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Cholesterol · Heart & Blood Pressure

Nexletol Assistance Programs & Grants

Assistance information last verified: August 2026

AltaMedicare is an independent Medicare agency in Alpine, Utah, founded by Bret Swope, a licensed Medicare agent. We provide educational, no-pressure help comparing Medicare Advantage, Medigap (Medicare Supplement), and Part D at no cost, serving the entire state of Utah. Call or text (435) 292-5548.

Manufacturer programs, charitable grants and Medicare routes for Nexletol (bempedoic acid) — each checked on its official source.

Can I get help paying for Nexletol?

Yes — but not from the manufacturer. Esperion publishes a co-pay card that excludes Medicare by name and no patient assistance program that gives Nexletol away, so for a Medicare beneficiary the open route is a charitable grant: TotalAssist's Hypercholesterolemia fund was accepting applications on August 26, 2026 and lists Nexletol, with a $1,900 guaranteed award. HealthWell's matching Medicare fund lists Nexletol too but was closed.

  • TotalAssist Hypercholesterolemia fund: OPEN on August 26, 2026, $1,900 guaranteed and $3,800 maximum, for people with Medicare, Medicaid or TRICARE and income at or below 500% of the federal poverty level adjusted for local cost of living. Nexletol is on its approved-medication list.
  • NEXLIZET & NEXLETOL Co-Pay Card: commercial insurance only. Esperion's terms exclude "Medicare (including Part D), Medicare Advantage, Medicaid, Medigap, TRICARE" and VA — and say you may not use it even if you ask to be processed as a commercial patient.
  • No manufacturer patient assistance program: nothing on Esperion's published support pages provides free Nexletol on an income test. Recorded as a negative finding, not an omission.
  • HealthWell Hypercholesterolemia – Medicare Access fund: lists Nexletol, $2,500 maximum, but closed to new patients when we checked. Sign up for its alerts.
  • Medicare: not a negotiated-price drug for 2026, 2027 or 2028; Part D costs capped at $2,100 in 2026; Extra Help can cut a covered brand copay to about $12.65 if you qualify.

2 of the 6 programs we checked for Nexletol were accepting applications when verified in August 2026.

About Nexletol (bempedoic acid)

Nexletol is a once-daily cholesterol tablet for people who cannot take a statin, or cannot take enough of one. It blocks an enzyme called ATP-citrate lyase one step above the enzyme statins block, and because it is switched on in the liver rather than in muscle it is used by many people who could not tolerate statins.

Approved uses

  • Reducing the risk of major adverse cardiovascular events — cardiovascular death, heart attack, stroke or coronary revascularization — in adults at increased risk who are unable to take recommended statin therapy
  • Lowering LDL cholesterol, with diet and exercise, in adults with hypercholesterolemia, including heterozygous familial hypercholesterolemia (HeFH)
  • Used with other LDL-lowering therapies, or alone when they are not possible

Manufacturer: Esperion Therapeutics

Why Nexletol can be expensive on Medicare

Nexletol is a brand-only tablet: DailyMed lists no generic bempedoic acid, only Esperion's Nexletol and the combination Nexlizet. Statins and ezetimibe are inexpensive generics, so Part D plans usually put Nexletol on a brand tier, often behind step therapy that asks you to try a statin first — which is the very thing a Nexletol candidate could not tolerate. Esperion's only published discount is a commercial co-pay card that excludes Medicare by name, so a Part D beneficiary pays the plan's brand cost-sharing until the annual out-of-pocket cap is reached.

Medicare coverage context

Nexletol is a self-administered tablet, so Medicare covers it under Part D or a Medicare Advantage drug plan rather than Part B — expect a brand tier, and check for prior authorization or step therapy on your plan's formulary. It has not been selected for Medicare price negotiation: neither Nexletol nor bempedoic acid appears anywhere in CMS's selected-drug and Maximum Fair Price file for 2026, 2027 or 2028. What does apply is the Part D out-of-pocket cap ($2,100 in 2026), Medicare Extra Help if your income and resources are limited, and the Medicare Prescription Payment Plan if you want to spread the cost across the year.

