Last updated: March 2026
How Much Does Pravastatin Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Pravastatin 20mg (generic) | $4 – $12 | $0 – $5 |
| Pravastatin 40mg (generic) | $4 – $15 | $0 – $6 |
| Pravastatin 80mg (generic) | $6 – $20 | $1 – $8 |
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Tier 1 generic — fewer drug interactions than other statins; good for complex medication regimens
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Generic pravastatin costs $4 to $20 per month without insurance. It is widely available at $4 generic programs and is one of the most affordable statins.
Pravastatin has fewer drug interactions because it is not metabolized by the CYP3A4 liver enzyme. This makes it a safer choice for patients taking medications like certain antibiotics, antifungals, or HIV drugs.
Pravastatin is a moderate-intensity statin, while rosuvastatin is high-intensity. For patients needing aggressive LDL lowering, rosuvastatin or atorvastatin may be preferred.