Intrarosa (prasterone) is a prescription drug used to treat moderate to severe pain during sex due to menopause. Intrarosa’s cost may depend on factors such as whether you have health insurance and the pharmacy you use.

The price you pay for Intrarosa can vary. To find out how much you’ll pay for this medication, talk with your doctor, pharmacist, or insurance provider. Or check out the section below to learn how much you can save by using an Optum Perks coupon.

To save money on your Intrarosa prescription, explore these Optum Perks coupons.

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28 intrarosa (1 Box)

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Simply show the Optum Perks coupon at your preferred pharmacy or order online and instantly save up to 80% without using insurance. The coupon doesn’t expire, so be sure to save it for refills.

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Retail price refers to the manufacturer’s published list price and is up to date as of 3/2023. Retail and discounted prices are U.S.-only and can vary based on region and pharmacy. We cannot guarantee that the discounted price listed here will exactly match the price at your pharmacy. Please contact your pharmacy for the exact price.

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Below are answers to some frequently asked questions about Intrarosa and cost.

What’s the cost of Intrarosa vs alternatives such as estradiol?

The cost of Intrarosa versus estradiol or other Intrarosa alternatives depends on various factors.

Your cost for each medication may depend on:

  • whether you have insurance coverage or are paying out of pocket
  • the pharmacy you use
  • the quantity you’re prescribed (such as a 30-day or 90-day supply)
  • any prior authorization requirements for your insurance plan (see the “Prior authorization” section below for more information)
  • any savings programs you qualify and apply for

To find out how the cost of Intrarosa compares with estradiol or other alternatives, talk with your doctor or pharmacist. They can provide more information.

Is Intrarosa covered by insurance?

It may be. To find out whether your insurance plan covers the cost of Intrarosa, reach out to your plan provider directly. They can tell you whether the drug is covered and how much you can expect to pay.

You can also talk with your pharmacist to learn whether your insurance plan covers the medication and what your cost would be.

If the drug is not covered by your plan, your doctor or pharmacist may be able to suggest options to help you pay for Intrarosa.

Intrarosa only comes as a brand-name drug. It’s not currently available in a generic version. A generic contains an exact copy of the active drug in a brand-name medication but tends to cost less.

Why is there such a cost difference between brand-name drugs and generics?

Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug exclusively for up to 20 years. After that, other drugmakers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.

If you use Intrarosa long term, you may be able to lower your costs in the following ways:

Look into getting a 90-day supply of your medication: You may be able to get a 90-day supply of Intrarosa if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of the drug. If you’re interested in a 90-day supply of Intrarosa, talk with your doctor, pharmacist, or insurance provider.

Use a mail-order pharmacy to get your medication: Using a mail-order pharmacy might help lower your cost for Intrarosa. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.

If you need help covering the cost of Intrarosa or understanding your insurance, check out these resources:

On these pages, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.

If you have questions about how to pay for your prescription, talk with your doctor or pharmacist.

If you have insurance, you may need to get prior authorization before your insurance provider will cover Intrarosa. This means your insurer and your doctor will discuss Intrarosa in regard to your treatment. Then the insurance company will determine whether the drug is covered. If Intrarosa requires prior authorization and you don’t receive it before starting treatment, you could pay the full cost of the drug.

Be sure to ask your insurance company whether Intrarosa requires prior authorization.

Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.