lipid.siteYour guide
Price shouldn't be a mystery. Here's what each option costs today, with and without insurance.
Room 8 · The Price Wall(a full-tour room)
What will it cost me?
About 2 minutes
Guess first
What's the lowest cash price for a PCSK9 inhibitor today, without insurance?
The wall
Cash prices, side by side
Switch between per day, per month and per year, or show only pills or shots. Medicines you tried on during the tour are marked in gold.
Checked October 2026
Pill, daily
Generic statins
rosuvastatin, atorvastatin and others
$5 to $15a month
At many pharmacies or discount programs. About 16¢ to 49¢ a day, $60 to $180 a year.
Pill, daily
Ezetimibe (generic)
Zetia
$5 to $15a month
At many pharmacies or discount programs. About 16¢ to 49¢ a day, $60 to $180 a year.
Shot once a month
Lerochol
PCSK9 inhibitor
$199a month
Through its direct program. About $6.50 a day, $2,388 a year.
Lowest PCSK9 cash priceShot every 2 weeks or monthly
Repatha
PCSK9 antibody (evolocumab)
$239a month
Cash price. About $7.90 a day, $2,868 a year.
Shot every 2 or 4 weeks
Praluent
PCSK9 antibody (alirocumab)
$239a month
Cash price. About $7.90 a day, $2,868 a year.
Pill, daily, fasting
Lipfendra
Oral PCSK9 inhibitor (enlicitide)
$315 to $356a month
At retail pharmacies. About $10.40 to $11.70 a day, $3,780 to $4,272 a year.
Shot at a clinic, twice a year
Leqvio
inclisiran
Mostly through insurance
No set cash price on this wall.
Pill, daily
Nexletol
bempedoic acid
Varies
No set cash price on this wall.
Cash prices without insurance, checked October 2026. Prices change, so check with the pharmacy or program before you buy. Per-day and per-year prices are worked out from the monthly price. Bars compare monthly prices across the wall.
Tried anything on yet? Medicines you try on in the Medicine Hall or the Risk Simulator are marked on this wall in gold. Visit the Medicine Hall.
Two ways to pay
Cash or insurance?
You can pay cash or go through insurance. Here's what each one usually involves.
Paying cash
- You see the price before you buy.
- No prior authorization, so you can often start sooner.
- Generic statins and ezetimibe often cost about $5 to $15 a month even without insurance.
- Some newer medicines sell at a set cash price through a direct program, like Lerochol.
Using insurance
- Your plan may cover newer medicines, usually after paperwork called prior authorization, often after trying a statin.
- The plan's review often takes days to a couple of weeks.
- With commercial insurance, the maker's copay card can lower what you pay. These generally can't be used with Medicare or Medicaid.
- Medicare drug plans now have a yearly cap on out-of-pocket drug costs.
Both are real choices. Many people with insurance still pay cash for convenience: a known price, no paperwork and no waiting. Others use insurance to pay less. Some pay cash while the paperwork goes through. Your pharmacy can tell you both prices.
The insurance path
From prescription to pharmacy
Follow a prescription through prior authorization. Switch to the denied path to see how an appeal works.
1. Your clinician prescribes
The prescription goes to your pharmacy. For generic statins and ezetimibe, that is often the end of it: you pick it up.
Follow the path when it's
Make your guess to turn on the lights