IndicationMedicationTypical dosageRouteFracture typeMonthly cost*
PreventionEstrogen†, with or without progesterone0.625 mg dailyOralHip, vertebral, nonvertebralWith progesterone: $40
Without progesterone: $47
Prevention and treatmentAlendronate (Fosamax)70 mg weeklyOralHip, vertebral, nonvertebralTablet: $87, $77 (generic)
Solution: $96
Ibandronate (Boniva)150 mg monthlyOralVertebral$100
Risedronate (Actonel)35 mg weeklyOralHip, vertebral, nonvertebral$92
Raloxifene (Evista)60 mg dailyOralVertebral$108
TreatmentIbandronate3 mg every three months for four dosesIntravenousIncreases bone mineral density, but fracture end point not evaluated$162‡
Zoledronic acid (Reclast)5 mg annually for three dosesIntravenousHip, vertebral, nonvertebral$104
Calcitonin (Miacalcin)200 IU dailyNasal Vertebral$126
Teriparatide (Forteo)20 mcg daily up to two yearsSubcutaneousVertebral, nonvertebral$675