David Fuller
Last Updated On: June 30, 2025
Generic medications account for nearly 90% of prescriptions filled in the United States, offering cost-effective alternatives without compromising safety or efficacy. These medications are crucial in enhancing patient access to essential treatments and reducing healthcare costs worldwide.
One such medication is Evenity, whose generic name is romosozumab. Evenity is a prescription medication designed to treat osteoporosis by stimulating bone formation and inhibiting bone resorption. Understanding its generic name, romosozumab, helps clarify its mechanism of action and how it fits within the broader landscape of osteoporosis therapies.
This article will examine the function, benefits, and key considerations for romosozumab, providing insight into its role in managing bone health.
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Romosozumab is a humanized monoclonal antibody that targets sclerostin, a protein naturally produced by the body to inhibit bone formation. By blocking sclerostin, romosozumab enhances the activity of osteoblasts, the cells responsible for bone formation, while also mildly inhibiting osteoclasts, which break down bone. This dual-action mechanism is unique among osteoporosis treatments, making Evenity particularly suitable for individuals at high risk of fractures.
Clinical studies such as the FRAME and ARCH trials have proven romosozumab’s ability to significantly increase bone mineral density (BMD) within months of starting treatment. Particularly, patients saw improvements in spine and hip BMD, reducing their fracture risk. Unlike older medications that target either bone formation or bone resorption, romosozumab offers a comprehensive approach, producing faster and more robust improvements in bone health.
As more patients seek cost-effective treatments for osteoporosis, the question arises: What is Evenity? And does it have a generic version? While romosozumab is the generic name for Evenity, it is currently available only under the branded formulation. Here’s a breakdown of the current status:
Aspect | Details |
Generic Availability | No generic version of romosozumab is currently available. |
Brand Name | Evenity is the brand under which romosozumab is FDA-approved and marketed. |
Manufacturer | Jointly developed and distributed by Amgen and UCB Biopharma. |
FDA Approval | Approved in 2019 for postmenopausal women at high risk of fracture. |
Patent Status | Protected by multiple patents covering molecular structure, biologic production method, and therapeutic use. |
Biosimilars Status | No biosimilars or interchangeable products have been approved yet, although development may be underway in global markets. |
Prescribing Note | When a physician prescribes the Evenity generic name, they are still selecting the brand version—romosozumab—since no alternative exists. |
While patients may look for cost-effective options, Evenity remains the only available formulation of romosozumab. As biosimilars or generic versions gain approval in the future, this distinction will continue to be important for understanding what the prescribed drug is and how to properly manage treatment plans.
The suffix “‑aqqg” attached to romosozumab is part of the FDA’s naming convention for biologic medications. This four-letter suffix does not imply a generic form but serves to distinguish between different versions of the same biologic molecule.
This naming system is particularly helpful when biosimilars or multiple manufacturers are involved. It ensures traceability, which is critical for pharmacovigilance, allowing healthcare providers to monitor safety and manage adverse events more effectively.
The suffix “romosozumab-aqqg” refers to the FDA-approved version of Evenity, the trusted formulation that has undergone extensive clinical testing. It does not impact the drug’s therapeutic performance, mechanism of action, or dosing guidelines. It simply provides regulatory clarity.
For patients, the term romosozumab-aqqg may seem confusing, but it remains the same medication branded as Evenity, with no change in how the drug works. Biosimilars or interchangeable versions are not available yet, but this naming convention will assist in tracking and ensuring quality control when they eventually do emerge.
Evenity’s formulation is designed for precision and ease of use. Each prefilled syringe contains 105 mg of romosozumab in a preservative-free solution, ready for subcutaneous injection. The two-syringe dose (totaling 210 mg) is administered once per month for a 12-month course, after which antiresorptive therapy is recommended to preserve the benefits.
Understanding that Evenity’s generic name is romosozumab is important for both patients and healthcare providers. It enables clearer communication, better care coordination, and accurate prescribing across pharmacy teams and specialties. It also ensures the consistent documentation of patient progress and adherence to treatment protocols, especially when transitioning to maintenance therapies like Prolia or bisphosphonates.
For patients, knowing that Evenity contains romosozumab helps demystify the treatment process, providing confidence in their prescribed medication. It encourages informed decision-making and better engagement with healthcare providers. As future biosimilars or generic versions are developed, understanding the generic name will be crucial in navigating treatment options.
Evenity’s dual-action mechanism provides a unique approach to treating osteoporosis, especially for postmenopausal women at high fracture risk. Knowing that its generic name is romosozumab helps ensure clear prescribing, accurate documentation, and patient education. While biosimilars and generic versions may become available in the future, understanding the current branded formulation is key to optimizing patient care and maximizing treatment outcomes.
Romosozumab remains a trusted and effective option in the osteoporosis treatment landscape, offering rapid improvements in bone density and fracture prevention.
Yes—Evenity is the brand name for the biologic drug romosozumab. The generic name remains romosozumab, despite the absence of biosimilars to date.
The suffix denotes a specific version identified by the FDA. It doesn’t change the mechanism; it simply labels the exact biologic product.
Not currently—you must complete the 12-month Evenity course. Afterward, doctors typically transition patients to maintenance therapies, such as Prolia or bisphosphonates.
No. A biosimilar would be labeled with a different suffix (e.g., romosozumab-xxxx) and likely marketed under a different brand name once it is FDA-approved.
Generic Drugs: Why 90% of prescriptions are copies (And why that’s good). GovFacts. Published June 21, 2025. https://govfacts.org/federal/fda/generic-drugs-why-90-of-prescriptions-are-copies-and-why-thats-good/
Timeline: Generic medicines in the US. USP. https://www.usp.org/our-impact/generics/timeline-of-generics-in-us
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