Nexletol cost in 2026
Nexletol costs about $231 to $593 per month without insurance in 2026, at retail cash prices.
What moves the price
- The pack and strength. Prices here are for One bottle of 30 tablets, 180 mg (30 day supply).
- Your coverage. Commercial insurance, Medicare and cash pay all get very different prices.
- The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
- Whether a generic or biosimilar is on sale. No generic available. Brand only.
What is included
The prices on this page are what a pharmacy charges for One bottle of 30 tablets, 180 mg (30 day supply), before any insurance. Your own cost depends on your plan, your deductible and any savings card. Ask your pharmacist for the cash price and your insured price, and pay the lower one.
Ways to pay for Nexletol
| How you pay | What it costs |
|---|---|
| Maker list price | $433 per month |
| Cash price without insurance | $231 to $593 per month (GoodRx (low) and SingleCare (high, average retail)) |
| With the maker's savings card | Eligible commercially insured patients may pay as little as $10 for a 30 day supply or $25 for a 90 day supply. Must be 18 or older and US resident. Not for government funded insurance. Phone 855-699-8814. |
| Medicare | Nexletol is not on the 2026 or 2027 Medicare negotiation lists, and not on the 2028 list of 15 drugs, so no negotiated price exists. |
| Free drug program | None found. Drugs.com lists no patient assistance program for Nexletol. Free samples go to health care professionals only. |
| Generic or biosimilar | No generic available. Brand only. |
Average prices in US dollars. Source: Esperion.
Ways to pay less
- Eligible commercially insured patients may pay as little as $10 for a 30 day supply or $25 for a 90 day supply. Must be 18 or older and US resident. Not for government funded insurance. Phone 855-699-8814.
- None found. Drugs.com lists no patient assistance program for Nexletol. Free samples go to health care professionals only.
- Compare cash prices at several pharmacies with a free discount card before you pay.
- Ask your doctor if a generic or a lower cost drug would work for you.
What price guides say
We checked 5 price guides and read every number on their pages. They do not all measure the same thing, so the ranges on this page come from putting them side by side.
- Esperion: Colorado HB 19-1131 Disclosure (WAC effective July 2026)
- Drugs.com: Nexletol Prices, Coupons, Copay Cards & Patient Assistance
- GoodRx: Nexletol cost without insurance
- SingleCare: Nexletol prices (as of 08/24/2026)
- CMS: Selected Drugs and Negotiated Prices
Common questions
How much does this cost in 2026?
Nexletol costs about $231 to $593 per month without insurance in 2026, at retail cash prices. Most people pay about $433 per month. The low end is $231 and the high end is $593.
What changes the price the most?
The biggest factors are: The pack and strength. Prices here are for One bottle of 30 tablets, 180 mg (30 day supply); Your coverage. Commercial insurance, Medicare and cash pay all get very different prices; The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
How can I pay less?
Eligible commercially insured patients may pay as little as $10 for a 30 day supply or $25 for a 90 day supply. Must be 18 or older and US resident. Not for government funded insurance. Phone 855-699-8814. None found. Drugs.com lists no patient assistance program for Nexletol. Free samples go to health care professionals only. Compare cash prices at several pharmacies with a free discount card before you pay.
Where do these numbers come from?
From 5 named price guides: Esperion, Drugs.com, GoodRx, SingleCare, CMS. Each one is linked on this page with the date we read it.
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