Wondering exactly how much Nexlizet will set you back this year? In cash, a 30day supply usually lands around $430$450. But with a copaycard, patientassistance program, or a smart mailorder trick, you can often pay under $30. Knowing these options can make the difference between "I can't afford it" and "I'm staying on track with my heart health."
Quick Cost Summary
Here's the ultraquick answer you're probably looking for:
- Average retail price (cash): $430$450 for 30 tablets.
- With manufacturer copay card: $0$10 outofpocket.
- Via mailorder or discount sites: as low as $35$40 for a 30tablet pack.
- Insurance copay: typically $10$40, depending on your plan.
That's the snapshot. Below we'll unpack how each number is built and, more importantly, how you can move the dial in your favor.
Detailed Price Breakdown
Retail and Cash Prices
If you walk into a pharmacy and ask for "Nexlizet 180mg/10mg," you'll most likely hear a price tag in the $430$460 range. Websites that aggregate pharmacy data, such as Drugs.com's price guide, echo those numbers. The cost can fluctuate a bit by state, pharmacy chain, and whether you pick a brandonly or a generic version (the latter isn't on the market yet).
Insurance Pricing
Most commercial PPOs and Medicare PartD plans have Nexlizet on their formularies, but the exact copay depends on the tier your plan places the drug in. Typical outofpocket amounts range from $10 to $40 after the insurer does its thing. Some plans require a priorauthorizationessentially a paperwork dance proving you've tried a statin first. If you're on a highdeductible plan, the "costshare" could be larger until the deductible is met.
How to Check Your Personal Cost
- Log into your pharmacy's online portal (or call the store).
- Enter "Nexlizet 180mg/10mg" and select a 30day supply.
- Apply any discount or copaycard code you have.
- Review the "final price" before you confirm the order.
Doing this each month can reveal unexpected savings, especially when a new discount becomes available.
Saving Programs Overview
Manufacturer Copay Card & Coupons
The brand's "Nexlizet & Nexletol Copay Card" offers eligible patients $0$10 per prescription. You simply sign up online, print the card, and hand it to the pharmacist. It works whether or not you have insurance, but you can't stack it with other coupons.
PatientAssistance Foundations
| Program | Eligibility | What It Covers |
|---|---|---|
| HealthWell Foundation | Lowincome, any insurance status | Full copay, premiums, and coinsurance |
| Patient Access Network (PAN) | Income 400500%FPL, must have insurance | Coinsurance & copay for Nexlizet |
| NeedyMeds & MAT | Any income, prescription needed | Lists freesample contacts and discount cards |
Realworld example: Maria, a 58yearold on Medicare, used the HealthWell program and paid only $12 for a 90day supplyroughly a 97% reduction from the cash price.
MailOrder & PriceMatch Guarantees
Online pharmacies like Canada Drugs Direct often boast "125% pricematch" guarantees. In practice, you can beat a competitor's listed price by 25% and get a refund if they prove a lower price within a week. Mailorder services attached to big insurers (e.g., CVS or Walgreens) typically shave 1530% off the retail cost, especially when you order a 90day supply.
Insurance Coverage Tips
Know Your Formulary
The first step is to check whether Nexlizet sits on your plan's formulary. Most commercial plans place it in Tier3 or Tier4, meaning a higher copay, but some Medicare Advantage plans bring it down to Tier2. If it's not covered, ask the pharmacy to do a "steptherapy exemption." That's a fancy way of saying "I've already tried a statin, let me get this drug."
When Coverage Is Denied
If you hit a denial, don't panic. You have two main routes:
- File an appeal with your insureroften the pharmacy will handle the paperwork for you.
- Switch to a cashprice discount card or a patientassistance program, which bypasses insurance altogether.
Quick Checklist Before You Call
- Have your prescription number handy.
- Know the exact dosage (180mg/10mg) and quantity.
- Be ready to explain why a statin alone isn't enough.
- Ask the pharmacist if they can submit the priorauthorization on your behalf.
Benefits vs Risks
Why Nexlizet Is Worth Considering
Clinical trials show that Nexlizet can drop LDLC by 2030% when added to a statin, translating to a measurable reduction in heartattack risk. For patients whose cholesterol stubbornly stays high despite maximized statin therapy, this medication offers a new line of defense.
What to Watch Out For
| Side Effect | Frequency | What to Do |
|---|---|---|
| Upperrespiratory infection, mild GI upset | Common | Stay hydrated; notify doctor if severe. |
| Increased uric acid gout attacks | Moderate | Monitor labs; discuss prophylactic meds if history of gout. |
| Tendon rupture | Rare but serious | Stop drug immediately and seek urgent care if sudden joint pain. |
| Liverenzyme elevation | Rare | Get baseline and periodic LFTs; pause if levels rise. |
When you balance the hearthealth benefit with these modest risks, most cardiologists agree the tradeoff is favorable for patients with persistently high LDLC.
LongTerm Savings Strategies
Order 90Day Supplies
Many insurers lower the pertablet cost when you commit to a threemonth pack. Plus, you'll waste fewer pharmacy visitsgood news for both your wallet and your schedule.
Combine Programs Wisely
It's possible to "stack" a manufacturer copay card with a mailorder discount, as long as the pharmacy allows it. The typical workflow looks like this:
- Enroll in the Nexlizet copay card (free, no income verification).
- Choose a mailorder pharmacy that offers a pricematch guarantee.
- Enter the copaycard code at checkout; the system applies the $0$10 reduction first.
- The mailorder discount then drops the remaining balance further.
Use a Savings Calculator
While we can't embed an interactive widget here, you can easily build a quick spreadsheet: list your retail price, copay card value, insurance copay, and any mailorder discount. Subtract the totals, and you'll see the exact amount you're saving each month. It's a small step that pays off big time.
Conclusion
Understanding the true Nexlizet cost gives you powerpower to stay on therapy, power to ask the right questions, and power to keep unnecessary dollars out of your pocket. The three fastest ways to cut the price are: (1) grab the manufacturer copaycard, (2) compare cashprice discount sites or mailorder options, and (3) explore patientassistance programs if insurance falls short. Take a few minutes today to check your personal price, call your pharmacist about eligibility, and share any savings story you discover in the comments. We're all in this journey together, and the more we know, the healthier we'll feel.
FAQs
What is the typical cash price for a 30‑day supply of Nexlizet?
The average retail cost without insurance is about $430‑$450 for a 30‑tablet pack.
How can a manufacturer copay card reduce my out‑of‑pocket expense?
The Nexlizet copay card can lower the amount you pay at the pharmacy to $0‑$10 per prescription, even if you have no insurance.
Are there patient‑assistance programs that cover Nexlizet?
Yes. Foundations such as HealthWell, Patient Access Network (PAN), and NeedyMeds offer full or partial copay coverage for eligible patients.
Can I combine a copay card with a mail‑order discount?
In most cases you can “stack” the manufacturer copay card first, then apply a mail‑order or price‑match discount to the remaining balance for extra savings.
What should I do if my insurance denies coverage for Nexlizet?
File an appeal or request a step‑therapy exemption. If the denial stands, consider using a cash‑price discount card or a patient‑assistance program to bypass insurance.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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