Check typical Part D coverage · Estimate your drug costs · Compare Part D drug plans

Nexletol assistance options at a glance

Every program we checked, what kind of help it is, whether people with Medicare can use it, and its status when we verified it. A medication being listed by a program is not the same as the program accepting applications.

About the income limits below: Income limits can differ between assistance programs even when both describe their eligibility as the same percentage of the federal poverty level. The dollar limits shown here come from each program's own published income table, and each program decides which year's poverty guidelines that table is built from and when it takes effect. Treat the figures as belonging to the program they are listed under — they are not interchangeable, and only the program can tell you which table it is applying to your application today.

Nexletol assistance programs compared
ProgramType of helpPeople with MedicareStatus (August 2026)
TotalAssist — Hypercholesterolemia fund Charitable grant may apply Accepting applications
NEXLIZET & NEXLETOL Co-Pay Card Commercial copay / savings card not eligible Accepting applications
Esperion patient assistance program — none found Manufacturer patient assistance not stated No program found
Manufacturer cash price — none found Manufacturer self-pay pricing not stated No program found
HealthWell Foundation — Hypercholesterolemia – Medicare Access fund Charitable grant may apply Closed to new applicants
Good Days — no applicable fund Charitable grant not stated No program found
Medicare Extra Help (Part D Low-Income Subsidy) Government program may apply Accepting applications

Manufacturer programs from Esperion Therapeutics

A patient assistance program (free or low-cost drug by income) is not the same as a copay card (a commercial discount that usually excludes Medicare). Both are listed so you can see which one applies to you.

Commercial copay / savings card

NEXLIZET & NEXLETOL Co-Pay Card

Esperion Therapeutics

Accepting applications Medicare: not eligible

Status: Active for commercially insured patients on August 26, 2026. Enrollment lasts one year and must be renewed each year; Esperion determines final eligibility.

A commercial copay offer: eligible patients with commercial prescription coverage for Nexletol "may pay as little as $10 per fill." It is not insurance, cannot be combined with another coupon or discount card, and is not accepted at VA pharmacies.

If you have Medicare: Esperion's terms: a patient may be eligible only if they are "not enrolled in any state-, federal-, or government-funded healthcare program, including but not limited to Medicare, Medicaid, Medigap, TRICARE of the Department of Defense, or the Department of Veterans Affairs (VA) healthcare program." The terms add that a patient enrolled in such a program "may not use the… Co-Pay Card program even if they elect to be processed as a commercial or discount insurance plan patient," and that anyone who joins one mid-enrolment must report it and loses eligibility.

What it can cover: Part of the commercial copay for Nexletol — not applicable to Medicare cost-sharing.

Who may qualify

  • Age 18 or older and a U.S. resident
  • Commercial prescription drug insurance that covers Nexletol and does not reimburse the entire cost
  • Not enrolled in Medicare (including Part D), Medicare Advantage, Medicaid, Medigap, TRICARE or VA healthcare
  • Re-enrolment required every year

How to apply

Commercially insured patients enrol at NexCopay.com or by calling 855-699-8814 (8am–8pm ET, Monday–Friday). Not a route for Medicare beneficiaries — if you have Part D, go to the charitable funds and Extra Help instead.

Co-Pay Card terms and conditions → 855-699-8814

Manufacturer patient assistance

Esperion patient assistance program — none found

Esperion Therapeutics

No program found Medicare: not stated

Status: On August 26, 2026 the patient support Esperion publishes for Nexletol is the NEXSTEP program — a Co-Pay Card for commercially insured patients and a NEXSTEP Navigator access service reached through an Esperion representative. No income-based program supplying Nexletol free of charge appears on those pages.

An honest negative. Many brand medicines have a manufacturer program that gives the drug away to people under an income limit; for Nexletol we could not find one. That is why the charitable funds and Extra Help carry the weight on this page.

