How do you pay?

How to pay the least

Cash price

$410+ for 30 tablets

Pharmacies pay about this for Nexletol; you’d pay more.

  1. Ask your pharmacy for Nexletol’s cash price, and one or two other pharmacies too.
  2. Nexletol’s savings card works only with insurance from a job or one you bought.

Has to be Nexletol? With Optum Perks’ free coupon, Target (CVS) lists it for $467 for 30 tablets without insurance.

Get the free Optum Perks coupon 

No generic is sold yet.

Compare every option

Question
Brand nameNexletol
Authorized genericbempedoic acid
Regular genericbempedoic acid
What you’d pay
At least$410for 30 tablets; pharmacies pay this
Not soldThere isn’t one
Not soldNone sold yet
Same as Nexletol?
The original
–
–

Brand nameThe maker’s card

NEXLIZET & NEXLETOL Co-Pay Card

Savings card from Esperion Therapeutics

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $10 a month

Sign up on activatethecard.com 

Or call 1-855-699-8814. See the offer on nexlizet.com

In the maker’s words

“If you have commercial insurance, you may be eligible to pay as little as $10 for each 30-day supply or $25 for a 90-day supply of NEXLIZET or NEXLETOL.”

From the maker’s offer on nexlizet.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s card above. You can usually use one or the other on a fill, not both.

Brand nameWith a free discount coupon

Optum Perks, Optum’s free discount coupon, lists these prices for Nexletol without insurance. Show the coupon from its page at the pharmacy; it can’t be used with insurance.

From Optum Perks, read November 2, 2026, with no location set. Its page opens on this dose; other doses and pharmacies near you are priced there too. With insurance, check your co-pay first: it may be lower.

Authorized genericNot sold

There isn’t one. An authorized generic is Nexletol itself, from the same company, sold without the brand name, and usually for less. For now Nexletol is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

No generic is sold yet. Generics usually come once the brand’s patents and exclusivity end. Until then, the maker’s savings card is the way to pay less.

See the brand name →

What it’s used for

What the FDA label says

NEXLETOL, an adenosine triphosphate-citrate lyase (ACL) inhibitor, is indicated:

  • to reduce the risk of major adverse cardiovascular events (cardiovascular death, myocardial infarction, stroke, or coronary revascularization) in adults at increased risk for these events who are unable to take recommended statin therapy (including those not taking a statin).
  • as an adjunct to diet and exercise, in combination with other low-density lipoprotein cholesterol (LDL-C) lowering therapies, or alone when concomitant LDL-C lowering therapy is not possible, to reduce LDL-C in adults with hypercholesterolemia, including heterozygous familial hypercholesterolemia (HeFH).

Source: the FDA label for Nexletol (Esperion Therapeutics, Inc.), June 25, 2026. Full label on DailyMed 

Good to know