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Repatha (evolocumab)
This medicine requires a prescription. See “Prescription Guide”.
We can only help if the medicine is not available in your country. Learn more.
Disease Indications
Risk of cardiovascular events, Hypercholesterolemia
Manufacturer
Amgen Inc.
Usage
Subcutaneous
Medicine approved by
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European Medical Agency (EMA)

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Food and Drug Administration (FDA)

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Health Canada

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Pharmaceuticals and Medical Devices Agency (PMDA)

Why trust us?
- We’re the only specialized global platform helping patients get treatments unavailable in their countries.

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- 11,000+ patients worldwide have already trusted us with their lives.

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FREQUENTLY ASKED QUESTIONS
We help you access approved medicines that are not approved or available in your country of residence.
Legal
Finances
Payment
- Have permanent residence outside the European Union;
- Travel with a non-EU passport or valid proof of non-EU residence;
- Have a flight ticket or travel document showing that you are leaving the EU;
- Take the medicines with you, unused, outside the EU within 90 days after purchase;
- Present the medicines, your receipt, passport, and travel document to customs when leaving the EU;
- Obtain customs confirmation that the goods are being exported from the EU.
We will provide you with the full original receipt needed for the VAT refund process.
If you collect your order in the Netherlands:*You must go to customs when leaving the EU and present the required documents and medicines. The customs approval is then processed digitally through the Dutch customs system. You do not need to obtain a physical stamp, but you must still complete the customs approval step.
If you collect your order in Luxembourg:*You must go to customs when leaving the EU and obtain a physical customs stamp on the required documents. This stamp is needed as proof that the goods have been exported from the EU.
Our Patient Support team will provide further information and guidance during the order process.
Unfortunately, we are unable to help with VAT refunds following delivery, or collection from partner pharmacies outside the Netherlands or Luxembourg.
- If you are residing within the European Union and you are not a company
- If you are coming to Amsterdam to pick up your order
In case of pick up, you may be eligible for a VAT tax refund if you live outside the European Union.
Price
Reimbursement
- That you want to import an approved medicine from abroad
- The lack of reasonable treatment options available in your country (if you can, include a letter from a doctor confirming this).
- That the medicine has already been approved in another country (state the name of the country)
- That your treating doctor states that this medicine is the best option for you (include a copy of the prescription in the letter to the healthcare insurance company)
Ordering and shipping
Ordering
- Name of the patient
- Contact details of patient(email and phone number)
- Copy of patient’s ID
- Contact details of the Doctor (name, address, email and phone number)
- Shipping address
- Copy of the doctor's prescription
Shipping: We can deliver to the patient's residence, a pharmacy, or doctor's office / hospital, but this depends on the country. If you’re not sure what the right choice is for you, please get in touch with our Patient Support Team and we can help you work out your exact requirements.
Once we have received this information, one of our Patient Support Team members will then check your prescription and contact you to follow up on your order. Please note that other documents may be needed for import, we will guide you through the ordering process.
Generally not, but we do provide you with an invoice after you make the payment that you may send to your medical insurance company so they can reimburse you.
As part of our protocols we might reach out to your treating doctor for verification or information updates. By sending us your prescription you allow us to do so.
- Patient's name and date of birth
- Name of the medicine and dosage
- Required quantity
- Doctor's name and signature
- Doctor's registration number and/or stamp
Ideally, the prescription should be issued in English. Alternatively, a translation (unofficial is sufficient) must be provided.
Please be aware that your doctor may be contacted by one of our team members or by the processing pharmacy in order to verify the prescription.
Shipping
For EMA-approved medicines with prescriptions from within the Schengen zone, you can pick the medicines up from our partner pharmacy in Amsterdam, Luxembourg or Dusseldorf. For non-EMA approved medicines, with prescriptions from within the Schengen zone, you can pick the medicines up in our partner pharmacy in Dusseldorf. If you have requested to collect your medicines, you will receive a notification when the medicines are in the pharmacy and ready for you.
