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Fosamax Price, Generic and Savings
- U.S. list price
- $520.80 for 90 daysThe maker's price for brand Fosamax before discounts · Source: Texas DSHS 2026 WAC report
- Lowest international online pharmacy price
- $2.42 per tablet$31.10 for 90 days, plus shipping (fee not published) · brand Fosamax 70 mg, not FDA-approved · ships from New Zealand
FDA-approved generic alendronate 70 mg from $16.76 for 90 days at U.S. pharmacies
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Quick answerAs of Nov 11, 2026, brand Fosamax 70 mg costs from $64.93 for about 3 months (1 tablet a week) at licensed pharmacies abroad we compared, vs. $486.09 for 12 tablets at the U.S. list price. FDA-approved generic alendronate is sold in the U.S.
Name check: Fosamax Plus D (alendronate with vitamin D) is a separate product and isn't priced here. Brand Fosamax 5, 10, 35 and 40 mg tablets are no longer marketed in the U.S.
Compare Fosamax prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $520.80 for 90 days ($40.51 per tablet), brand Fosamax before insurance. The prices below are from U.S. pharmacies that publish cash prices and from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletLicensed U.S. pharmacy A | Alendronate (Fosamax)70 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 11, 2026 | $10.64for 12 tablets$0.89 per tablet | $5Pharmacy's estimate: 7–10 business days | $15.64 for 84 days= $16.76 for 90 daysSave 97%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Generic Fosamax 70mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in IndiaMade for sale in India.Product of India | $16.12for 12 tablets$1.34 per tablet | Fee not publishedDelivery time not stated | $16.12 for 84 days= $17.27 for 90 days+ shippingSave 97%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Generic Equivalent to Fosamax 70mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | $12.40for 12 tablets$1.03 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $27.35 for 84 days= $29.30 for 90 daysSave 94%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Generic Equivalent To Fosamax 70mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Cipla Limited | $12.40for 12 tablets$1.03 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $27.35 for 84 days= $29.30 for 90 daysSave 94%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Fosamax70 mg · brand · Filled in New ZealandProduct of New Zealand | $29.03for 12 tablets$2.42 per tablet | Fee not publishedDelivery time not stated | $29.03 for 84 days= $31.10 for 90 days+ shippingSave 94%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | Alendronate Sodium (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in MauritiusProduct of India | $29.82for 12 tablets$2.49 per tablet | Fee not publishedDelivery time not stated | $29.82 for 84 days= $31.95 for 90 days+ shippingSave 94%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Fosamax70 mg · brand · Filled in New ZealandProduct of New Zealand | $39.99for 12 tablets$3.33 per tablet | Fee not publishedDelivery time not stated | $39.99 for 84 days= $42.85 for 90 days+ shippingSave 92%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Alendronate Sodium (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in MauritiusProduct of India | $39.99for 12 tablets$3.33 per tablet | Fee not publishedDelivery time not stated | $39.99 for 84 days= $42.85 for 90 days+ shippingSave 92%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | AlendronateNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in United KingdomProduct of United Kingdom | $45for 12 tablets$3.75 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $54.95 for 84 days= $58.88 for 90 daysSave 89%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Brand Fosamax 70mg70 mg · brand · Filled in New ZealandMaker listed by pharmacy: Organon | $45.65for 12 tablets$3.80 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $60.60 for 84 days= $64.93 for 90 daysSave 88%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | AlendronateNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex Inc | $54for 12 tablets$4.50 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $63.95 for 84 days= $68.52 for 90 daysSave 87%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | ALENDRONATENot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in IndiaMade for sale in India.Product of India | $21.92per 4 tablets · 3 packs = $65.76$5.48 per tablet | FreeDelivery time not stated | $65.76 for 84 days= $70.46 for 90 daysSave 86%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Brand Fosamax 70mg70 mg · brand · Filled in New ZealandMaker listed by pharmacy: Organon | $51.98for 12 tablets$4.33 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $66.93 for 84 days= $71.71 for 90 daysSave 86%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy I | Alendronate (Alendronate Sodium) (India pack, ships from Turkey)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in TurkeyMaker listed by pharmacy: CiplaMade for India | $71.95for 12 tablets$6.00 per tablet | FreePharmacy's estimate: 2–3 weeks | $71.95 for 84 days= $77.09 for 90 daysSave 85%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | FOSAMAX (EU pack, ships from New Zealand)70 mg · brand · Filled in New ZealandProduct of EU | $74.36for 12 tablets$6.20 per tablet | FreeDelivery time not stated | $74.36 for 84 days= $79.67 for 90 daysSave 85%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy J | FOSAMAX70 mg · brand · Filled in New ZealandProduct of New Zealand | $76.75for 12 tablets$6.40 per tablet | FreeDelivery time not stated | $76.75 for 84 days= $82.23 for 90 daysSave 84%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Generic Alendronate 70mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in United KingdomProduct of United Kingdom | $21.20per 4 tablets · 3 packs = $63.60$5.30 