Nexletol (bempedoic acid) is a prescription drug used to treat high cholesterol in certain people. Nexletol’s cost may depend on factors such as your dosage, whether you have health insurance, and the pharmacy you use.

Nexletol is a prescription tablet used to treat high cholesterol in adults with the following conditions:

For these uses, Nexletol is used in combination with a statin drug, exercise, and a low cholesterol diet.

For more details on Nexletol, see this in-depth article.

The price you pay for Nexletol can vary. It may depend on your insurance coverage (if you have it) and the pharmacy you use. To find out how much you’ll pay for Nexletol, talk with your doctor, pharmacist, or insurance provider.

Note: If you have insurance, you may need to get prior authorization before your insurance provider will cover Nexletol. This means your insurer and your doctor will discuss the drug in regard to your treatment. Then the insurance company will determine whether it’s covered. If Nexletol requires prior authorization and you don’t receive it before you start treatment, you could pay the full cost of the drug.

Be sure to ask your insurance company whether Nexletol requires prior authorization.

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

Does the maker of Nexletol have a coupon available?

Nexletol’s drugmaker has a patient support program called NEXSTEP for people with private insurance. The program may be able to offer a copay card for those who qualify.

Is Nexletol covered by Medicare?

It’s possible. This depends on your particular Medicare plan and drug coverage benefits. If you have a Medicare Part C or Part D plan with prescription drug coverage, reach out to your plan provider. They can give you details about your benefits, including whether Nexletol is covered and how much you’d pay for it. They can also tell you if there are any prior authorization requirements for this medication.

Your doctor or pharmacist can provide more information on Medicare coverage for Nexletol.

Nexletol only comes as a brand-name drug. It’s not currently available in a generic version. A generic drug contains an exact copy of the active drug in a brand-name medication but usually costs 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 maker of a brand-name drug can sell the drug 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 Nexletol 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 Nexletol if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of Nexletol. 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 Nexletol. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also 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 Nexletol or understanding your insurance, check out these resources:

On these sites, 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.

If you still have questions about the cost of Nexletol, talk with your doctor or pharmacist. They may be able to give you a better idea of what you’ll pay for this drug. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Nexletol.

Examples of questions you may want to ask your doctor or insurance provider include:

  • Are there other drugs that treat my condition that might cost less?
  • What are my options if I can’t afford my medication?
  • Will my Medicare plan cover Nexletol?

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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.