Last updated: March 2026
How Much Does Raloxifene (Evista) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| 60mg Tablets Generic (30-day) | $30 – $100 | $5 – $30 |
| 60mg Tablets Brand Evista (30-day) | $100 – $150 | $20 – $40 |
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Covered as Tier 2 generic for osteoporosis prevention
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Raloxifene is a SERM that prevents and treats osteoporosis in postmenopausal women. It also reduces breast cancer risk.
Raloxifene works differently by mimicking estrogen's bone-protective effects. It is less effective at the hip but also reduces breast cancer risk.
Raloxifene increases the risk of blood clots and hot flashes. It is not recommended for women with a history of DVT or pulmonary embolism.