There are also options to deliver the medicines to other countries. Please get in touch with our Patient Support Team to discuss which other pick-up and delivery options may be suitable for you.
- Copy of the ID/passport of the patient
- Copy of the ID/passport of the person who is coming to pick up the medicines
- Letter signed by the patient stating that he/she authorises this person to pick up the medicines on his/her behalf
- Step 1 - Customs may need to check the package to verify its contents. In order to streamline this step, we include a letter for customs with information about the contents. Any additional questions will be answered by everyone.org as and when we are contacted by customs.
- Step 2 - In some countries, there are additional questions from the medical regulatory agencies (i.e. the FDA, EMA, etc). We provide them with all the necessary information based on the information provided by the patient, such as: the prescription, copy of ID and a letter from the treating doctor to show that the medicines are for personal use.
- Step 3 - Customs fees. In some cases, the recipient will be requested to pay taxes and duties. These should be arranged by the patient or receiver and are not covered by everyone.org unless stated otherwise.
Please be aware that the import of the medicines always requires customs clearance and active cooperation from the importing party. We will help and guide you but are dependent on your cooperation and responsiveness.
About us
- Complete the enquiry form on our Contact Us page
- Send an email: support@everyone.org
- Call us on:
- +31 20 808 4414 (EU)
- +1 646 381 0675 (US)
- +61 28 417 2910 (AUS)
Others
Available medicines
Medicine approval
The respective national and regional agencies, such as the Food and Drugs Administration (FDA) in the USA or the European Medical Authority (EMA) for the European Union assess these applications and make a decision on whether to approve new medicines. The review process is based on evaluation of the evidence provided by the company. Every agency uses a slightly different process.
- Phase I - performed in a small number of healthy volunteers or very sick patients with lack of treatment options, designed to study the effects of the medicine in the human body.
- Phase II - larger number of patients, designed to evaluate the safety and efficacy of the medicine and to determine if different dosages of the treatment have different effects.
- Phase III - large number of patient groups, designed to confirm the safety and efficacy of the medicine.
- Phase IV - after the medicine has received regulatory approval, designed to evaluate the long-term effects.
Updates
Repatha (evolocumab)
Package
Pre-filled syringe/pen or cartridge
Where can we deliver?
We have delivered medicines to more than 90 countries. Check if we have sent medicines to yours.
We currently can’t ship medicines to - contact us for alternative options.
Make an enquiry to receive information about the different options of obtaining for a patient in .
We haven’t shipped medicines to yet. You can count on us to make it happen.
Make an enquiry to receive information about the cost, shipping time and import details for .
Yes, we have successfully delivered medicines to .
Make an enquiry to receive information about the cost, shipping time and import details for .
PICK-UP IN PERSON FROM A PARTNER PHARMACY
We can arrange for you to pick up this medicine from our partner pharmacy in Luxembourg. Read more.
Pick-up from Luxembourg.
Depending on your particular circumstance, this option can be cheaper and require less paperwork than direct delivery. You can ask someone else to pick up the medicine on your behalf.
In some cases, medicines can be picked up from partner pharmacies in Amsterdam (the Netherlands) or Dusseldorf (Germany).
Tell our Patient Support Team if you’re interested in pick-up options for your order.
Pay safely using:
GDP compliant. View certificate.
Licensed wholesale distributor. View certificate.
What is Repatha (evolocumab) for?
Repatha (evolocumab) is a PCSK9 (proprotein convertase subtilisin kexin type 9) inhibitor antibody for lowering levels of fats in the blood. It is indicated to treat:1
- adults with cardiovascular disease to reduce the risk of heart attack, stroke, and certain types of heart surgery.
- adults with high blood cholesterol levels called primary hyperlipidemia (including heterozygous familial hypercholesterolemia [HeFH]) to reduce low density lipoprotein (LDL) or bad cholesterol. It is used along with diet alone or together with other cholesterol-lowering medicines.
