Icosapent Ethyl
Icosapent Ethyl
What is Icosapent Ethyl?
Icosapent ethyl is a prescription medication marketed under the brand name Vascepa, primarily used to lower high triglyceride levels (≥ 150 mg/dL) in adults alongside diet adjustments. It is a purified form of eicosapentaenoic acid, an omega-3 fatty acid, which works by reducing hepatic triglyceride synthesis and enhancing triglyceride clearance. Additionally, it has been shown to offer cardiovascular benefits by decreasing the risk of heart attack, stroke, and cardiovascular death in patients with elevated triglycerides who are already on statin therapy.
Side Effects
- Fast, pounding, or uneven heartbeat
- Lightheadedness, dizziness, fainting
- Swelling of the hands, legs, or feet
Warnings
- Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
- This medicine may cause the following problems:Increase risk of heart rhythm problemsIncrease risk of bleeding
- Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease, diabetes, heart rhythm problems, pancreas problems, or an underactive thyroid. Tell your doctor if are allergic to fish or shellfish, or if you drink alcohol.
Prescription savings · · · ·
What is Icosapent Ethyl ?
Icosapent ethyl is a prescription medication marketed under the brand name Vascepa, primarily used to lower high triglyceride levels (≥ 150 mg/dL) in adults alongside diet adjustments. It is a purified form of eicosapentaenoic acid, an omega-3 fatty acid, which works by reducing hepatic triglyceride synthesis and enhancing triglyceride clearance. Additionally, it has been shown to offer cardiovascular benefits by decreasing the risk of heart attack, stroke, and cardiovascular death in patients with elevated triglycerides who are already on statin therapy.
- Fast, pounding, or uneven heartbeat
- Lightheadedness, dizziness, fainting
- Swelling of the hands, legs, or feet
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
- This medicine may cause the following problems:Increase risk of heart rhythm problemsIncrease risk of bleeding
- Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease, diabetes, heart rhythm problems, pancreas problems, or an underactive thyroid. Tell your doctor if are allergic to fish or shellfish, or if you drink alcohol.
Icosapent Ethyl Coupons & Prices
Icosapent Ethyl
Weight-loss medication, prescribed online
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Icosapent Ethyl prices by dosage
Lowest cash price with a free Rx.com coupon vs. the average retail price.
| Dosage | Quantity | Retail price | Rx.com price |
|---|---|---|---|
| 0.5gm · Capsule | 120 | $201.69 | $56.19 |
| 1gm · Capsule | 120 | $358.99 | $67.79 |
Cash prices near ZIP 77433; updated regularly. Actual pharmacy price may vary.
Use a free Rx.com icosapent ethyl coupon to compare cash prices at more than 60,000 pharmacies near you. Icosapent ethyl is the prescription generic of Vascepa, a purified omega-3 (EPA) capsule used to lower very high triglycerides and, alongside statin therapy, to reduce cardiovascular risk in certain adults. Cash prices for the generic capsules vary widely from one pharmacy to the next, even across the street, so comparing before you fill is the single easiest way to avoid overpaying. Enter your ZIP code above to see today's price at pharmacies near you.
What is icosapent ethyl and how does it work?
Icosapent ethyl is a prescription-only omega-3 fatty acid medicine. It is the ethyl ester of eicosapentaenoic acid, or EPA, and it is classed as an antilipemic (lipid-regulating) agent. It comes as capsules that are swallowed whole, twice a day, with food. It is sold under the brand name Vascepa, and as of July 2026 generic icosapent ethyl capsules are also marketed in the US.
The FDA has approved icosapent ethyl for two uses in adults. First, as an add-on to maximally tolerated statin therapy, to reduce the risk of cardiovascular events such as heart attack, stroke, coronary revascularization, and unstable angina requiring hospitalization, in adults with triglycerides of 150 mg/dL or higher who have established cardiovascular disease, or diabetes plus two or more additional cardiovascular risk factors. Second, as an add-on to diet, to reduce triglyceride levels in adults with severe hypertriglyceridemia (500 mg/dL or higher). It is not an LDL-lowering medicine and is not a substitute for a statin. The generic icosapent ethyl capsules were launched under a so-called skinny label, so the generic's labeling carries only the severe-hypertriglyceridemia indication.
What icosapent ethyl costs without insurance, and how to pay less
Icosapent ethyl is a long-term, twice-daily medicine, so what you pay each month adds up. If you are paying cash, or your plan does not cover it, the price you are quoted depends heavily on which pharmacy you walk into. Different pharmacies set very different cash prices for the same generic capsules and the same quantity, which is why it pays to check rather than default to the pharmacy you always use. Enter your ZIP code above to see today's price at pharmacies near you and bring the free Rx.com coupon to the counter. There is no signup, no membership, and no fee.
A few honest notes on paying less: a coupon price is a cash price, so it cannot be combined with insurance, but you are free to use whichever is cheaper on any given fill. Ask your pharmacist whether a 90-day supply lowers your per-month cost. If your prescriber wrote for the brand, ask whether generic icosapent ethyl is appropriate for you, since substitution rules vary by state. And if you are taking the brand, the manufacturer of Vascepa runs its own copay savings program on its official website; eligibility and terms vary and such programs typically exclude people with government insurance, so read the terms before you count on it.
Icosapent ethyl vs. fish oil and other triglyceride medicines
Icosapent ethyl is not the same thing as over-the-counter fish oil. OTC omega-3 supplements are not FDA-approved drugs, are not tested the same way, and typically contain a mix of EPA and DHA plus other fats in amounts that are not standardized. Icosapent ethyl is a prescription product containing purified EPA only. Do not swap one for the other on your own.
Other prescription options your clinician may discuss, depending on your numbers and your heart-disease risk, include:
- Vascepa — the brand version of this same medicine.
- Lovaza and its generic omega-3-acid ethyl esters — a different prescription omega-3 containing both EPA and DHA.
- Fenofibrate and gemfibrozil — fibrates, another class used for very high triglycerides.
- Atorvastatin and rosuvastatin — statins. Icosapent ethyl is used alongside a statin for cardiovascular risk reduction, not instead of one.
These are not interchangeable. Which one fits you is a conversation for your prescriber.
Safety, side effects, and interactions
Icosapent ethyl has no boxed warning. The label does flag several things worth knowing. Atrial fibrillation or atrial flutter serious enough to require hospitalization occurred more often than with placebo, especially in people with a prior history of AF or flutter. Bleeding risk is increased, particularly if you also take an anticoagulant, an antiplatelet drug, aspirin, or anything else that affects clotting, so tell your prescriber and pharmacist everything you take. Hypersensitivity reactions can occur, and caution is advised if you have a known allergy to fish or shellfish. Commonly reported side effects include musculoskeletal pain, swelling in the hands or feet, constipation, gout, and atrial fibrillation.
Take the capsules whole with food, twice daily. Do not crush, chew, dissolve, or open them. Safety in pregnancy and breastfeeding has not been established, so discuss it with your clinician. This page is general information, not medical advice. Talk with your doctor or pharmacist about your own situation, and call your prescriber if you notice a fast or irregular heartbeat or unusual bleeding or bruising.
This Icosapent Ethyl information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.
Verify the official label: Icosapent Ethyl on DailyMed (FDA)
Reviewed against FDA labeling · Last reviewed July 2026
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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.