If you have Medicare: Not applicable — we found no manufacturer patient assistance program for Nexletol to state a Medicare rule. If Esperion adds one, it would appear on the NEXSTEP support pages cited here.

How to apply

Nothing to apply to today. Esperion's Medical Information line is 1-833-377-7633 (Monday–Friday, 9am–7pm ET) if you want to ask directly whether a patient assistance program has been added since this page was verified.

NEXSTEP Patient Support → 1-833-377-7633

Manufacturer self-pay pricing

Manufacturer cash price — none found

Esperion Therapeutics

No program found Medicare: not stated

Status: We found no direct-to-patient or self-pay price for Nexletol on August 26, 2026, and Nexletol is not among the medicines listed on TrumpRx.

Some manufacturers now sell direct at a fixed cash price. For Nexletol we did not find one, so comparing your plan's brand cost-sharing against a pharmacy discount price is the only cash comparison available.

If you have Medicare: Not applicable — there is no cash-pay programme to have a Medicare rule.

How to apply

Not applicable. If Esperion adds a self-pay option it would be announced on the Nexletol support pages.

TrumpRx medicine list →

Charitable grants for Nexletol

One fund was open. TotalAssist's Hypercholesterolemia fund was accepting applications on August 26, 2026, lists Nexletol on its approved-medication list, and pays a $1,900 guaranteed award (up to $3,800) toward copays, coinsurance, deductibles and premiums for people with Medicare, Medicaid or TRICARE and income at or below 500% of the federal poverty level adjusted for local cost of living. HealthWell's Hypercholesterolemia – Medicare Access fund also lists Nexletol but was closed to new patients, as was TotalAssist's Coronary artery disease health equity fund. Good Days has no cholesterol fund at all. Because Esperion publishes no patient assistance program, these funds and Medicare Extra Help are the routes that matter here — apply to the open one first, and set alerts on the closed ones.

Charitable grant

TotalAssist — Hypercholesterolemia fund

Patient Advocate Foundation · Hypercholesterolemia (Nexletol is also listed on the closed Coronary artery disease health equity fund)

Accepting applications Medicare: may apply

Status: Open and accepting applications on August 26, 2026, with an instant approval decision online. Fund balances change without notice — check the fund page before you count on it.

A copay and cost-sharing grant for people with a hypercholesterolemia diagnosis. "Nexletol (Bempedoic Acid)" is named on the fund's approved-medication list, alongside Nexlizet and the statins, ezetimibe and PCSK9 medicines.

If you have Medicare: This fund requires government-insured coverage — Medicare, Medicaid or TRICARE — that covers your qualifying expenses. Medicare beneficiaries are exactly who it is for.

What it can cover: $1,900 guaranteed award and up to $3,800 maximum, usable for medication copays, coinsurance and deductibles, health-insurance premiums and other qualifying expenses. One grant per condition — you cannot also take the CAD health equity grant for the same diagnosis.

Who may qualify

  • Confirmed hypercholesterolemia diagnosis, in treatment, starting treatment within 60 days, or treated in the past 6 months
  • Government-insured coverage (Medicare, Medicaid or TRICARE) that covers your qualifying expenses
  • Household income at or below 500% of the federal poverty level, adjusted for your regional cost-of-living index
  • Confirmed diagnosis matching the fund, and in treatment (or starting within 60 days, or treated in the past 6 months)
  • Legal U.S. resident receiving treatment in the U.S. or a U.S. territory

What the application asks for

  • Contact information and Social Security number (or alien number)
  • Annual household income (for pre-screening; proof of income due within 30 days of approval)
  • Health insurance carrier, plan type, policy ID and group number; Medicare supplement or secondary insurance if you have one
  • Copay or coinsurance amounts
  • Your provider's name and contact information, diagnosis (exact date if within 6 months), prescribed medications and treatment plan

How to apply

You (the patient) apply online — it takes about 15 minutes and you learn immediately whether you are approved — or call 866-512-3861, Monday–Friday 8:30am–5:30pm ET. Patient Advocate Foundation verifies your diagnosis and treatment plan directly with your provider and verifies income automatically; you have 30 days after approval to provide proof of income.