- people with a type of high cholesterol called homozygous familial hypercholesterolemia (HoFH), who need additional lowering of LDL cholesterol. It is used along with other LDL-lowering medicines.
It is not known if this medicine is safe and effective in children with HoFH below 13 years of age or in children who do not have HoFH.1
It is available as a solution for injection in pre-filled syringes (140 mg), pre-filled pens (140 mg) and cartridges (420 mg). The cartridges are used together with an automated dosing device called a mini-doser.1
How does Repatha (evolocumab) work?
Evolocumab, the active substance in Repatha, is a monoclonal antibody (a type of protein) that inhibits proprotein convertase subtilisin/kexin type 9 (PCSK9). PCSK9 can bind to cholesterol receptors that are found on the surface of liver cells. This permits these receptors to be broken down inside the cells and allows them to recycle back to the liver cell surface.
By doing so, Repatha can increase the number of receptors on the cell surface. As a result, the receptors can attach to LDL (“bad”)-cholesterol and remove it from the bloodstream. This helps lower blood cholesterol levels.
In patients with mixed dyslipidaemia, Repatha can help to lower other fatty substances from blood.
Where has Repatha (evolocumab) been approved?
Repatha (evolocumab) was approved by:
- The Food and Drug Administration (FDA), USA:
- on August 27, 2015 to treat adults with HeFH, HoFH, or cardiovascular disease.
- on December 1, 2017 to prevent heart attack and stroke.
- The European Medicines Agency (EMA):
- on July 17, 2015 to treat adults with HeFH, HoFH, or cardiovascular disease.
- Health Canada:
- on September 15, 2015 to treat adults with HeFH, HoFH, or cardiovascular disease.
- on June 19, 2018 to prevent heart attack and stroke.
- Pharmaceuticals and Medical Devices Agency (PMDA), Japan:
- on January 21, 2016 to treat adults with HeFH, HoFH, or cardiovascular disease.
Please note that this medicine may have also been approved in other regions than the ones we’ve listed. If you have a question about its approval in a specific country feel free to contact our support team.
How is Repatha (evolocumab) taken?
The standard dosage is:1
- 140 mg every two weeks, or
- 420 mg (3 pre-filled syringes or 1 cartridge) once a month.
- 420 mg once a month.
- After 12 weeks, your treating doctor may decide to increase the dose to 420 mg every two weeks.
Inject the medicine of a prefilled pen or syringe under the skin (subcutaneous) into the thigh, upper arm, or stomach (abdomen).1
It it used in combination with standard of care treatment.1
Complete information about Repatha (evolocumab) dosage (modifications) and administration can be found in the official prescribing information listed in our references section.1
Note: Please consult with your treating doctor for personalised dosing.
Are there any known adverse reactions or side effects of Repatha (evolocumab)?
Common adverse reactions
The most common side effects ( ≥5% of patients) listed in the prescribing information include:1
- Runny nose
- Sore throat
- Symptoms of the common cold, flu or flu-like symptoms
- Back pain
- High blood sugar levels (diabetes)
- Redness, pain, or bruising at the injection site.
