Zurzuvae cost in 2026
Zurzuvae costs about $16,725 to $22,377 per 14 day course without insurance in 2026, at retail cash prices.
What moves the price
- The pack and strength. Prices here are for 28 capsules of 25 mg (50 mg once daily for 14 days).
- 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 available; brand only.
What is included
The prices on this page are what a pharmacy charges for 28 capsules of 25 mg (50 mg once daily for 14 days), 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 Zurzuvae
| How you pay | What it costs |
|---|---|
| Maker list price | $15,900 per 14 day course |
| Cash price without insurance | $16,725 to $22,377 per 14 day course (Drugs.com (low) and SingleCare average retail (high)) |
| With the maker's savings card | Zurzuvae Savings Card Program: eligible commercially insured patients may pay as little as $0 per 14-day supply; one use per prescription per calendar year. Not for cash payers or government insurance. |
| Medicare | Zurzuvae is not on the Medicare negotiation lists for 2026, 2027 or 2028. |
| Generic or biosimilar | No generic available; brand only. |
Average prices in US dollars. Source: Drugs.com.
Ways to pay less
- Zurzuvae Savings Card Program: eligible commercially insured patients may pay as little as $0 per 14-day supply; one use per prescription per calendar year. Not for cash payers or government insurance.
- 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 6 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.
- Drugs.com: Zurzuvae Prices, Coupons and Patient Assistance Programs
- SingleCare: Zurzuvae Coupons & Prices
- Fierce Pharma: Sage, Biogen will charge $15,900 for postpartum depression drug Zurzuvae
- GoodRx: Zurzuvae cost
- CMS: Medicare Negotiation Selected Drug List IPAY 2028 factsheet
- AMCP: CMS Issues the List of Selected Drugs for Initial Price Applicability Year 2027
Common questions
How much does this cost in 2026?
Zurzuvae costs about $16,725 to $22,377 per 14 day course without insurance in 2026, at retail cash prices. Most people pay about $19,551 per 14 day course. The low end is $16,725 and the high end is $22,377.
What changes the price the most?
The biggest factors are: The pack and strength. Prices here are for 28 capsules of 25 mg (50 mg once daily for 14 days); 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?
Zurzuvae Savings Card Program: eligible commercially insured patients may pay as little as $0 per 14-day supply; one use per prescription per calendar year. Not for cash payers or government insurance. 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.
Where do these numbers come from?
From 6 named price guides: Drugs.com, SingleCare, Fierce Pharma, GoodRx, CMS, AMCP. Each one is linked on this page with the date we read it.
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