Ocrevus cost in 2026
Ocrevus costs about $84,874 to $86,857 per year without insurance in 2026, at retail cash prices.
What moves the price
- The pack and strength. Prices here are for 600 mg infusion given every 6 months (annual price, drug only).
- Your coverage. Commercial insurance, Medicare and cash pay all get very different prices.
- The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
- Whether a generic or biosimilar is on sale. No generic or biosimilar listed; brand only.
What is included
The prices on this page are what a pharmacy charges for 600 mg infusion given every 6 months (annual price, drug only), before any insurance. Your own cost depends on your plan, your deductible and any savings card. Ask your pharmacist for the cash price and your insured price, and pay the lower one.
Ways to pay for Ocrevus
| How you pay | What it costs |
|---|---|
| Maker list price | $86,857 per year |
| Cash price without insurance | $84,874 to $86,857 per year (Drugs.com price guide) |
| With the maker's savings card | Ocrevus Co-Pay Program: eligible commercially insured patients may pay as little as $0 per treatment; annual maximums of $20,000 for the drug and $1,500 for infusions in year 1, then $1,000 per year for infusions. Not for government insurance. |
| Medicare | Ocrevus is not on the Medicare drug price negotiation lists for 2026, 2027 or 2028. |
| Free drug program | Genentech Patient Foundation (888-941-3331) may give the drug free to uninsured or underinsured patients based on income; case by case. |
| Generic or biosimilar | No generic or biosimilar listed; brand only. |
Average prices in US dollars. Source: Oregon PDAB / National MS Society.
Ways to pay less
- Ocrevus Co-Pay Program: eligible commercially insured patients may pay as little as $0 per treatment; annual maximums of $20,000 for the drug and $1,500 for infusions in year 1, then $1,000 per year for infusions. Not for government insurance.
- Genentech Patient Foundation (888-941-3331) may give the drug free to uninsured or underinsured patients based on income; case by case.
- Compare cash prices at several pharmacies with a free discount card before you pay.
- Ask your doctor if a generic or a lower cost drug would work for you.
What price guides say
We checked 4 price guides and read every number on their pages. They do not all measure the same thing, so the ranges on this page come from putting them side by side.
- Oregon PDAB / National MS Society: Letter on Ocrevus (Aug 2026)
- Drugs.com: Ocrevus Prices, Coupons, Copay Cards & Patient Assistance
- Oregon PDAB: Ocrevus 2026 review
- CMS: Selected drug list for 2028 fact sheet
Common questions
How much does this cost in 2026?
Ocrevus costs about $84,874 to $86,857 per year without insurance in 2026, at retail cash prices. Most people pay about $86,857 per year. The low end is $84,874 and the high end is $86,857.
What changes the price the most?
The biggest factors are: The pack and strength. Prices here are for 600 mg infusion given every 6 months (annual price, drug only); Your coverage. Commercial insurance, Medicare and cash pay all get very different prices; The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
How can I pay less?
Ocrevus Co-Pay Program: eligible commercially insured patients may pay as little as $0 per treatment; annual maximums of $20,000 for the drug and $1,500 for infusions in year 1, then $1,000 per year for infusions. Not for government insurance. Genentech Patient Foundation (888-941-3331) may give the drug free to uninsured or underinsured patients based on income; case by case. Compare cash prices at several pharmacies with a free discount card before you pay.
Where do these numbers come from?
From 4 named price guides: Oregon PDAB / National MS Society, Drugs.com, Oregon PDAB, CMS. Each one is linked on this page with the date we read it.
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