What vets charged for one arthritis injection on owners’ bills: Librela, Solensia or Adequan. The exam is billed on top.
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These prices come from bills that owners shared with us for this. We never publish names or addresses, we check each bill for duplicates and reading mistakes, and we compare the same charge with the same charge. “Most charges” means the middle half: a quarter were lower and a quarter were higher. This is a small number of bills, so treat the range as a rough guide.
We publish what pet owners actually paid at the vet, from real bills they share with us. We are not a clinic and we don’t sell treatment; our job is to make vet prices clear before you get the bill. How we check the bills
These are repeat injections, so the yearly total matters more than one visit. Librela and Solensia are given at the clinic every month.
Have these prices with you when you call a vet or check the bill afterwards.
Weight sets the price of each injection. Whether an exam is charged every month sets the yearly total.
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Free · your details stay private · no obligationLibrela, Solensia, and Adequan are covered by most accident-and-illness plans at 70–90% after deductible when prescribed for diagnosed arthritis that isn't pre-existing. Because these are recurring monthly costs, reimbursement compounds — 80% of a $130 injection is over $1,200 back per year. Some policies handle injectable medications under a prescription add-on rather than the base plan, so confirm medication coverage before starting.
In our data (14 real vet bill line items), arthritis injections run $60–$190 per injection depending on the drug and your pet's weight. Librela (dogs) and Solensia (cats) are monthly injections; Adequan is given as a series. The injection price usually does not include the exam fee ($40–$70), so ask whether your clinic offers technician-only injection visits after the first appointment.
In our invoice data, Librela injections ran $103–$138. Industry pricing spans $65–$250 per monthly injection, and weight is the biggest factor — dosing is weight-based, so a 70 lb dog costs meaningfully more per shot than a 15 lb dog. Over a full year of monthly injections, that's roughly $780–$3,000 including visit fees, so it's worth asking your vet for the per-injection price and whether an exam fee applies every visit.
In our data, Solensia injections ranged from $56 to $359 per visit, with most between $56 and $187 — the high end reflects larger cats needing more than one vial and visits with added services. Industry pricing typically runs $60–$190 for the injection itself. Like Librela, it's a monthly injection given at the vet, so annual cost is the number to plan around: roughly $700–$2,300 with visit fees.
Adequan pricing in our data ranged from $44–$116 per injection visit, with whole multi-dose vials at $117–$319. Unlike Librela and Solensia, Adequan is a series: the label schedule is twice-weekly injections for 4 weeks (8 injections), then maintenance. Some vets allow home injection after training, which turns the cost into the vial price rather than per-visit charges — ask whether that's an option and what a vial costs at your clinic.
Most clinics require an exam before starting any of these medications and periodically while on them ($40–$70). Between those checkpoints, many clinics offer technician appointments for the injection alone — no exam fee. Whether your clinic does this is one of the biggest drivers of annual cost: a $50 exam fee on 12 monthly visits is $600/year by itself.
Librela and Solensia are vet-administered only — they are not sold through online pet pharmacies, so the vet's price is the price. Adequan is different: it's sold by online pet pharmacies with a prescription (typically $250–$330 for a 5 mL multi-dose vial), and if your vet approves home injection, buying the vial online and administering at home is usually the cheapest route for long-term maintenance.
Accident-and-illness plans generally cover Librela, Solensia, and Adequan at 70–90% after deductible when prescribed for diagnosed arthritis — but only if the arthritis wasn't pre-existing at enrollment. Because these are ongoing monthly costs, coverage matters more than for a one-time treatment: 80% back on a $130 monthly injection is over $1,200/year. Some insurers also require a prescription-medication add-on, so check your policy's medication coverage specifically.
Monthly injections mean the per-shot price times 12, plus visit fees. Using our data and industry ranges: Librela for dogs roughly $780–$3,000/year; Solensia for cats roughly $700–$2,300/year; Adequan after the loading series often lands lower, especially with vet-approved home injection from a multi-dose vial. Manufacturer rewards programs (like Zoetis Petcare Rewards for Librela and Solensia) can return a portion as rebates — ask your clinic.
Prices update as owners share new bills. How we work this out