Full price comparison · US & Canada
How Much Does Fosamax Plus D Cost?
Price comparison
See both prices
We don't have a directly comparable per-unit price for Fosamax Plus D yet — the full breakdown is below.
US · discount card
$216.85
per fill
Lowest listed pharmacy price
Canada
$6.47
per tablet
Lowest listed pharmacy price
US pharmacy prices — 4 tablets
| Pharmacy | Discount-card price | Regular cash price | Average retail |
|---|---|---|---|
 Kroger Pharmacy | $216.85Lowest | $219.85 | $55.70 |
 Harris Teeter Pharmacy | $216.85Lowest | $219.85 | $55.70 |
 Walgreens | $229.15 | $232.15 | $55.70 |
 Publix | $231.71 | $234.71 | $55.70 |
 Food Lion | $232.08 | $232.08 | $55.70 |
 Walmart Neighborhood Market | $233.18 | $236.18 | $55.70 |
 Walmart Pharmacy | $233.18 | $236.18 | $55.70 |
 Costco | $233.99 | $236.99 | $55.61 |
 CVS Pharmacy | $243.90 | $246.90 | $55.70 |
"Discount-card price" reflects a standard prescription discount card, not insurance. Prices change often — confirm at the pharmacy before filling.
Canadian pharmacy prices
Initial · 70 mg/2800 IUfrom $32.14
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
 CanadianPharmacyAdvantage.com | $6.59 | 12 | Free | $79.12Lowest |
 InhalersOnline.com | $7.21 | 12 | $0.00 | $86.55 |
 CanadaPharmacies.com | $7.50 | 12 | Free | $89.99 |
| CanadianPharmacyAdvantage.com | $8.04 | 4 | Free | $32.14 |
| InhalersOnline.com | $10.07 | 4 | $0.00 | $40.28 |
| CanadaPharmacies.com | $10.75 | 4 | Free | $42.99 |
 SPFPharmacy.com | $10.81 | 12 | $9.95 | $129.69 |
Initial · 70 mg/5600 IUfrom $50.58
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| InhalersOnline.com | $8.34 | 12 | $0.00 | $100.02Lowest |
| InhalersOnline.com | $12.65 | 4 | $0.00 | $50.58 |
| SPFPharmacy.com | $13.69 | 4 | $9.95 | $54.76 |
Initial · 70 mg/5600 IUfrom $31.67
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
 CanadianPrescriptionDrugstore.com | $6.47 | 12 | $14.95 | $77.65Lowest |
| CanadianPharmacyAdvantage.com | $6.48 | 12 | Free | $77.72 |
 CanadaPharmacyPro.com | $7.17 | 12 | $14.95 | $85.99 |
| CanadaPharmacies.com | $7.42 | 12 | Free | $88.99 |
| CanadianPharmacyAdvantage.com | $7.92 | 4 | Free | $31.67 |
 LifeRxPharmacy.com | $7.95 | 12 | $14.95 | $95.36 |
| InhalersOnline.com | $8.34 | 12 | $0.00 | $100.02 |
| CanadaPharmacies.com | $10.75 | 4 | Free | $42.99 |
| InhalersOnline.com | $12.65 | 4 | $0.00 | $50.58 |
| SPFPharmacy.com | $13.69 | 4 | $9.95 | $54.76 |
Initial · 70 mg/2800 IUfrom $106.00
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| CanadianPrescriptionDrugstore.com | $8.83 | 12 | $14.95 | $106.00Lowest |
Generic · 70 mg/2800 IUfrom $50.27
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| InhalersOnline.com | $7.33 | 12 | $0.00 | $87.90Lowest |
| InhalersOnline.com | $12.57 | 4 | $0.00 | $50.27 |
Generic · 70 mg/2800 IUfrom $128.19
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| CanadianPrescriptionDrugstore.com | $15.17 | 12 | $14.95 | $182.00Lowest |
| LifeRxPharmacy.com | $15.18 | 12 | $14.95 | $182.16 |
| LifeRxPharmacy.com | $16.02 | 8 | $14.95 | $128.19 |
| CanadaPharmacyPro.com | $17.79 | 12 | $14.95 | $213.48 |
| CanadaPharmacyPro.com | $18.78 | 8 | $14.95 | $150.23 |
Generic · 70 mg/5600 IUfrom $43.89
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| SPFPharmacy.com | $7.05 | 12 | $9.95 | $84.63Lowest |
| InhalersOnline.com | $7.67 | 12 | $0.00 | $91.98 |
| SPFPharmacy.com | $10.97 | 4 | $9.95 | $43.89 |
| InhalersOnline.com | $12.57 | 4 | $0.00 | $50.27 |
Generic · 70 mg/5600 IUfrom $43.89
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| SPFPharmacy.com | $7.05 | 12 | $9.95 | $84.63Lowest |
| InhalersOnline.com | $7.67 | 12 | $0.00 | $91.98 |
| SPFPharmacy.com | $10.97 | 4 | $9.95 | $43.89 |
| InhalersOnline.com | $12.57 | 4 | $0.00 | $50.27 |
Generic · 70 mg/5600 IUfrom $126.53
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| LifeRxPharmacy.com | $14.98 | 12 | $14.95 | $179.81Lowest |
| LifeRxPharmacy.com | $15.82 | 8 | $14.95 | $126.53 |
| CanadaPharmacyPro.com | $17.91 | 12 | $14.95 | $214.90 |
| CanadaPharmacyPro.com | $18.90 | 8 | $14.95 | $151.23 |
Brand · 70 mg/2800 IUfrom $50.27
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| InhalersOnline.com | $7.33 | 12 | $0.00 | $87.90Lowest |