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $78.55 for 84 days= $84.16 for 90 daysSave 84%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Fosamax (Turkey pack, ships from Singapore)70 mg · brand · Filled in SingaporeMaker listed by pharmacy: Merck Sharp & DohmeMade for Turkey | $69for 12 tablets$5.75 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $78.95 for 84 days= $84.59 for 90 daysSave 84%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Generic Equivalent to Alendronate 70mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in United KingdomProduct of United Kingdom | $21.93per 4 tablets · 3 packs = $65.79$5.48 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $80.74 for 84 days= $86.51 for 90 daysSave 83%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy I | Fosamax (Alendronate Sodium)70 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: Merck Sharp and Dohme | $81.38for 12 tablets$6.78 per tablet | FreePharmacy's estimate: 2–3 weeks | $81.38 for 84 days= $87.19 for 90 daysSave 83%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed Canadian pharmacy K | AlendronateNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex | $73.52for 12 tablets$6.13 per tablet | $9.95Pharmacy's estimate: 3–6 weeks | $83.47 for 84 days= $89.43 for 90 daysSave 83%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy I | Alendronate (Alendronate Sodium)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in CanadaMaker listed by pharmacy: Apotex Inc | $86.67for 12 tablets$7.22 per tablet | FreePharmacy's estimate: 2–3 weeks | $86.67 for 84 days= $92.86 for 90 daysSave 82%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed online pharmacy L | Fosamax 70mg70 mg · brand · Filled in New ZealandProduct of New Zealand | $89for 12 tablets$7.42 per tablet | FreeDelivery time not stated | $89 for 84 days= $95.36 for 90 daysSave 82%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Fosamax70 mg · brand · Filled in New ZealandMaker listed by pharmacy: Merck Sharp & Dohme | $81for 12 tablets$6.75 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $90.95 for 84 days= $97.45 for 90 daysSave 81%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Generic Equivalent to Fosamax 70mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in CanadaProduct of Canada | $76.59for 12 tablets$6.38 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $91.54 for 84 days= $98.08 for 90 daysSave 81%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Generic Equivalent to Fosamax 70mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in CanadaProduct of Canada | $82.25for 12 tablets$6.85 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $97.20 for 84 days= $104.14 for 90 daysSave 80%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy I | Fosamax (Alendronate Sodium)70 mg · brand · Filled in New ZealandMaker listed by pharmacy: Merck | $111.69for 12 tablets$9.31 per tablet | FreePharmacy's estimate: 2–3 weeks | $111.69 for 84 days= $119.67 for 90 daysSave 77%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy M | Alendronate Sodium (UK/EU pack, ships from United Kingdom)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in United KingdomProduct of UK/EU | $111.04for 12 tablets$9.25 per tablet | $9.95Delivery time not stated | $120.99 for 84 days= $129.63 for 90 daysSave 75%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Brand Fosamax 70mg70 mg · brand · Filled in United KingdomProduct of United Kingdom | $152.48for 12 tablets$12.71 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $167.43 for 84 days= $179.39 for 90 daysSave 66%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Brand Fosamax 70mg70 mg · brand · Filled in United KingdomProduct of United Kingdom | $158.13for 12 tablets$13.18 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $173.08 for 84 days= $185.44 for 90 daysSave 64%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed Canadian pharmacy K | Fosamax70 mg · brand · Filled in CanadaMaker listed by pharmacy: Organon | $217.16for 12 tablets$18.10 per tablet | $9.95Pharmacy's estimate: 3–6 weeks | $227.11 for 84 days= $243.33 for 90 daysSave 53%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Fosamax70 mg · brand · Filled in CanadaProduct of Canada | $255for 12 tablets$21.25 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $264.95 for 84 days= $283.88 for 90 daysSave 45%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy I | Fosamax (Alendronate Sodium)70 mg · brand · Filled in CanadaMaker listed by pharmacy: Merck | $285.47for 12 tablets$23.79 per tablet | FreePharmacy's estimate: 2–3 weeks | $285.47 for 84 days= $305.86 for 90 daysSave 41%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Brand Fosamax 70mg70 mg · brand · Filled in CanadaMaker listed by pharmacy: MERCK CANADA INC | $294.45for 12 tablets$24.54 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $309.40 for 84 days= $331.50 for 90 daysSave 36%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Brand Fosamax 70mg70 mg · brand · Filled in CanadaMaker listed by pharmacy: MERCK CANADA INC | $321.90for 12 tablets$26.83 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $336.85 for 84 days= $360.91 for 90 daysSave 31%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy NU.S. shipping limited | Alendronate (Generic)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.70 mg · generic · Filled in United KingdomProduct of United Kingdom | $48for 12 tablets$4.00 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $62.95 for 84 days= $67.45 for 90 daysSave 87%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy NU.S. shipping limited | Fosamax (Alendronate)70 mg · brand · Filled in TurkeyMade for sale in Turkey.Product of Turkey | $100for 12 tablets$8.33 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $114.95 for 84 days= $123.16 for 90 daysSave 76%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Fosamax from Canada?
