Ezetimibe is a generic tablet prescribed for reducing high cholesterol in adults and certain children. It’s available as the brand-name drug Zetia. The cost of ezetimibe with and without insurance can depend on several factors.
Ezetimibe belongs to a drug class called cholesterol absorption inhibitors.
Read on to learn about ezetimibe and cost, as well as how to save money on prescriptions. If you’d like other information about ezetimibe, refer to this article.
As with all medications, the cost of ezetimibe can vary. Factors that may affect the price you’ll pay include your treatment plan, your insurance coverage, and the pharmacy you use.
To find out what the cost of Ezetimibe will be for you, talk with your doctor, pharmacist, or insurance provider.
Note: If you have insurance, your insurance company may require prior authorization before it covers ezetimibe. This means the company and your doctor will discuss ezetimibe in regard to your treatment. The insurance company will then determine whether the medication is covered. If a drug requires prior authorization, but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Ezetimibe requires prior authorization.
Ezetimibe is a generic drug, which means it’s an exact copy of the active drug in a brand-name medication. A generic drug is considered to be as safe and effective as the original drug. And generics tend to cost less than brand-name drugs.
Ezetimibe is available as the brand-name drug Zetia. If your doctor has prescribed ezetimibe and you’re interested in taking Zetia instead, talk with your doctor. They may have a preference for one version or the other. You’ll also need to check with your insurance provider, as it may cover only one or the other.
To find out how the cost of this generic drug compares with the cost of Zetia, talk with your doctor, pharmacist, or insurance provider.
WHY ARE COSTS DIFFERENT FOR BRAND-NAME DRUGS VS. GENERIC DRUGS?
Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.
If you take ezetimibe long term, you may be able to lower its cost in the following ways.
Getting a 3-month supply
You may be able to get a 90-day supply of ezetimibe. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost. If you’re interested in this option, check with your doctor, pharmacist, or insurance provider.
Using a mail-order pharmacy
Ezetimibe may be available through a mail-order pharmacy. Using this type of service may help lower the drug’s cost and allow you to receive your medication without leaving home. Some Medicare plans may help cover the cost of mail-order medications. You may also be able to get a 90-day supply of the drug via 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 financial support to pay for ezetimibe, or if you need help understanding your insurance coverage, help is available.
Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
These sites can provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services.
To learn more about saving money on prescriptions with or without insurance, check out this article.
Now that you’ve learned about cost and ezetimibe, you may still have some questions. Talk with your doctor or pharmacist, who can provide personalized guidance about cost issues related to ezetimibe. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for ezetimibe.
Here are some other resources you may find helpful:
- Medicare drug coverage. To learn about Medicare coverage for drugs, see these articles aboutMedicare prescription drug plans, drug coupons and Medicare, and the Medicare drug list.
- Save money. Explore this article for tips about how to save money on prescriptions.
- More details. For details about other aspects of ezetimibe, refer to this article.
- Information about your condition. For more information about your condition, see our cholesterol hub.
Disclaimer: Medical News Today 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.