TotalAssist Hypercholesterolemia fund → 866-512-3861

Charitable grant

HealthWell Foundation — Hypercholesterolemia – Medicare Access fund

HealthWell Foundation · Hypercholesterolemia – Medicare Access

Closed to new applicants Medicare: may apply

Status: The fund was "temporarily closed to new patients due to lack of sufficient funding" on August 26, 2026. Nexletol, Nexlizet and bempedoic acid are all on its covered-medication list.

HealthWell covers Nexletol under its Medicare-only hypercholesterolemia fund. HealthWell says replenished funds reopen "as quickly as possible" and offers email or text alerts for each fund.

If you have Medicare: A Medicare Access fund — for Medicare patients only. Premium assistance through the fund requires Medicare Part B; HealthWell refers patients without Medicare to manufacturer programs.

What it can cover: When open: up to $2,500 per grant for prescription copays, or a Medicare Part B premium; HealthWell forecasts an average grant of about $1,230 for this fund. Household income up to 500% of the federal poverty level, adjusted for household size and cost of living.

Who may qualify

  • Medicare coverage that pays part of the cost of Nexletol
  • Household income up to 500% of the federal poverty level (HealthWell's own table — do not carry another program's dollar figures across)
  • Hypercholesterolemia diagnosis verified by a physician, nurse practitioner or physician assistant
  • Treatment in the United States

What the application asks for

  • Some form of health insurance (Medicare qualifies) that covers part of the cost of the drug — discount cards do not count
  • Social Security number (used to prevent duplicate applications)
  • Diagnosis verified by a physician's, nurse practitioner's or physician assistant's signature
  • Treatment in the United States

How to apply

When a fund is open, apply online or by phone; your provider verifies the diagnosis by signature. When a fund is closed, sign up for that fund's real-time alerts — HealthWell says replenished funds reopen "as quickly as possible."

HealthWell fund page (sign up for alerts) → (800) 675-8416

Charitable grant

Good Days — no applicable fund

Good Days

No program found Medicare: not stated

Status: Good Days' published disease list on August 26, 2026 contained no hypercholesterolemia, cholesterol or general cardiovascular program. Its only cardiopulmonary fund is Pulmonary Arterial Hypertension, which was closed.

An honest negative, checked so you do not spend an afternoon on a third foundation. Good Days is worth re-checking only if it adds a cardiovascular fund.

If you have Medicare: Good Days does accept Medicare beneficiaries for the diseases it covers — but it covers no diagnosis that would apply to Nexletol, so no Medicare rule is engaged.

How to apply

Not applicable today. The diseases-covered page shows each fund and whether it is open.

Good Days diseases covered →

How to apply for Nexletol assistance

  1. Step 1 — Find the applicable assistance program

    For Nexletol on Medicare in August 2026 the order is: TotalAssist first, because it is open and it is the only route paying money toward your Part D cost-sharing today.

    • Medicare (or Medicaid/TRICARE) plus a hypercholesterolemia diagnosis and income at or below 500% FPL → TotalAssist Hypercholesterolemia fund, open when we checked.
    • Limited income and resources → Medicare Extra Help through Social Security, in addition to the grant.
    • Commercial insurance instead of Medicare → the NEXLIZET & NEXLETOL Co-Pay Card, which Medicare enrollees cannot use.
    • Nothing to check at the manufacturer: Esperion publishes no patient assistance program for Nexletol.

  2. Step 2 — Check whether applications are currently open

    Fund status is the most perishable fact on this page. TotalAssist was open and HealthWell was closed on August 26, 2026, and either can change without notice.

    • TotalAssist: the Hypercholesterolemia fund page shows "Open" or "Closed" and the current award amounts.
    • HealthWell: the Disease Funds page shows each fund's status; sign up for alerts on the Hypercholesterolemia – Medicare Access fund.
    • There is no manufacturer program to check for Nexletol — if Esperion adds one it will appear on the NEXSTEP support pages.