90-day cost = 12.9 tablets at the usual dose of 1 a week, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 11, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. U.S. rows: the cash price a U.S. pharmacy published on its own website on the date shown, for whole fills, plus its standard shipping; no insurance or discount cards. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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Join to See PharmaciesAlready a member? Sign inFosamax price by strength
| Strength | Lowest brand90 days | Lowest generic abroad90 days, not FDA-approved | Price per tablet |
|---|---|---|---|
| Fosamax 70 mg | $64.93 | $29.30 | $3.80 brand · $1.03 generic |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per tablet is for that lowest pack, before shipping. Prices checked Nov 11, 2026.
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90-day prices from 9 licensed pharmacies abroad shipping to the U.S.: $29.30 to $360.91, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Fosamax · Similar drugs · Uses · FAQ
Fosamax (alendronate) is a once-weekly 70 mg tablet for osteoporosis. FDA-approved generic alendronate is sold in the U.S. in several strengths.
Fosamax cost at a glance
- Generic Fosamax is sold in the U.S. The FDA has approved generic alendronate 70 mg tablets from 6 companies, rated equivalent to Fosamax (FDA Orange Book). A pack of 4 weekly tablets lists at $2.50 from Rising and $5.50 from Aurobindo (Texas DSHS).
- U.S. list price: $162.03 for a pack of 4 tablets of brand Fosamax 70 mg, a 4-week supply (the maker's wholesale price before discounts), or about $40.51 a tablet (Texas DSHS).
- How we count: 1 tablet a week, the label's dose for the 70 mg tablet. A pack of 4 lasts 4 weeks, and about 13 tablets cover 90 days.
- With Medicare: your cost depends on your Part D plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).
- From online pharmacies abroad: $64.93 to $360.91 for about 3 months of brand Fosamax 70 mg, shipping included (checked Nov 11, 2026). The U.S. list price for 12 tablets (3 packs of 4) is $486.09.
How much does Fosamax cost in the U.S.?
| If you have | What Fosamax costs | Source |
|---|---|---|
| No insurance (list price) | $162.03 for a pack of 4 tablets of brand Fosamax 70 mg, a 4-week supply (about $40.51 a tablet). Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| No insurance (generic alendronate) | FDA-approved generic alendronate is sold in the U.S. A pack of 4 tablets of 70 mg lists at $2.50 from Rising and $5.50 from Aurobindo. Ask your pharmacist for the cash price. | Texas DSHS 2026 WAC report |
| Private or employer insurance | Your copay depends on your plan and whether it covers brand Fosamax or generic alendronate, which the FDA rates as equivalent to Fosamax. Ask your plan or pharmacist. | FDA Orange Book |
| Medicare Part D | Your cost depends on your plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100. | Medicare.gov |
| Medicaid | Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office. | Medicaid.gov |
Brand Fosamax is sold in the U.S. by Organon as a blister pack of 4 tablets of 70 mg, listed at $162.03 (Texas DSHS). That's about $40.51 for each weekly tablet. The label says brand Fosamax is no longer marketed in the 5, 10, 35 and 40 mg strengths, though generic alendronate still comes in them. The FDA has approved generic alendronate since 2008, and generic list prices in the same filing are far lower: 4 tablets of 70 mg list at $2.50 from Rising and $5.50 from Aurobindo.
Fosamax cost with Medicare in 2026
In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. What you pay for brand Fosamax or generic alendronate depends on your plan's drug list.
| Medicare Part D | What Fosamax costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year. | Medicare.gov |
Fosamax coupons and savings programs
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
Checking more than one medicine? Use the free Medicare Drug Cost Check.
eDrugSearch does not offer its own Fosamax coupons. These are the programs we could verify:
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Is there a generic Fosamax?
Yes. The FDA has approved generic alendronate 70 mg tablets from 6 companies, including Aurobindo, Cipla, Sun, Watson and Ipca, all rated equivalent to Fosamax. The first generic alendronate tablets were approved on February 6, 2008. Generics also come in 5, 10, 35 and 40 mg.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 70 mg | Yes | Aurobindo, Cipla, Sun, Watson, Ipca, Hangzhou Binjiang | — |
Outside the U.S.: Online pharmacies abroad may also sell generic alendronate made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: alendronate products. As of Nov 11, 2026.
