Fosamax (Alendronate Sodium) Rx Price Comparison: US vs Canada — Save Up to 93% in the US

At the US pharmacies in our data, the lowest listed discount-card price for Alendronate Sodium is around $8.95. Prices vary by pharmacy, dosage, and pack size, so use the table above to compare specific options near you.

Yes — Cost Plus Drugs lists Alendronate Sodium at roughly $0.069 per unit, a published price with no membership card or coupon involved. See the three-price comparison above for how that stacks up against discount-card pharmacies.

Canadian pharmacy listings in our data show Alendronate Sodium priced from about $1.03 per tablet (converted to USD), before shipping. Pack size and pharmacy both affect the final total — see the Canada pricing table for specifics.

Drug pricing is set separately in each country through different negotiation, regulatory, and distribution systems, so the same medication can legitimately carry different price tags on either side of the border. In this case, our data shows the US price is actually the lower of the two once a program like Cost Plus Drugs is factored in — the assumption that Canada is always cheaper doesn't hold for every drug.

Alendronate, being a generic drug, is commonly covered by most health insurance formularies and often does not require prior authorization. Your final out-of-pocket cost depends on your specific plan's copay structure and whether you have met your deductible. In some cases, the copay might be higher than the discounted cash price available through a savings program, so it can be worthwhile to compare both options.

Medicare Part D plans generally cover Alendronate. Your cost will depend on your plan's specific formulary and which coverage phase you are in (deductible, initial coverage, or catastrophic). There may be a required copay. It's important to note that you cannot combine Medicare benefits with a separate discount coupon. Therefore, it's wise to check your plan's pricing for the month against the cash price available with a pharmacy savings card to determine the most economical option.

Alendronate is typically covered by Medicaid, though copay amounts and deductible requirements vary by state and individual plan. In some instances, the required Medicaid copayment might be more than the discounted cash price offered by a pharmacy savings program. If this is the case, you may choose to pay the lower cash price instead of using your Medicaid benefit for that prescription.