  3. Step 3 — Check eligibility

    Each program applies its own rules and its own income table. These are the ones that decide a Nexletol application:

    • TotalAssist: government insurance that covers Nexletol; income at or below 500% of the federal poverty level adjusted for your regional cost-of-living index; confirmed hypercholesterolemia in treatment (or beginning within 60 days, or treated in the past 6 months); legal U.S. resident treated in the U.S.
    • HealthWell (when open): Medicare; income up to 500% FPL on HealthWell's own table; diagnosis verified by your provider's signature.
    • Extra Help: income below about $23,940 a year for one person or $32,460 for a couple, and countable resources limited to $18,090 or $36,100 in 2026.
    • Co-Pay Card: commercial insurance only — being on Medicare disqualifies you outright.

  4. Step 4 — Gather your information

    The TotalAssist application takes about 15 minutes if you have these to hand:

    • Medicare card and your Part D or Medicare Advantage drug-plan card, with policy ID and group number.
    • Your hypercholesterolemia diagnosis and its date — TotalAssist needs the exact date if you were diagnosed within the past 6 months.
    • Your prescriber's name and contact details, and your Nexletol prescription details.
    • Household size and annual household income, plus proof (tax return, Social Security or pension statements) — TotalAssist gives you 30 days after approval to supply it.

  5. Step 5 — Complete the application

    Who fills out what:

    • TotalAssist: you (the patient) apply online in about 15 minutes, or by phone on 866-512-3861, Monday–Friday 8:30am–5:30pm ET. Patient Advocate Foundation verifies the diagnosis with your provider.
    • HealthWell (when open): apply online or by phone; your provider verifies the diagnosis by signature.
    • Extra Help: you (or someone helping you) apply free through Social Security — online, by phone on 1-800-772-1213, or at an office. There is never a fee.

  6. Step 6 — Submit and wait for a determination

    What to expect:

    • TotalAssist: you learn immediately online whether you are approved, and can use the grant right away; proof of income is due within 30 days.
    • HealthWell (when open): approval creates a 12-month grant cycle with a pharmacy card.
    • Extra Help: Social Security notifies you by mail, and your Part D plan then applies the lower copays.

  7. Step 7 — If the program is closed or you don't qualify

    A closed fund is a timing problem, not a final answer:

    • Sign up for TotalAssist and HealthWell alerts — there is no waitlist or queue, so the notification is what gets you in.
    • Apply for Extra Help even if you think you earn too much; its limits are higher than most people expect and it is free to apply.
    • Ask your prescriber about a formulary exception, or whether ezetimibe or another lipid-lowering option on your plan's preferred tier is reasonable for you — several are inexpensive generics.
    • Use the Medicare Prescription Payment Plan to spread this year's out-of-pocket costs across monthly payments (it does not lower the total).
    • Compare Part D plans in the fall — Nexletol's tier and any step-therapy rule differ from plan to plan.
    • Call AltaMedicare — we will work through every route above with you, free.

What you'll need

Only items the programs above actually ask for. Gather these before you start.

  • Medicare card and your Part D or Medicare Advantage drug-plan card — plan name, member ID and group number
  • Prescription details — medication name, strength and dose; prescriber name, office phone and address
  • Diagnosis and date of diagnosis — TotalAssist needs the exact date if diagnosed within the past 6 months
  • Household size and annual household income — and proof — tax return, Social Security or pension statements, or pay stubs
  • Date of your hypercholesterolemia diagnosis — TotalAssist needs the exact date if it was within the past 6 months
  • Statin history — which statins you tried and what happened — not required by the funds, but plans often ask for it before approving Nexletol

If assistance is unavailable

A closed fund or a denial is not the end of the road. Check these next:

