Doctors prescribe Evenity (romosozumab-aqqg) to treat postmenopausal osteoporosis. The drug falls under Medicare Part B coverage because a healthcare professional needs to administer it.
Generally, your doctor may prescribe Evenity if you’re a female assigned at birth (FAAB) who:
- has postmenopausal osteoporosis
- experiences a higher chance of getting bone fractures
- can’t take other osteoporosis treatments or has tried other ineffective treatments
You may get coverage for Evenity under Medicare Part B if the doctor who prescribes the drug and the healthcare professional who administers it accept Medicare.
The list price of Evenity is $2,628.92 per month. However, under Medicare Part B in 2025, once you meet the Part B deductible of $257, Part B may pay for 80% of this cost.
The remaining 20% may be your coinsurance. You must also pay the monthly premium, which starts at $185, depending on your income.
You can also sign up for Medicare Advantage (Part C), which is an alternative to Original Medicare (parts A and B).
Part C plans must offer the same coverage as Original Medicare. However, private insurers manage these plans, and they each have different premiums, deductibles, and coinsurances. You must also pay the Part B premium to stay enrolled in a Part C plan. However, some Part C plans may cover this cost.
Alternatively, the drug’s manufacturer offers a program called Amgen SupportPlus, which may help you save money on Evenity. You cannot use your Medicare coverage with this program.
Typically, prescription drug coverage falls under Medicare Part D. However, when you can’t inject a medication yourself, such as in the case of injectable medications that you must receive in a clinic, Part B may cover this cost. Coverage may fall under Part A if you need this drug in a hospital setting.
Medicare Part B can cover other injectable medications like Prolia (denosumab) and home health nurse visits for administration if you qualify for home health services. Part D or Medicare Advantage prescription drug (MAPD) plans can cover drugs you can take yourself.