Serious adverse reactions
The serious adverse reactions listed in the prescribing information include:1
- Serious allergic reactions
Use in a specific population
It is not known whether Repatha (evolocumab) can harm a fetus. Tell your doctor if you get pregnant during treatment.1
For a comprehensive list of side effects and adverse reactions please refer to the official prescribing information.1
References
1. Full prescribing information [FDA]: Repatha (evolocumab) [PDF]
Amgen, Aug 2015
2. Repatha
EMA.com, cited Aug 2021
Hypercholesterolemia and mixed dyslipidemia
The Food and Drug Administration (FDA) approval of Repatha (evolocumab) for treatment of adults with hypercholesterolemia and mixed dyslipidemia was based on the data of nine studies.1
This involved one 52-week placebo-controlled trial and eight 12-week placebo-controlled trials were performed. The studies involved 7,400 adult patients, including patients with heterozygous familial disease (HeFH) and homozygous familial disease (HoFH).2,3
Some of the studies looked at Repatha taken alone, and in other studies Repatha was taken in combination with other lipid-lowering medicines. Some studies compared Repatha with placebo and others to another medicine (ezetimibe).2,3
In 2 main, Repatha was given to a total of 155 patients with HoFH, which included 14 children older than 12 years.2,3
Results
The main efficacy outcome of the studies was the reduction in blood LDL-cholesterol levels.2,3
The studies found that people taking Repatha had a significant reduction in blood levels of LDL-cholesterol: people taking Repatha had an average reduction in LDL cholesterol of approximately 60% to 70%, more than placebo, and of around 40% more than ezetimibe.2,3
One of the studies in HoFH patients showed that Repatha taken together with other lipid-lowering medicines reduced fat levels in the blood, which is 15% to 32% more than placebo. The second study showed that during 28 weeks of treatment, Repatha was still able to reduce fat levels in the blood in these patients.2,3
Atherosclerotic heart disease and stroke
The Food and Drug Administration (FDA) approval of Repatha (evolocumab) for treatment of adults with atherosclerotic heart disease was based on data from study FOURIER (NCT01764633).4
FOURIER was a randomized, double-blind, placebo-controlled, multinational clinical trial that involved more than 27,500 patients with a history of established cardiovascular disease.Patients received either Repatha or placebo, both optimized statin therapy, for over 2 years on average.5
Results
The main efficacy outcome of the study was the number of cardiovascular events (meaning death, heart attack, stroke, hospitalization or surgery due to problems with the blood flow to the heart).5
People taking Repatha experienced a reduction in the risk of heart attack (27%), stroke (21%) and coronary revascularization (22%).4
In people taking Repatha, less than 10% had a cardiovascular event during the study compared to just over 11% of the people taking placebo.4
Please refer to the summary of product characteristics below and in the resource section for comprehensive information about the safety and effectiveness of Repatha (evolocumab) for the approved indication.2
References
1. FDA Approves Repatha (evolocumab) to Treat Certain Patients with High Cholesterol
Drugs.com, Aug 2015
2. Full prescribing information [FDA]: Repatha (evolocumab) [PDF]
Amgen, Aug 2015
3. Repatha
EMA.com, cited Aug 2021
4. FDA Approves Amgen's Repatha® (evolocumab) To Prevent Heart Attack And Stroke
Amgen.com, Dec 2017
5. Further Cardiovascular Outcomes Research With PCSK9 Inhibition in Subjects With Elevated Risk
FOURIER study, cited Aug 2021
Repatha (evolocumab) treatment costs
The cost of your treatment with Repatha (evolocumab) depends on your prescription—factors like dosage, strength, and treatment duration come into play.
Our Patient Support team will help you calculate the total price in your case. To get started, submit a request for the medicine you need, and upload your prescription.
Repatha (evolocumab) Price and additional costs
The prices you see on our website reflect the lowest price at which we can access each medicine, plus a small markup that helps sustain our mission of expanding patient access.
We source from trusted suppliers at the best possible prices, but never at the expense of quality or safety.
Our Global Access Assistance Fee
For each order, we apply a Global Access Assistance fee. This fee covers our expenses related to medicine sourcing, logistics planning and follow-up, making sure we can offer you the highest standard of service from beginning to delivery. The fee is tiered according to the price of the medicine.
Shipping costs
Shipping costs depend on the type of shipping required (regular or cold chain) and the destination country. Fees may cover transport from our supplier to our partner pharmacy and final delivery to you.
Some medicines require special packaging (cool boxes, ice packs, data loggers) or transport insurance to ensure safe delivery. We’ll always provide a transparent cost breakdown before you place your order.
You can read a detailed overview of prices and costs here.
