Reclast (zoledronic acid) is a high‑potency IV bisphosphonate used for osteoporosis and bone metastases. Because it’s given as a single 5 mg infusion, the pricing is a bit different from daily tablets.
| Item | Typical Cost (US) |
|------|-------------------|
| List price for a 5 mg vial | ≈ $1,300 – $1,400 |
| Typical insurance copay / coinsurance | $0 – $200 (depends on plan) |
| Out‑of‑pocket for uninsured patients | $800 – $1,200 (if you have to pay the full list price) |
How the price can vary
| Factor | Effect on cost |
|--------|----------------|
| Insurance plan type | Most commercial plans cover the drug and the infusion, leaving a small copay (often $0–$30). Medicare Part B usually covers it, with a nominal coinsurance of about $5–$10 per infusion. |
| Pharmacy/infusion center | The cost can differ slightly by location and by whether the infusion is administered at a hospital, outpatient center, or pharmacy. |
| Manufacturer rebates & discounts | These can lower the actual amount paid by the insurer, but the patient still sees the copay amount. |
| Patient assistance programs | Zoledronic acid is offered through a manufacturer‑sponsored program for patients who meet income and insurance criteria. Eligibility must be checked on the Zoledronic Acid Patient Assistance Program website. |
Quick tips if you’re budgeting
1. Check with your pharmacy or infusion center before the appointment. They can give you the exact amount you’ll owe after insurance and any applicable discounts.
2. Ask your prescriber about patient assistance. Even if you’re not eligible, they sometimes know of alternative programs or lower‑cost generics for related indications.
3. Use a cost‑checker tool (e.g., GoodRx, Blink Health). These sites sometimes list out‑of‑pocket prices for IV meds and can help you spot a better deal.
Bottom line
Reclast’s wholesale cost is around $1,300 for a single 5 mg infusion, but most patients pay far less out of pocket thanks to insurance coverage. If you’re uninsured or on a tight budget, explore the manufacturer’s assistance program or talk to your provider about alternative treatment options.