Veozah vs gabapentin for hot flashes: approval, monitoring and cost questions.