lipid.siteAge 60-69
Lerodalcibep (Lerochol)
Well tolerated & effective · Side effects: Injection site reaction · USD 199/mo · N/A-paid cash
A little redness at the shot site for a day. Otherwise nothing.
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PCSK9 drug denied by insurance
Denials for PCSK9 drugs are common, and many are overturned on appeal. People here share what happened after a denial and what they did next.
Shared experiences, not medical advice. For decisions about your treatment, talk to your clinician.
Community snapshot
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Numbers appear once enough people have shared, so nobody can be singled out. The 3 cases written by lipid.site are never counted.
Stories
Share yours- Age 60-69
Atorvastatin
Stopped-side effects · Side effects: Muscle pain, Fatigue · USD 7/mo · No prior auth needed
Thigh and shoulder aches that made walking my dog hard. Tried a lower dose first, same thing.
- Age 60-69
Evolocumab (Repatha)
Stopped-cost · Denied
Never got to start it. Denied twice even with statin intolerance documented.
Common questions
Send us a question- My insurance denied my medicine. What now?Denials are common and often reversed. Ask your clinician's office to appeal with your LDL history and what you've already tried.
- What do cholesterol medicines cost without insurance?Generic statins and ezetimibe: often $5 to $15 a month. Newer medicines: about $199 to $356 a month cash.
- What are PCSK9 shots, and who gets them?Shots that lower LDL by about 50 to 60% on top of a statin. They're usually for very high risk, familial hypercholesterolemia, or when statins don't suit you.
Related medicines
Evolocumab (Repatha)Alirocumab (Praluent)Lerodalcibep (Lerochol)
Other topics
Statin intoleranceHigh Lp(a)Familial hypercholesterolemia (FH)High coronary calcium (CAC) score or plaque