Nexlizet (bempedoic acid/ezetimibe) is a prescription drug that lowers cholesterol and some heart-related risks. Nexlizet’s cost may depend on whether you have health insurance, the pharmacy you use, and other factors.
Several factors can affect the price you’ll pay for Nexlizet. These include:
- your treatment plan
- your insurance coverage
- the pharmacy you use
- available financial assistance for Nexlizet (see the “Can I get help paying for Nexlizet?” section)
To find out how much you’ll pay for Nexlizet, talk with your doctor, pharmacist, or insurance provider. Or refer to the next section to learn how much you can save by using an Optum Perks coupon.
Discover more about Nexlizet
To save money on your Nexlizet prescription, explore these coupon options.
Nexlizet comes only as a brand-name drug. It’s not currently available in a generic version. A generic contains an exact copy of the active ingredient in a brand-name medication but tends to cost less.
Why is there such a cost difference between brand-name drugs and generics?Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug exclusively for up to 20 years. After that, other drugmakers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.
If you take Nexlizet long term, you may be able to lower your costs in the following ways:
- Look into getting a 90-day supply of your medication: You may be able to get a 90-day supply of Nexlizet if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of Nexlizet. If you’re interested in getting a 90-day supply of this drug, talk with your doctor, pharmacist, or insurance provider.
- Use a mail-order pharmacy to get your medication: Using a mail-order pharmacy might help lower your cost for Nexlizet. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You also may be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.
If you need help covering the cost of Nexlizet or understanding your insurance, check out these resources:
- Nexstep Patient Support, which offers a Nexlizet copay card for people with commercial insurance, as well as informational resources
- NeedyMeds
- prescription discount programs
On these pages, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.
If you have questions about how to pay for your prescription, talk with your doctor or pharmacist.
This section contains answers to some frequently asked questions about Nexlizet and cost.
Is Nexlizet covered by Medicare?
It’s possible. To find out whether your Medicare plan covers the cost of Nexlizet, call your plan provider. Many different types of Medicare plans are available. So, your cost and coverage depend on your particular plan’s benefits.
Keep in mind that your plan may have prior authorization requirements before it will cover Nexlizet. (See the “Insurance considerations” section for more information.)
You can also ask your doctor about the cost of Nexlizet if you have Medicare.
How much does Nexlizet cost without insurance?
What you’ll pay for Nexlizet without insurance depends on several factors. Generally, your cost will be higher without insurance.
Factors that could affect your cost include:
- your treatment plan
- whether you qualify for any savings programs
- the pharmacy you choose
- the supply of medication you receive (such as a 30-day or 90-day supply)
To find out the exact cost of Nexlizet without insurance, ask your doctor or pharmacist. Also, you may want to check with a few pharmacies to compare prices.
You can also visit Optum Perks* to get price estimates for Nexlizet when you use coupons from the site. It’s important to note that Optum Perks coupons cannot be used with any insurance copays or benefits.
* Optum Perks is a sister site of Healthline.
Is a Nexlizet coupon card available?
A Nexlizet copay card is available for people who have commercial insurance, which is similar to a coupon card. You can visit the Nexlizet website or call 855-699-8814 to learn more. You can also visit Optum Perks to see available coupons for Nexlizet in your area.
Optum Perks is owned by RVO Health. By clicking on this link, we may receive a commission. Learn more.
If you have insurance, you may need to get prior authorization before your insurance provider will cover Nexlizet. This means your insurer and your doctor will discuss Nexlizet in regard to your treatment. Then the insurance company will determine whether the drug is covered.
If Nexlizet requires prior authorization and you don’t receive it before you start treatment, you could pay the full cost of the drug. You can ask your insurance company whether Nexlizet requires prior authorization.
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.