Nexletol (bempedoic acid) is a brand-name tablet that’s prescribed for high cholesterol in adults. The cost of the drug with and without insurance can depend on several factors, such as whether Nexletol has a savings program.

Nexletol belongs to a drug class called adenosine triphosphate-citrate lyase (ACL) inhibitors. The drug is not available in a generic version.

Nexletol is approved by the Food and Drug Administration (FDA) for use along with diet and statin therapy to help lower LDL cholesterol in adults with:

Read on to learn about Nexletol and cost, as well as how to save money on prescriptions. If you’d like other information about Nexletol, refer to this article.

As with all medications, the cost of Nexletol can vary. Factors that may affect the price you’ll pay include:

  • your treatment plan
  • your insurance coverage
  • the pharmacy you use
  • whether Nexletol has a savings program (see the “Financial and insurance assistance” section below)

To find out what the cost of Nexletol 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 Nexletol. This means the company and your doctor will discuss Nexletol 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 Nexletol requires prior authorization.

Nexletol is only available as a brand-name drug. It doesn’t come in a generic version. A generic drug is an exact copy of the active drug in a brand-name medication.

Generics tend to cost less than brand-name 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 Nexletol 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 Nexletol. 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

Nexletol 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 Nexletol, or if you need help understanding your insurance coverage, help is available. For example:

  • A Nexletol Copay Card is available for Nexletol. For more information and to find out whether you’re eligible for support, call 855-699-8814 or visit the program website.
  • 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:

To learn more about saving money on prescriptions with or without insurance, check out this article.

Here are answers to some frequently asked questions about drug cost and Nexletol.

Is Nexletol covered by Medicare?

It may be. There are many types of Medicare plans, so your coverage and what you pay for prescriptions will be based on your specific plan’s benefits.

Depending on your plan, you may need to obtain prior authorization before your insurance will cover the cost of this medication.

To learn whether your Medicare plan covers the cost of this drug, call your Medicare plan provider. Your doctor may also be able to provide information about the cost of Nexletol if you have Medicare.

What is the cost of Nexletol without insurance?

The cost of Nexletol without insurance can depend on several factors. Typically, the cost is higher for those without insurance.

There are other factors that could affect what you pay for this drug. These include:

  • the quantity you’re prescribed (such as a 90-day or 30-day supply)
  • whether you apply and qualify for any available savings programs
  • your dosage
  • the pharmacy you use

To learn the exact cost you’d pay for this medication without insurance, ask your doctor or pharmacist. You may also want to contact several pharmacies to compare their prices for Nexletol.

Check out Optum Perks* for estimates of Nexletol’s price when using coupons from the site. (Optum Perks coupons cannot be used with insurance benefits or copays.)

* Optum Perks is a sister site of Medical News Today.

Now that you’ve learned about cost and Nexletol, you may still have some questions. Talk with your doctor or pharmacist, who can provide personalized guidance about cost issues related to Nexletol. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you would pay for Nexletol.

Here are some other resources you may find helpful:

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.