  1. If the TotalAssist fund has closed since this page was verified, set a notification for it and apply for Extra Help in the meantime — Extra Help does not depend on a fund balance. TotalAssist notifications
  2. Sign up for TotalAssist fund notifications so you hear the moment a Nexletol fund reopens — there is no waitlist or queue, so speed matters. TotalAssist notifications
  3. Sign up for HealthWell fund alerts for the same reason; HealthWell says closed funds reopen as funding is replenished. HealthWell disease funds
  4. Check Medicare Extra Help — it does not depend on a fund balance and lowers the cost of every covered drug, not just this one. Medicare Extra Help explained
  5. Ask your doctor's office — many practices have staff who handle assistance applications routinely and can request a formulary exception or a lower-cost alternative.
  6. Use the Medicare Prescription Payment Plan to spread this year's out-of-pocket costs across monthly payments (it does not lower the total). Medicare.gov
  7. Compare Part D and Medicare Advantage drug plans during the fall enrollment period — the tier and cost-sharing for Nexletol differ from plan to plan. Compare Part D plan options

Could Medicare Extra Help reduce your Nexletol costs?

Extra Help is not a grant for Nexletol. It is a Medicare program that lowers what qualifying beneficiaries pay for their Part D premium, deductible and every covered prescription — so it is worth checking even when a charitable fund is closed, because it does not depend on fund balances.

Extra Help and a charitable grant are not mutually exclusive here — Esperion has no patient assistance program whose rules would be tripped by qualifying for Extra Help, unlike AstraZeneca's AZ&Me. If your income and resources are limited, apply for Extra Help as well as to TotalAssist: Extra Help lowers the copay on every covered drug, not just Nexletol.

In 2026, people with full Extra Help generally pay no more than $12.65 for a covered brand-name drug. Income must be below about $23,940 a year for one person ($32,460 for a couple) and countable resources under $18,090 ($36,100 for a couple). Apply free through Social Security — online, by phone at 1-800-772-1213, or in person — and never pay anyone to apply for you.

Extra Help explained · Medicare Savings Programs · Estimate your drug costs · Free prescription cost review

Government program

Medicare Extra Help (Part D Low-Income Subsidy)

Medicare / Social Security Administration

Accepting applications Medicare: may apply

Status: Year-round federal program (figures for 2026)

Not a grant for one drug — a Medicare program that lowers what qualifying beneficiaries pay for their Part D premium, deductible and every covered prescription.

If you have Medicare: For people with Medicare Part D or a Medicare Advantage drug plan who have limited income and resources.

What it can cover: Part D premium and deductible (often to $0) and reduced copays — generally no more than $12.65 for a covered brand-name drug in 2026 with full Extra Help.

Who may qualify

  • Income below 150% of the federal poverty level — about $23,940 a year for one person or $32,460 for a married couple in 2026.
  • Countable resources (savings, investments — not your home or car) limited to $18,090 for an individual or $36,100 for a married couple living together in 2026 (Medicare.gov figures, which include a burial-expense allowance).
  • Automatic if you have Medicaid, Supplemental Security Income (SSI), or a Medicare Savings Program.

What the application asks for

  • Social Security number and Medicare number
  • Income (Social Security, pensions, wages) for you and a spouse you live with
  • Value of savings, investments and other countable resources

How to apply

You (or someone helping you) apply free through Social Security — online, by phone, or at a Social Security office. There is never a fee to apply.

Apply for Extra Help at SSA.gov → 1-800-772-1213

Key terms on this page

Patient assistance program (PAP)
A manufacturer program that provides its medication free or at low cost to people who meet income and insurance rules. Many PAPs accept Medicare Part D enrollees; each sets its own criteria.
Copay card / savings card
A manufacturer discount for commercially insured patients. Federal anti-kickback rules mean these cards generally cannot be used with Medicare, Medicaid or other government insurance.
Charitable copay grant
Money from a nonprofit foundation (for example HealthWell or Patient Advocate Foundation) that pays eligible copays or coinsurance for a specific diagnosis. A drug can be listed while the fund is closed to new applicants.
Federal poverty level (FPL)
A federal income measure that assistance programs use as a yardstick — "300% of FPL", "500% of FPL". The percentage is a rule, but the dollar figure behind it comes from a table each program publishes itself, built on a chosen year of the HHS poverty guidelines. Two programs can quote the same percentage in the same year and still list different dollar limits; compare each program against its own table, not against another program.
Medicare Extra Help
The Part D Low-Income Subsidy: a Medicare program that lowers or eliminates Part D premiums, deductibles and copays for beneficiaries with limited income and resources. You apply through Social Security.
Maximum Fair Price (MFP)
The price Medicare negotiated for a selected drug under the Medicare Drug Price Negotiation Program. It applies to Part D plans, not to the pharmacy cash price, and it lowers what plans and enrollees pay for that drug.

