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Nexletol Price (bempedoic acid)
As of Nov 11, 2026, brand Nexletol 180 mg costs from $495 for 90 days at licensed pharmacies abroad (ships from United Kingdom; packs made for other countries are not FDA-approved), vs. $1,298.04 at the U.S. list price.
- Lowest U.S. online pharmacy price
- $15.01 per tablet$1,355.90 for 90 days (90 tablets), shipping included · FDA-approved brand Nexletol 180 mg · ships within the U.S.
- Lowest international online pharmacy price
- $4.10 per tablet$368.71 for 90 days (90 tablets), plus shipping (fee not published) · brand Nexletol 180 mg, not FDA-approved · ships from United Kingdom
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Name check: Nexlizet (sold as Nustendi in the U.K. and Europe) contains bempedoic acid plus ezetimibe. It is a separate product, so its prices are not mixed in here.
Compare Nexletol prices from licensed pharmacies
For comparison U.S. pharmacy list price: $1,298.04 for 90 days ($14.42 per tablet), brand Nexletol before insurance. The prices below are from U.S. pharmacies that publish cash prices and from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletOnline pharmacy A | Nilemdo 180mg Tablet (UK/EU pack, ships from United Kingdom)180 mg · brand · Filled in United KingdomMaker listed by pharmacy: Maker not shown by pharmacyMade for UK/EU | $344.13for 84 tablets$4.10 per tablet | Fee not publishedDelivery time not stated | $344.13 for 84 days= $368.71 for 90 days+ shippingSave 72%Worked out from an 84-day orderChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Nilemdo (UK/EU pack, ships from United Kingdom)180 mg · brand · Filled in United KingdomProduct of UK/EU | $354.99for 84 tablets$4.23 per tablet | Fee not publishedDelivery time not stated | $354.99 for 84 days= $380.35 for 90 days+ shippingSave 71%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed online pharmacy C | Nexletol 180mg180 mg · brand · Filled in United KingdomProduct of United Kingdom | $462for 84 tablets$5.50 per tablet | FreeDelivery time not stated | $462 for 84 days= $495 for 90 daysSave 62%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | NEXLETOL180 mg · brand · Filled in UKProduct of UK | $517.39for 84 tablets$6.16 per tablet | FreeDelivery time not stated | $517.39 for 84 days= $554.35 for 90 daysSave 57%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy E | Nexletol 180mg Tablets180 mg · brandMaker listed by pharmacy: Esperion Therapeutics, Inc.Ships from United StatesShips within the U.S. (no customs) · checked Nov 5, 2026 | $1,350.90for 90 tablets$15.01 per tablet | $5Pharmacy's estimate: 2–8 business days | $1,355.90 for 90 days= $1,355.90 for 90 daysincl. $5 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Bempedoic Acid (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.180 mg · generic · Filled in MauritiusProduct of India | $87.99for 100 tablets$0.88 per tabletOver 3-month supply | Fee not publishedDelivery time not stated | $87.99 for 100 days= $79.19 for 90 days+ shippingSave 94%Worked out from a 100-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed online pharmacy C | Bempedoic acid 180mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.180 mg · generic · Filled in IndiaMade for sale in India.Product of India | $143for 100 tablets$1.43 per tabletOver 3-month supply | FreeDelivery time not stated | $143 for 100 days= $128.70 for 90 daysSave 90%Worked out from a 100-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Nexletol from Canada?
90-day cost = 90 tablets at the usual dose of 1 a day, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 11, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. U.S. rows: the cash price a U.S. pharmacy published on its own website on the date shown, for whole fills, plus its standard shipping; no insurance or discount cards. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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90-day prices from 2 licensed pharmacies abroad shipping to the U.S.: $495 to $554.35, any strength, shipping included.
Jump to: Medicare · Maker savings · Generic Nexletol · Similar drugs · Uses · FAQ
Nexletol (bempedoic acid) 180 mg tablets for high LDL cholesterol. No generic is sold in the U.S., so compare list price, co-pay card and prices abroad.
Nexletol price by strength
| Strength | Lowest brand90 days | Price per tablet |
|---|---|---|
| Nexletol 180 mg | $495 | $5.50 |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per tablet is for that lowest pack, before shipping. Prices checked Nov 11, 2026.
