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Evolocumab

Also known as Repatha (us)

Evolocumab injection is used to lower cholesterol (a fat-like substance in the blood) and to lower risk of a stroke or a heart attack in patients with cardiovascular disease (disease of the heart or blood vessels).

United States
$8,457
per month
India
$6,840
per month
You save
$1,617
19% cheaper in India
2.2M US scripts/yr$3.6B potential annual savings$19B US spend/yr
Compare the price
US price$8,457per month
India price$6,840per month
You save$1,61719% less

Based on 30 MLs per month. US $281.89 vs India $227.99 per ML.

Total over 1 periodSave $1,617$8,457$6,840
Is travelling to India worth it?

The savings here are large enough that a trip may still come out ahead. Adjust the numbers to your own situation — every value is an editable estimate.

Medicine savings over 6 months
$9,701
Estimated travel cost
− $2,300
Net savings after travel
$7,401

Even after travel, you could come out ahead by about $7,401.

Assumptions: medicine savings = (US − India monthly price) × months. Travel cost = flights + hotel × nights + buffer. Excludes consultation fees, visas, and other costs. For information only — not medical, legal, or travel advice.

The bigger picture

Evolocumab is filled about 2.2M times a year under Medicare Part D. At the prices above, that works out to roughly:

Est. annual US spend
$19B
If sourced from India
$15.4B
Potential annual savings
$3.6B
19%

Rough estimate. Based on Medicare Part D prescription volume (not the entire US market) scaled by the representative monthly price — actual totals depend on dose, duration and coverage.