Purified Ethyl Eicosapentaenoate Plaque Stabilizer • Rx

Icosapent Ethyl (Ultra-Pure EPA)

Brand Reference: Vascepa

Medically Reviewed by Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
86.00%
Patient “Worth It”
18 verified logs
$46.50
Lowest Monthly Cash

Icosapent Ethyl (Ultra-Pure EPA) Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Icosapent Ethyl (Ultra-Pure EPA) RxNorm Concept ID 1311080 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.8900 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $298.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $46.50 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $54.00 / mo 18 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Icosapent Ethyl (Ultra-Pure EPA)

DotMD Club Members get $29 flat-rate script renewals →
Mark Cuban Cost Plus Drugs (Wholesale Pharmacy)
Requires an existing doctor prescription. Need a script? Pair with a $29 DotMD Club TeleMed consult.
$46.50/mo
Wholesale Cash Price
View Wholesale Rx →
Ro Body & Metabolic Clinic (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days
$ 45.00
Consult / Starting Tier
Start Online Visit →
AgelessRx Geroprotective Telehealth (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~3 days • Rx included in monthly tier
$ 65.00
All-In Monthly
Start Online Visit →
Midi Health Perimenopause & HRT Clinic (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days
$ 59.00
Consult / Starting Tier
Start Online Visit →
Hims & Hers Direct Cash Pharmacy (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days • Rx included in monthly tier
$ 49.00
All-In Monthly
Start Online Visit →

Icosapent Ethyl (Ultra-Pure EPA) Clinical Pharmacology & DailyMed Monograph

RxCUI 1311080 • NDC 52937-0001-20

96%+ pure omega-3 eicosapentaenoic acid ethyl ester (devoid of LDL-raising DHA) that reduces hepatic VLDL-triglyceride synthesis, intercalates into endothelial phospholipid bilayers to quench lipid peroxidation, and generates specialized pro-resolving resolvins E1/E2.

Out-of-pocket price dispersion on Icosapent Ethyl (Ultra-Pure EPA) spans $46.50 to $298.00 per 30-day fill: pharmacy acquisition benchmarks sit near $0.8900/unit, allowing cash buyers bypassing PBM spread pricing to retain $251.50 each month (84% reduction).

With 89 hours plasma phospholipid EPA residence kinetics and De-esterified by pancreatic lipase; requires meal co-ingestion bioavailability, Icosapent Ethyl (Ultra-Pure EPA) undergoes mitochondrial beta-oxidation without cyp450 inhibition and establishes therapeutic activity over 4–8 weeks triglyceride and epa:aa ratio equilibrium.

Standard adult regimens span 2 grams PO twice daily with meals (4 g/day total). Prescribers screen specifically against severe hypersensitivity to fish or shellfish, while community micro-logs most frequently note mild bleeding/bruising tendency (7% of reports), arthralgia (5% of reports), atrial fibrillation (rare) (3% of reports).

Half-Life
89 hours plasma phospholipid EPA
Bioavailability
De-esterified by pancreatic lipase; requires meal co-ingestion
Metabolism & Clearance
Mitochondrial beta-oxidation without CYP450 inhibition
Clinical Onset
4–8 weeks triglyceride and EPA:AA ratio equilibrium

Standard Adult Titration & Dosages

2 grams PO twice daily with meals (4 g/day total)

Absolute & Relative Contraindications

  • Severe hypersensitivity to fish or shellfish

Logged Side-Effect Incidence (18 Reports)

Mild bleeding/bruising tendency 7%
Arthralgia 5%
Atrial fibrillation (rare) 3%

Icosapent Ethyl (Ultra-Pure EPA) Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 18 verified cash-pay logs, Icosapent Ethyl (Ultra-Pure EPA) achieves a 86.00% Worth-It rating with out-of-pocket spend averaging $54.00/mo versus $298.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 2 grams PO twice daily with meals (4 g/d • Paid: $40.92/mo via Cost Plus Drugs
Mild bleeding/bruising tendency

Switched to Cost Plus Drugs at 2 grams PO twice daily with meals (4 g/day total) for Icosapent Ethyl (Ultra-Pure EPA); monthly out-of-pocket dropped to $40.92 compared with $298.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 2 grams PO twice daily with meals (4 g/d • Paid: $47.43/mo via TeleMed

Completed 10 weeks on Icosapent Ethyl (Ultra-Pure EPA) (2 grams PO twice daily with meals (4 g/day total)). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 2 grams PO twice daily with meals (4 g/d • Paid: $53.94/mo via Compounding
Atrial fibrillation (rare)

Consistent biomarker response on 2 grams PO twice daily with meals (4 g/day total) Icosapent Ethyl (Ultra-Pure EPA) sourced via Compounding ($53.94/mo cash pay without insurance prior authorization).