Cheapest ways to get Nexletol 180 mg
The cheapest ways we found to get brand Nexletol 180 mg (prices checked Nov 11, 2026). The lowest 90-day cost is shaded green.
| Way to buy | Cost | Details |
|---|---|---|
| Licensed online pharmacy abroad | $495 for 90 days | Brand Nexletol 180 mg, ships from United Kingdom, not FDA-approved (made for another country). Shipping included, checked Nov 11, 2026. See all prices |
| U.S. pharmacy cash price | $1,355.90 for 90 days | FDA-approved brand Nexletol 180 mg, ships within the U.S. (no customs). Shipping included, checked Nov 5, 2026. See all prices |
| U.S. list price | $1,298.04 for 90 days | Brand Nexletol before insurance. Pharmacies may charge more. |
| Medicare Part D | Depends on your plan | Your plan’s drug list and coverage phase set your cost. Medicare costs |
Costs abroad and at U.S. pharmacies are for one order closest to 90 days, shipping included, from the price table above. Programs set their own rules, so check the terms before you count on one.
How much does Nexletol cost without insurance?
Without insurance, Nexletol costs $432.68 for a 30-day supply at the U.S. list price, or about $1,298.04 for 90 days. Licensed pharmacies abroad charged from $495 for 90 days of brand Nexletol 180 mg in our latest check (Nov 11, 2026), shipping included. Maker programs: We found no Esperion cash-price or free-medicine program for Nexletol on Esperion's sites in our latest check (2026-10-26). The copay program requires commercial insurance (Esperion).
Nexletol cost with Medicare
In 2026, a Medicare drug plan (Part D) can charge a deductible of up to $615, and once you've spent $2,100 out of pocket on covered drugs, you pay nothing more for covered drugs that year ($2,400 in 2027) (Medicare.gov). What you pay for Nexletol depends on your plan's drug list and your coverage phase. If your income is limited, Extra Help lowers drug costs: in 2026 you pay no more than $5.10 for a generic and $12.65 for a brand-name drug, with income under $23,940 ($32,460 for a married couple) and resources under $18,090 ($36,100 for a couple) (CMS). The free Medicare Prescription Payment Plan spreads costs into monthly payments, but it doesn't lower the total.
| Medicare Part D | What Nexletol costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026 ($2,400 in 2027), you pay nothing more for covered drugs that year. | Medicare.gov |
Nexletol cost with insurance
With private or employer insurance, what you pay for Nexletol depends on your plan's drug list, deductible and copay. As little as $10 per 30-day fill or $25 per 90-day fill with the copay program, if eligible. Not for plans with accumulator adjustment programs. Enrollment lasts one year (Esperion).
Medicaid: Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office (Medicaid.gov).
Nexletol patient assistance program
We haven't found a patient assistance program for Nexletol. In our checks of Esperion Therapeutics's own pages, we found no free-medicine program that lists Nexletol. If you have Medicare and a limited income, Medicare Extra Help can lower what you pay for covered drugs.
Is there a generic Nexletol?
No. The FDA has not approved a generic Nexletol; the FDA Orange Book lists Nexletol with no generic equivalents. Several generic companies have agreed in settlements with Esperion not to sell a generic in the U.S. before April 19, 2040, except in limited circumstances.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 180 mg | No | — |
Outside the U.S.: Online pharmacies abroad may sell generic bempedoic acid made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA Orange Book: Nexletol (NDA 211616). As of Oct 26, 2026.
Nexletol FAQ
How much is Nexletol without insurance?
Esperion's list price is $432.68 for 30 tablets of Nexletol 180 mg (about $1,298 for 90 days), effective July 2026. Licensed pharmacies abroad charged from $495 for 90 days of brand Nexletol 180 mg in our latest check (Nov 11, 2026). We found no Esperion cash-price or free-medicine program for people without insurance.
Is Nexletol covered by Medicare?
It depends on your Part D plan's drug list, and some plans require prior authorization, according to Esperion. Esperion reports Medicare patients paid an average of $43 for a 30-day supply in the third quarter of 2024. In 2026, Part D out-of-pocket costs for covered drugs are capped at $2,100 a year ($2,400 in 2027).