Payment methods when you buy Repatha (evolocumab)
When you buy Repatha (evolocumab), you can make the payment by bank transfer or by credit card. Payments are fully encrypted and secure. When paying by credit card, you can pay online once you have received your order confirmation. Please be aware that a 3.25% fee applies when paying by credit card.
Repatha (evolocumab) reimbursement
Depending on your country, you may be able to claim reimbursement for Repatha (evolocumab) through public healthcare or government support programs for medical treatment abroad. We recommend checking with your health ministry, local patient organizations, and support communities for guidance.
Medical insurance
While we don’t work directly with insurers, we provide a detailed invoice after payment, which you can submit for potential reimbursement.
Crowdfunding
Crowdfunding can help cover treatment costs by pooling donations from friends, family, and the wider community. Platforms like GoFundMe, FundRazr, and Watsi offer ways to seek support.
The Everyone.org Foundation
We know the financial burden of accessing new medicines can be overwhelming. That’s why we created the Everyone.org Foundation—raising funds to support vulnerable patients worldwide. Though still in its early stages, you can check with our Patient Support team about available funding options.
Cold chain shipping
Some medicinal ingredients are susceptible to damage from heat, light and handling. Using "cold chain" delivery, specialised medical couriers have temperature regulated boxes and vehicles to ensure that the medicine is uncompromised. For that reason, cold chain shipping can be more expensive than regular shipping. For more details, please see our article on cold chain delivery.

Your order will be shipped via DHL, UPS, or specialized cold chain couriers. If you prefer a specific courier, let us know when placing your order.
Shipping costs depend on the medicine type and destination and may include special packaging (e.g., cool boxes, ice packs) or transport insurance. You'll receive a detailed cost breakdown when you inquire.
Standard delivery takes 5–10 working days, but your Patient Support agent will confirm the exact timeframe.
Prefer to pick up your medicine? You can collect it from our partner pharmacies in Amsterdam, Düsseldorf, or Luxembourg. Please ask your Patient Support agent for more information.
Four steps to access the medicines you need
How and where to access and buy Repatha: You can access Repatha from Everyone.org if it has not been approved or is not available in your country. Here’s how it works:
-
Step 1
Request your medicine
Search for the medicine you need on our website. Once on the medicine page, click on “Request medicine”, answer a couple of questions, and upload your prescription to speed things up. We’ll get back to you within 24 hours.
Can’t find the medicine you need? Contact us. If anyone can find it for you, it’s us.
-
Step 2
Get paperwork and cost details
Our expert team will give you all the necessary information, including:
the required paperwork for your country and situation.
a detailed price estimate, including medicine costs and any shipping, administrative, or import fees that may apply. -
Step 3
Confirm and pay for your order
Once you accept the price estimate, we’ll send you an order confirmation with payment instructions. As soon as you’ve made the payment, we’ll start working on getting you the medicine you need.
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Step 4
Receive your medicine
Our experienced sourcing and logistics team will find your medicine and arrange for its safe shipping via one of our trusted specialized carriers. We’ll keep you updated every step of the way.
Repatha – Regulatory Approvals
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Repatha – Frequently Asked Questions
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Call +31 20 808 4414
Email support@everyone.org
About us
We’re a dedicated team of medicine access experts, doctors and pharmacists. We come from all over the world. And we’ve lost family and friends who could not get the medicine they needed because they lived in the wrong country.
Our mission is to get everyone the right treatment at the right time. Wherever you live. Because you should not suffer or die if a treatment that could help you exists somewhere.
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Disclaimer
We do our best to ensure the accuracy, currency, and completeness of the information provided here, but we can't guarantee it. Medicine information can change over time. The absence of a warning for a given medicine or combination of medicines should not be interpreted as confirmation that it’s safe, effective, or suitable for every patient. Always talk to your treating doctor before starting any treatment.
Worldwide Delivery
Click on a country below to view a guide on how to import medicine into that country.


