CPE Exclusives

Cost-Effectiveness of PCSK9 Inhibitors and the Value-Add of an Oral Option

Published: November 21, 2025
  • Bottom Line: Injectable PCSK9 inhibitors are cost-effective. An oral PCSK9 inhibitor could positively impact quality-of-life and adherence which could support a price premium over injectable versions.
  • At estimated US market-based prices, injectable PCSK9 inhibitors are cost-effective treatment options for established atherosclerotic cardiovascular disease.
  • Recent Phase III trial evidence for an investigational oral PCSK9 inhibitor showed lipid-lowering outcomes similar to injectable PCSK9 inhibitors. Impacts on cardiovascular outcomes and long-term safety are still being studied.
  • Treatment process attributes such as frequency of administration and route of administration differentiate injectable and oral treatments. How these factors impact the health economic thesis of PCSK9 inhibitors is discussed within our report.
  • Evidence on the utility differences resulting from treatment process attributes can inform cost-effectiveness modeling efforts and pricing conversations.

Read our full report for more details and discussion.

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The Leerink Center for Pharmacoeconomics is a division of MEDACorp and an affiliate of Leerink Partners

Leerink Center for Pharmacoeconomics

– Melanie Whittington, PhD, Managing Director, Head of the Center for Pharmacoeconomics

Disclosures

The Center for Pharmacoeconomics (“CPE”) is a division of MEDACorp LLC (“MEDACorp”). CPE is committed to advancing the understanding and evaluating the economic and societal benefits of healthcare treatments in the United States. Through its thought leadership, evaluations, and advisory services, CPE supports decisions intended to improve societal outcomes. MEDACorp, an affiliate of Leerink Partners LLC (“Leerink Partners”), maintains a global network of independent healthcare professionals providing industry and market insights to Leerink Partners and its clients. The information provided by the Center for Pharmacoeconomics is intended for the sole use of the recipient, is for informational purposes only, and does not constitute investment or other advice or a recommendation or offer to buy or sell any security, product, or service. The information has been obtained from sources that we believe reliable, but we do not represent that it is accurate or complete and it should not be relied upon as such. All information is subject to change without notice, and any opinions and information contained herein are as of the date of this material, and MEDACorp does not undertake any obligation to update them. This document may not be reproduced, edited, or circulated without the express written consent of MEDACorp.

 

© 2026 MEDACorp LLC. All Rights Reserved.

Disclosures

The Center for Pharmacoeconomics (“CPE”) is a division of MEDACorp LLC (“MEDACorp”). CPE is committed to advancing the understanding and evaluating the economic and societal benefits of healthcare treatments in the United States. Through its thought leadership, evaluations, and advisory services, CPE supports decisions intended to improve societal outcomes. MEDACorp, an affiliate of Leerink Partners LLC (“Leerink Partners”), maintains a global network of independent healthcare professionals providing industry and market insights to Leerink Partners and its clients. The information provided by the Center for Pharmacoeconomics is intended for the sole use of the recipient, is for informational purposes only, and does not constitute investment or other advice or a recommendation or offer to buy or sell any security, product, or service. The information has been obtained from sources that we believe reliable, but we do not represent that it is accurate or complete and it should not be relied upon as such. All information is subject to change without notice, and any opinions and information contained herein are as of the date of this material, and MEDACorp does not undertake any obligation to update them. This document may not be reproduced, edited, or circulated without the express written consent of MEDACorp.

 

© 2026 MEDACorp LLC. All Rights Reserved.

Disclosures

The Center for Pharmacoeconomics (“CPE”) is a division of MEDACorp LLC (“MEDACorp”). CPE is committed to advancing the understanding and evaluating the economic and societal benefits of healthcare treatments in the United States. Through its thought leadership, evaluations, and advisory services, CPE supports decisions intended to improve societal outcomes. MEDACorp, an affiliate of Leerink Partners LLC (“Leerink Partners”), maintains a global network of independent healthcare professionals providing industry and market insights to Leerink Partners and its clients. The information provided by the Center for Pharmacoeconomics is intended for the sole use of the recipient, is for informational purposes only, and does not constitute investment or other advice or a recommendation or offer to buy or sell any security, product, or service. The information has been obtained from sources that we believe reliable, but we do not represent that it is accurate or complete and it should not be relied upon as such. All information is subject to change without notice, and any opinions and information contained herein are as of the date of this material, and MEDACorp does not undertake any obligation to update them. This document may not be reproduced, edited, or circulated without the express written consent of MEDACorp.

 

© 2026 MEDACorp LLC. All Rights Reserved.

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