| InhalersOnline.com | $12.57 | 4 | $0.00 | $50.27 |
Brand · 70 mg/2800 IUfrom $128.19
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| CanadianPrescriptionDrugstore.com | $15.17 | 12 | $14.95 | $182.00Lowest |
| LifeRxPharmacy.com | $15.18 | 12 | $14.95 | $182.16 |
| LifeRxPharmacy.com | $16.02 | 8 | $14.95 | $128.19 |
| CanadaPharmacyPro.com | $17.79 | 12 | $14.95 | $213.48 |
| CanadaPharmacyPro.com | $18.78 | 8 | $14.95 | $150.23 |
Brand · 70 mg/5600 IUfrom $43.89
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| SPFPharmacy.com | $7.05 | 12 | $9.95 | $84.63Lowest |
| InhalersOnline.com | $7.67 | 12 | $0.00 | $91.98 |
| SPFPharmacy.com | $10.97 | 4 | $9.95 | $43.89 |
| InhalersOnline.com | $12.57 | 4 | $0.00 | $50.27 |
Brand · 70 mg/5600 IUfrom $43.89
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| SPFPharmacy.com | $7.05 | 12 | $9.95 | $84.63Lowest |
| InhalersOnline.com | $7.67 | 12 | $0.00 | $91.98 |
| SPFPharmacy.com | $10.97 | 4 | $9.95 | $43.89 |
| InhalersOnline.com | $12.57 | 4 | $0.00 | $50.27 |
Brand · 70 mg/5600 IUfrom $126.53
| Pharmacy | Price / tablet | Pack size | Shipping | Total |
|---|---|---|---|---|
| LifeRxPharmacy.com | $14.98 | 12 | $14.95 | $179.81Lowest |
| LifeRxPharmacy.com | $15.82 | 8 | $14.95 | $126.53 |
| CanadaPharmacyPro.com | $17.91 | 12 | $14.95 | $214.90 |
| CanadaPharmacyPro.com | $18.90 | 8 | $14.95 | $151.23 |
Canadian prices are converted to USD at the time of listing and shown before any duties. Shipping and delivery times vary by pharmacy.
Interchangeable forms
Per RxNorm (U.S. National Library of Medicine), these share the same active ingredient and strength as Fosamax Plus D.
Frequently asked questions
How much does Fosamax Plus D (Fosamax Plus D) cost without insurance?
At the US pharmacies in our data, the lowest listed discount-card price for Fosamax Plus D is around $216.85. Prices vary by pharmacy, dosage, and pack size, so use the table above to compare specific options near you.
How much does Fosamax Plus D (Fosamax Plus D) cost in Canada?
Canadian pharmacy listings in our data show Fosamax Plus D priced from about $6.47 per tablet (converted to USD), before shipping. Pack size and pharmacy both affect the final total — see the Canada pricing table for specifics.
Why does Fosamax Plus D (Fosamax Plus D) cost more in one country than the other?
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. Check the comparison table above for the specific numbers on Fosamax Plus D.
Is a generic version of Fosamax Plus D available?
Generic and brand-name pricing for Fosamax Plus D is broken out in the tables above where both exist in our data. Generic versions are typically the lower-cost option, but availability depends on the specific formulation and dosage.
Is a generic version of Fosamax Plus D available?
No, a generic equivalent for the Fosamax Plus D combination product is not currently on the market. It remains a brand-name medication manufactured by Merck.
What is Fosamax Plus D and how is it used?
Fosamax Plus D is an FDA-approved medication used to treat and prevent osteoporosis, a condition that weakens bones and increases fracture risk. It combines alendronate, which slows bone breakdown, with cholecalciferol (vitamin D3) to aid calcium absorption. It is taken as a once-weekly oral tablet, first thing in the morning with a full glass of plain water. To ensure proper absorption and minimize irritation, patients must remain upright for at least 30 minutes after taking it and wait at least 30 minutes before eating, drinking, or taking other medications. It should not be taken at bedtime.
What potential side effects are associated with Fosamax Plus D?
Common side effects of Fosamax Plus D may include stomach pain, constipation, gas, diarrhea, or nausea. While most people tolerate the medication well, it can, in rare instances, cause serious irritation or ulcers in the esophagus. Seek immediate medical attention for symptoms like new or worsening heartburn, chest pain, or difficulty swallowing. Always discuss the full risk-benefit profile with your healthcare provider, as this is not an exhaustive list of possible side effects.