Non-Prodrug Lysine Angiotensin-Converting Enzyme (ACE) Inhibitor • Rx

Lisinopril

Brand Reference: Prinivil, Zestril

Medically Reviewed by Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
82.30%
Patient “Worth It”
29 verified logs
$4.80
Lowest Monthly Cash

Lisinopril Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Lisinopril RxNorm Concept ID 29046 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0240 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $18.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $4.80 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $5.50 / mo 29 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Lisinopril

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.
$4.80/mo
Wholesale Cash Price
View Wholesale Rx →
Sesame Direct Cash-Pay Prescriber Network (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 29.00
Consult / Starting Tier
Start Online Visit →

Lisinopril Clinical Pharmacology & DailyMed Monograph

RxCUI 29046 • NDC 00378-2074-01

Hydrophilic active dipeptide mimetic that chelates the catalytic zinc ion of pulmonary and endothelial ACE, halting conversion of angiotensin I to angiotensin II while preserving vasodilatory bradykinin.

For self-pay patients filling Lisinopril (NDC 00378-2074-01), direct wholesale and telehealth fulfillment drops monthly spend from $18.00 retail to $4.80 (73% savings against a $0.0240 CMS pharmacy acquisition baseline).

Clinical clearance of Lisinopril (Non-Prodrug Lysine Angiotensin-Converting Enzyme (ACE) Inhibitor) relies on zero hepatic metabolism; 100% excreted unchanged by glomerular filtration with a 12 hours half-life; patients absorbing at 25% oral (unaffected by food) bioavailability typically observe target onset around 1 hour onset; 6 hours peak.

FDA clinical labeling for Lisinopril restricts administration in hereditary or prior ace-inhibitor angioedema; sacubitril/valsartan within 36 hours; pregnancy across 5 mg PO daily, 10 mg PO daily, 20 mg PO daily, 40 mg PO daily, with self-reported patient tracking dominated by dry bradykinin cough (14% of reports), dizziness (7% of reports), potassium rise (4% of reports).

Half-Life
12 hours
Bioavailability
25% oral (unaffected by food)
Metabolism & Clearance
Zero hepatic metabolism; 100% excreted unchanged by glomerular filtration
Clinical Onset
1 hour onset; 6 hours peak

Standard Adult Titration & Dosages

5 mg PO daily 10 mg PO daily 20 mg PO daily 40 mg PO daily

Absolute & Relative Contraindications

  • Hereditary or prior ACE-inhibitor angioedema
  • Sacubitril/valsartan within 36 hours
  • Pregnancy

Logged Side-Effect Incidence (29 Reports)

Dry bradykinin cough 14%
Dizziness 7%
Potassium rise 4%

Lisinopril Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 29 verified cash-pay logs, Lisinopril achieves a 82.30% Worth-It rating with out-of-pocket spend averaging $5.50/mo versus $18.00/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: 5 mg PO daily • Paid: $4.50/mo via Cost Plus Drugs
Dry bradykinin cough

Switched to Cost Plus Drugs at 5 mg PO daily for Lisinopril; monthly out-of-pocket dropped to $4.50 compared with $18.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 10 mg PO daily • Paid: $4.90/mo via Compounding

Completed 10 weeks on Lisinopril (10 mg PO daily). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 20 mg PO daily • Paid: $5.57/mo via Cash Clinic
Potassium rise

Consistent biomarker response on 20 mg PO daily Lisinopril sourced via Cash Clinic ($5.57/mo cash pay without insurance prior authorization).