How do you pay?

How to pay the least

Cash price

$410+ for 30 tablets

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

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

Has to be Nexlizet? 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 nameNexlizet
Authorized genericbempedoic acid and ezetimibe
Regular genericbempedoic acid and ezetimibe
What you’d pay
At least$410for 30 tablets; pharmacies pay this
Not soldThere isn’t one
Not soldNone sold yet
Same as Nexlizet?
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 Nexlizet 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 Nexlizet itself, from the same company, sold without the brand name, and usually for less. For now Nexlizet 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

NEXLIZET, a combination of bempedoic acid, an adenosine triphosphate citrate lyase (ACL) inhibitor, and ezetimibe, a dietary cholesterol absorption inhibitor, is indicated:

  • As an adjunct to diet and exercise to reduce low-density lipoprotein cholesterol (LDL-C) in adults with hypercholesterolemia, including heterozygous familial hypercholesterolemia (HeFH).

Bempedoic acid, a component of NEXLIZET, 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).

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

Good to know