Glycemic-Neutral Cyclopropyl HMG-CoA Reductase Inhibitor • Rx

Pitavastatin Calcium

Brand Reference: Livalo, Zypitamag

Medically Reviewed by Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
93.10%
Patient “Worth It”
23 verified logs
$14.20
Lowest Monthly Cash

Pitavastatin Calcium Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Pitavastatin Calcium RxNorm Concept ID 861634 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.6400 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $284.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $14.20 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $17.00 / mo 23 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Pitavastatin Calcium

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.
$14.20/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 →

Pitavastatin Calcium Clinical Pharmacology & DailyMed Monograph

RxCUI 861634 • NDC 66869-0104-30

Cyclopropyl-substituted statin engineered for minimal muscle lactone penetration and near-zero diabetogenic HbA1c drift, lowering ApoB by 32%–43% while modestly raising ApoA1/HDL-C without CYP3A4 substrate liability.

Across 23 community cost disclosures for Pitavastatin Calcium (Livalo / Zypitamag), cash buyers routing around $284.00 retail markups capture a 95% discount ($14.20/mo benchmark vs $0.6400 NADAC acquisition).

Following administration (1 mg PO once daily), Pitavastatin Calcium achieves 51% oral bioavailability and 2–4 weeks lipid steady state onset, governed by a 12 hours terminal half-life through enterohepatic circulation with ugt1a3/ugt2b7 lactonization; negligible cyp2c9.

Before initiating Pitavastatin Calcium at 1 mg PO once daily, clinical safety checklists rule out cyclosporine co-administration; active hepatic cholestasis. Logged tolerability patterns center on back discomfort (4% of reports), myalgia (3% of reports), constipation (3% of reports).

Half-Life
12 hours
Bioavailability
51% oral
Metabolism & Clearance
Enterohepatic circulation with UGT1A3/UGT2B7 lactonization; negligible CYP2C9
Clinical Onset
2–4 weeks lipid steady state

Standard Adult Titration & Dosages

1 mg PO once daily 2 mg PO once daily 4 mg PO once daily

Absolute & Relative Contraindications

  • Cyclosporine co-administration
  • Active hepatic cholestasis

Logged Side-Effect Incidence (23 Reports)

Back discomfort 4%
Myalgia 3%
Constipation 3%

Pitavastatin Calcium Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 23 verified cash-pay logs, Pitavastatin Calcium achieves a 93.10% Worth-It rating with out-of-pocket spend averaging $17.00/mo versus $284.00/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: 1 mg PO once daily • Paid: $12.50/mo via Cost Plus Drugs
Back discomfort

Switched to Cost Plus Drugs at 1 mg PO once daily for Pitavastatin Calcium; monthly out-of-pocket dropped to $12.50 compared with $284.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 2 mg PO once daily • Paid: $14.48/mo via TeleMed

Completed 10 weeks on Pitavastatin Calcium (2 mg PO once daily). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 4 mg PO once daily • Paid: $16.47/mo via Compounding
Myalgia

Consistent biomarker response on 4 mg PO once daily Pitavastatin Calcium sourced via Compounding ($16.47/mo cash pay without insurance prior authorization).