Is Nexletol sold in Canada?
Yes, under another name. HLS Therapeutics sells bempedoic acid in Canada as Nilemdo, available by prescription since early 2026. It is also sold as Nilemdo in the U.K. and Europe. Licensed pharmacies need a prescription from your doctor.
Is there a generic Nexletol?
No. The FDA has not approved a generic Nexletol, and its generic name is bempedoic acid. Several generic companies have agreed with Esperion not to sell a generic in the U.S. before April 19, 2040, except in limited circumstances.
Why is Nexletol so expensive?
Nexletol is a brand-name drug with no U.S. generic, and the FDA Orange Book lists patents on it that run to 2040. Esperion's July 2026 list price is $432.68 for 30 tablets; what you pay depends on your insurance and pharmacy.
Is there a patient assistance program for Nexletol?
We haven't found a patient assistance program for Nexletol. In our checks of Esperion Therapeutics's own pages, we found no free-medicine program that lists Nexletol. If you have Medicare and a limited income, Medicare Extra Help can lower what you pay for covered drugs.
Savings programs from the maker
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
eDrugSearch does not offer its own Nexletol coupons. We found no Esperion cash-price program or patient assistance program for Nexletol on Esperion's sites in our latest check. These are the programs we could verify:
- Nexlizet and Nexletol Co-Pay Card: for adults 18 and older with commercial prescription drug insurance. You may pay as little as $10 per 30-day fill or $25 per 90-day fill. Not for people enrolled in Medicare, Medicare Advantage, Medicaid, Medigap, TRICARE, VA or other government-funded programs, not for U.S. territories such as Puerto Rico, and not for plans with accumulator adjustment programs. Enrollment lasts one year. Call 1-855-699-8814. (Co-Pay Card terms)
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Compare Nexletol with similar drugs
Nexlizet combines bempedoic acid (the medicine in Nexletol) with ezetimibe in one tablet. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Nexlizetbempedoic acid and ezetimibe | Cholesterol-lowering medicine (ACL inhibitor plus cholesterol absorption inhibitor, non-statin) | $667.99 for 90 days | See prices |
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Nexletol used for?
Nexletol (bempedoic acid) is a non-statin cholesterol medicine called an ACL inhibitor. According to its FDA label (DailyMed), it is used:
- To lower the risk of heart attack, stroke, coronary revascularization and cardiovascular death in adults at increased risk for these events who are unable to take recommended statin therapy, including those not taking a statin.
- Along with diet and exercise, to lower LDL ("bad") cholesterol in adults with hypercholesterolemia, including heterozygous familial hypercholesterolemia, either with other LDL-lowering medicines or alone when those are not possible.
Nexletol comes as a 180 mg tablet taken once a day. The label has no boxed warning; its warnings cover raised uric acid levels, which can lead to gout, and tendon rupture. Your prescriber decides which medicine is right for you.
Is it safe to order Nexletol from Canada?
Many Americans do, but U.S. law and customs rules apply. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, bempedoic acid is sold as Nilemdo by HLS Therapeutics, and in the U.K. and Europe as Nilemdo by Daiichi Sankyo.
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Sources
- Esperion: price disclosure (Colorado HB 19-1131) (WAC $432.68 per bottle of 30, effective July 2026; checked 2026-10-26)
- Nexlizet and Nexletol Co-Pay Card: terms and conditions (checked 2026-10-26)
- Nexlizet.com: Co-Pay Card eligibility (government program and territory exclusions; checked 2026-10-26)
- Esperion: access and savings (NEXSTEP) ($10 per 30-day / $25 per 90-day; Medicare average $43 (Q3 2024))
- NEXLETOL U.S. prescribing information (DailyMed)
- NEXLETOL prescribing information (FDA, revised 11/2025)
- FDA Orange Book: Nexletol patents and exclusivity (EOBZIP_2026_09)
- Esperion: settlement with fifth ANDA filer (Feb 17, 2026)
- Esperion: settlement with third ANDA filer (Jul 8, 2025)
- HLS Therapeutics: Nilemdo available in Canada (Mar 5, 2026)
- Nilemdo 180 mg SmPC (U.K., Daiichi Sankyo)
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.