Skip to main content

Prescription medicine

Evolocumab Brand names: Repatha

Evolocumab (Repatha) is a prescription medicine with an FDA approval on record since 2015. No generic is listed; pharmacies paid $281.96 per mL (Repatha 140 mg/mL sureclick) in the October 7, 2026 NADAC survey.

  • No generic listed

Check it at the source: the evolocumab FDA label on DailyMed (effective August 19, 2026, Amgen USA Inc.); the BLA 125522 record on Drugs@FDA; every evolocumab label on DailyMed.

Highlights of the record

FDA label of August 19, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

REPATHA is indicated: To reduce the risk of major adverse cardiovascular (CV) events (CV death, myocardial infarction, stroke, unstable angina requiring hospitalization, or coronary revascularization) in adults at increased risk for these events.

Forms and strengths

  • 140 mg/ml

Injection (solution).

On the market

Earliest approval on file
August 27, 2015 Repatha, Amgen Inc; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$281.96 per mL Repatha 140 mg/mL sureclick
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
161,222 through July 30, 2026

What is evolocumab used for?

From the label: indications and usage

REPATHA is indicated: To reduce the risk of major adverse cardiovascular (CV) events (CV death, myocardial infarction, stroke, unstable angina requiring hospitalization, or coronary revascularization) in adults at increased risk for these events. As an adjunct to diet and exercise to reduce low-density lipoprotein cholesterol (LDL-C) in: adults with hypercholesterolemia. adults and pediatric patients aged 10 years and older with heterozygous familial hypercholesterolemia (HeFH). adults and pediatric patients aged 10 years and older with homozygous familial hypercholesterolemia (HoFH). […]

Conditions named in the indications of evolocumab's FDA labels, with every medicine labeled for each:

FDA pharmacologic class: PCSK9 Inhibitor.

Source: FDA drug label (REPATHA), Amgen USA Inc., effective August 19, 2026 (SPL set cd61e902-166d-4aa6-9f3c-a18c1008d07e), via openFDA; the full label on DailyMed

Is there a generic for evolocumab (Repatha)?

No generic evolocumab is approved (Drugs@FDA, October 8, 2026).

  • 2015 earliest approval on file

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for evolocumab (Repatha)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $281.96 per mL (Repatha 140 mg/mL sureclick), up 2% from $276.47 on October 8, 2025. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Repatha 140 mg/mL syringe (brand)
$281.91
$270.89
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Repatha 140 mg/mL sureclickBrand$281.96 per mLn/a+2%
Repatha 140 mg/mL syringeBrand$281.81 per mLn/a+2%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What do FAERS reports show for evolocumab?

The FDA Adverse Event Reporting System holds 161,222 reports that list evolocumab among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 2,035 are coded as a death and 8,504 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Device Difficult To Use32,925
  • Drug Dose Omission By Device (a use or a product term, not a reaction)24,638
  • Wrong Technique In Product Usage Process (a use or a product term, not a reaction)22,365
  • Accidental Exposure To Product16,804
  • Injection Site Pain10,927
  • Product Storage Error6,676
  • Back Pain (named in the label)5,587
  • Myalgia (named in the label)5,419

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as evolocumab?

3 other medicines are given the same way (subcutaneous) and in the same FDA class as evolocumab or labeled mainly for the same use (angina), the same class first. Angina lists all 21 medicines labeled for it, by any route. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (subcutaneous)Pharmacy costShortage
AlirocumabAngina, Heart attack and coronary artery disease, High cholesterolnone listed$258.01 per mL 150 mg/mL penNo current entry
EnoxaparinAngina, Heart attack and coronary artery disease14 labelers$6.45 per mL 100 mg/mL syringeNo current entry
DalteparinAngina, Heart attack and coronary artery diseasenone listedn/aNo current entry

Every medicine labeled for the same conditions as evolocumab

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

What next?

Alternatives to evolocumab
3 medicines for the same use
Other pcsk9 inhibitors
the pharmacologic class, with prices and generics
Evolocumab side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other