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Common Questions

Nexletol assistance FAQ

Does Medicare cover Nexletol?
Nexletol is a tablet you take yourself, so Medicare covers it under Part D or a Medicare Advantage drug plan — typically on a brand tier, and often with prior authorization or step therapy asking you to try a statin first. Out-of-pocket Part D costs are capped at $2,100 in 2026. If your income and resources are limited, Medicare Extra Help can bring a covered brand-name copay down to about $12.65.
Is there a Nexletol patient assistance program for people on Medicare?
We could not find one. On August 26, 2026 the only manufacturer support Esperion published for Nexletol was the NEXSTEP program — a co-pay card for commercially insured patients and a Navigator access service — with no income-based program supplying the medication free. That is why the route for a Medicare beneficiary is a charitable grant: TotalAssist's Hypercholesterolemia fund was open and lists Nexletol.
Can I use the Nexletol co-pay card with Medicare?
No. Esperion's terms limit the card to patients "not enrolled in any state-, federal-, or government-funded healthcare program, including but not limited to Medicare, Medicaid, Medigap, TRICARE… or the Department of Veterans Affairs," and add that you may not use it even if you ask to be processed as a commercial or discount-plan patient. Federal anti-kickback rules are why nearly every manufacturer copay card works this way.
Is there a charitable grant for Nexletol right now?
Yes, as of August 26, 2026. TotalAssist's Hypercholesterolemia fund was open, lists "Nexletol (Bempedoic Acid)" on its approved-medication list, and pays a $1,900 guaranteed award up to a $3,800 maximum for people with government insurance and income at or below 500% of the federal poverty level adjusted for local cost of living. HealthWell's Hypercholesterolemia – Medicare Access fund lists Nexletol too but was closed to new patients. Fund balances change without notice — check before you rely on it.
Is there a generic for Nexletol?
Not on August 26, 2026. A DailyMed search for bempedoic acid returns only Esperion's Nexletol and the combination product Nexlizet — no generic labeller. If cost is the obstacle, ask your prescriber whether ezetimibe or another lipid-lowering medicine on your plan's preferred tier would work alongside or instead of Nexletol.
Is Nexletol part of Medicare drug price negotiation?
No. CMS's selected-drug and Maximum Fair Price data file contains no row for Nexletol or bempedoic acid for initial price applicability year 2026, 2027 or 2028. Your Nexletol cost is set by your plan's tier and cost-sharing, not by a negotiated price.
What happens if the fund closes before I apply?
TotalAssist offers text, email or automated-call notifications when a fund opens, and there is no waitlist or queue — the alert is what gets you in. HealthWell offers alerts on each fund page. While you wait, the routes that do not depend on a fund balance are Extra Help, a formulary exception through your doctor, the Medicare Prescription Payment Plan, and a Part D plan comparison in the fall. See all prescription assistance options.

Sources

Related resources

Assistance information last verified August 2026. Program details — fund status, eligibility, prices, phone numbers — change often; confirm with each program before applying. AltaMedicare does not administer, fund or approve any assistance program. Not medical advice.

Having trouble figuring out your prescription costs?

Bret can help you understand your Medicare prescription coverage and where to look for Nexletol assistance — free, no pressure. We don't award grants or decide eligibility; the programs above do. We help you find and apply to the right ones.

Text Bret About Nexletol Call (435) 292-5548