What does teriparatide cost in each channel?
Prices in US dollars at the verification date. Ranges are published list or program prices where a primary source exists; notes say when a figure is a typical market range instead.
| Channel | Price (USD) | Notes |
|---|---|---|
| With insurance | From $4per month | The Forteo savings card lets eligible patients with commercial insurance that covers Forteo pay as little as $4 for a one-month fill, subject to a maximum annual savings of $10,600 and up to 13 fills a year (checked 2026-09-22). Medicare Part D and most commercial plans cover teriparatide with prior authorization for high fracture risk; Part D cost sharing depends on the plan and coverage phase. [6] [8] |
| List price | $4,290per pen | Manufacturer list price (wholesale acquisition cost) for one Forteo pen, which is a 28 day supply at 20 mcg daily: $4,289.89, as published in the manufacturer's state price disclosure (list price accessed by the manufacturer on October 2, 2025; disclosure checked 2026-09-22). Retail pharmacies may add a margin. [1] [4] |
| Generic cash price | $1,036 to $3,214per pen | Cash price for one generic teriparatide pen (28 day supply) from a published discount-card price source, checked 2026-09-22 (prices updated that day): about $1,036 to $1,146 with a discount card at the lowest-priced pharmacies, against average retail prices of about $2,977 to $3,214. Some pharmacies charge more than $3,000 even with a discount card, so generics have not lowered prices as much as for small molecule drugs. [2] [3] [5] |
| Compounded pharmacy | Not published | No dated lawful price was found for a compounded product. Approved brand and generic teriparatide are marketed, so compounding is limited to narrow patient specific needs. [7] |
What is the list price of teriparatide?
Teriparatide is priced per pen, and one pen is a 28 day supply. Brand Forteo has a manufacturer list price of $4,289.89 per pen; generic pens average about $3,000 at retail and about $1,000 to $1,150 with a discount card at the lowest-priced pharmacies.
Does insurance cover teriparatide?
Covered by Medicare Part D and most commercial plans with prior authorization, usually requiring a fragility fracture, very low bone density, or failure of an oral bisphosphonate. Plans may require the generic. The manufacturer savings card applies to commercial insurance only.
What changes the price?
- Brand versus generic product
- Pharmacy and discount card used for cash purchases
- Prior authorization approval
- Manufacturer savings program eligibility (commercial insurance only)
- Medicare Part D coverage phase
Frequently asked questions
How much does teriparatide cost without insurance?
No dated lawful price was found for a compounded product. Approved brand and generic teriparatide are marketed, so compounding is limited to narrow patient specific needs. [7]
Does insurance cover teriparatide?
Covered by Medicare Part D and most commercial plans with prior authorization, usually requiring a fragility fracture, very low bone density, or failure of an oral bisphosphonate. Plans may require the generic. The manufacturer savings card applies to commercial insurance only. [6] [8]
What is the list price of teriparatide?
Teriparatide is priced per pen, and one pen is a 28 day supply. Brand Forteo has a manufacturer list price of $4,289.89 per pen; generic pens average about $3,000 at retail and about $1,000 to $1,150 with a discount card at the lowest-priced pharmacies. [1] [2] [3] [4] [5]
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Sources
- [1]Manufacturer state price disclosure sheet for teriparatide injection (brand): wholesale acquisition cost per pen, accessed 2026-09-222025
- [2]Published cash-price comparison for generic teriparatide injection pens, discount-card and average retail prices, accessed 2026-09-222026
- [3]Published cash-price comparison for generic teriparatide referencing the brand pen, discount-card and average retail prices, accessed 2026-09-222026
- [4]FDA prescribing information for Forteo (teriparatide) injection, via DailyMedFDA
- [5]FDA prescribing information for generic and 505(b)(2) teriparatide injection products, via DailyMedFDA
- [6]Manufacturer savings and support program terms for brand teriparatide injection, accessed 2026-09-222026
- [7]FDA: Compounding and the FDA, questions and answersFDA
- [8]Medicare.gov: prescription drug coverage (Part D and outpatient drugs)