Compare Fosamax with similar drugs
Other osteoporosis medicines of the same type (bisphosphonates) that people often compare with Fosamax. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Bonivaibandronate | Bisphosphonate (osteoporosis medicine) | $39.83 for 90 days | See prices |
| Actonelrisedronate | Osteoporosis medicine (bisphosphonate) | $57.19 for 90 days | See prices |
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Fosamax used for?
Fosamax (alendronate) is a bisphosphonate, a type of medicine that slows bone loss. According to its FDA label (DailyMed), it is used for:
- Treating and preventing osteoporosis in women after menopause.
- Increasing bone mass in men with osteoporosis.
- Treating osteoporosis caused by long-term steroid (glucocorticoid) medicines.
- Treating Paget's disease of bone.
Brand Fosamax now comes only as a 70 mg tablet, taken once a week. The label says to swallow it with a full glass (6 to 8 ounces) of plain water at least 30 minutes before the first food, drink or other medicine of the day, and not to lie down for at least 30 minutes afterward. The label has no boxed warning. Your prescriber decides which medicine is right for you.
Is it safe to order Fosamax from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Fosamax, compare the U.S. price of FDA-approved generic alendronate before you order. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, Fosamax 70 mg tablets are sold under the same name by Organon Canada (Health Canada).
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Frequently asked questions
How much is Fosamax without insurance?
The U.S. list price of brand Fosamax 70 mg is $162.03 for a pack of 4 weekly tablets, about $40.51 a tablet. Licensed pharmacies abroad charged from $64.93 for about 3 months of brand Fosamax 70 mg (1 tablet a week) in our latest check (Nov 11, 2026), shipping included. FDA-approved generic alendronate is also sold in the U.S.
Is there a generic Fosamax?
Yes. The FDA has approved generic alendronate 70 mg tablets from 6 companies, rated equivalent to Fosamax. The first generic alendronate tablets were approved in February 2008. The generic name is alendronate. Ask your pharmacist whether a generic can fill your prescription.
How much does alendronate cost without insurance?
In the 2026 list-price filing, a pack of 4 generic alendronate 70 mg tablets (a 4-week supply) lists at $2.50 from Rising and $5.50 from Aurobindo. These are list prices (the maker's wholesale price before discounts); what a pharmacy charges can differ, so ask your pharmacist.
Is there a Fosamax coupon or savings card?
eDrugSearch doesn't offer coupons of its own. FDA-approved generic alendronate is sold in the U.S.; ask your pharmacist for its cash price. If you have Medicare and limited income, Extra Help can lower what you pay for prescriptions.
How much does Fosamax cost with Medicare?
It depends on your Part D plan's drug list. In 2026, Part D deductibles are capped at $615 and out-of-pocket costs for covered drugs at $2,100 a year. People with limited income can apply for Extra Help.
What strengths does Fosamax come in?
Brand Fosamax comes as a 70 mg tablet taken once a week, sold in packs of 4. The label says the brand is no longer marketed in 5, 10, 35 and 40 mg, but generic alendronate tablets are still available in those strengths.
Is Fosamax Plus D the same as Fosamax?
No. Fosamax Plus D combines alendronate 70 mg with vitamin D in one weekly tablet. It's a separate product with its own price and isn't priced on this page.
Sources
- Texas DSHS: 2026 annual WAC report (the maker's U.S. list price (WAC) as reported to the Texas Department of State Health Services: Organon Fosamax 70 mg, blister pack of 4 (NDC 78206-135-01) $162.03; alendronate 70 mg 4-tablet packs: Rising $2.50, Aurobindo $5.50)
- FOSAMAX U.S. prescribing information (DailyMed) (Organon LLC, label version 10 (published Mar 16, 2026); no boxed warning)
- FDA Orange Book: alendronate products (data file dated Oct 2026: Fosamax 70 mg RX, AB; brand 5, 10, 35, 40 mg DISCN; 6 generic applicants at 70 mg)
- Drugs@FDA: Fosamax (NDA 020560) (70 mg prescription; 5, 10, 35 and 40 mg discontinued (not for safety or effectiveness reasons))
- Drugs@FDA data: first generic alendronate tablets (ANDA 076184, Teva) (approved Feb 6, 2008)
- Health Canada Drug Product Database: Fosamax (DIN 02245329, 70 mg tablet, Organon Canada Inc., marketed; 5, 10 and 40 mg cancelled; checked 2026-11-11)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- FDA: personal importation
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