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Have your cardiologist send the script to Marley Pharmacy in NC. It’s $103 OOP for a 90 day supply, and they’ll ship it to you in about 3–5 days.

My insurance doesn’t cover Pit, but my cardiologist who specializes in lipids, referred me to this pharmacy. I’m based in the NJ/NY area, and it’s worked out well.

FYI, it’s Pita Mag, which means it’s made with magnesium salts instead of calcium. There’s no difference between them
Awesome, thank you. If I reach a dead end I will look into this
 
Ahhh man don’t even tag him and get him started he’s annoying af
my b didn't know he's a troll but tbh if he named one specific compound he might have legitimacy IME...


I was literally writing the same message Chief did. Seriously though, don't summon that troll. His opinions are absolutely worthless. Biggest clown on this forum that I've seen by a long shot. Search his post history. All he does is complain on source threads, make unsubstantiated claims like he did here saying there's crap in the vial, and then doesn't produce evidence.
 
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Have your cardiologist send the script to Marley Pharmacy in NC. It’s $103 OOP for a 90 day supply, and they’ll ship it to you in about 3–5 days.

My insurance doesn’t cover Pit, but my cardiologist who specializes in lipids, referred me to this pharmacy. I’m based in the NJ/NY area, and it’s worked out well.

FYI, it’s Pita Mag, which means it’s made with magnesium salts instead of calcium. There’s no difference between them
Awesome, thank you. If I reach a dead end I will look into this

CostPlus does not take insurance, $50, 4mg/3months OOP.
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I see the pitavastatin discussion and figured I'd share my experience. I was on it for about 5 weeks. Everything started okay, but then my knees starting killing me. It got to the point now where I'm walking down stairs like a 90 year old, one at a time, holding the railing. I can barely get up from seated positions. My elbow also started hurting randomly, with no explanation, to the point where I couldn't use my arm for normal around the house stuff. Then my left pec felt like it tore with significant, sharp pain, despite absolutely nothing happening to it. I've been on a bunch of CoQ10 the entire time, it obviously didn't help. I only kept taking it because I was hoping things would improve, but it got worse and worse. I've been off for 3 days now, but haven't had any improvement in my knees. From what I've read, it could take weeks. Looks like I'm going to need a pcsk9 inhibitor like Repatha or something, statins apparently aren't for me. Might try ezetimibe as well.

I'm definitely not trying to turn anyone away from Pitavastatin, it's literally the best option in its class (statins) and most people tolerate it well. 2mg/day was enough to ruin my knees and make leg workouts impossible for several weeks (at least), and upper body pushing exercises for 2 weeks so far. I don't want to contribute to anyone's nocebo effects, but be aware it is possible your body might not agree with it.
 
My cardiologists prescription for Pitavastatin is hung up in "this prescription requires your prescriber to get insurance approval or send a different prescription.

Dr. office hasn't been responsive to it, waiting since the 25th.

I wonder if GoodRX would manage it any better

Sorry to hear it. Most insurance formularies were updated in 2025 to remove preauthorization requirements because Pita is now a generic, not a $300/mo name brand med any more.

The big 3 Pharmacy Benefit Managers covering 80% of Americans no longer require preauthorization for Pitavastatin.

Express Scripts
CVS / Caremark
OptumRX

I can't look at them all but confirmed these insurers dropped preauthorization:

United Healthcare
Aetna
Blue Cross / Blue Shield
Cigna
Humana

The only ones that haven't are some small plans from the government marketplace (Obamacare), who seem to be a little slow to update their drug lists.

If yours requires PA goodrx won't be able to change that. Have the prescription transferred to Costplus.

By next years update all insurers should have it covered without a PA.
 
I see the pitavastatin discussion and figured I'd share my experience. I was on it for about 5 weeks. Everything started okay, but then my knees starting killing me. It got to the point now where I'm walking down stairs like a 90 year old, one at a time, holding the railing. I can barely get up from seated positions. My elbow also started hurting randomly, with no explanation, to the point where I couldn't use my arm for normal around the house stuff. Then my left pec felt like it tore with significant, sharp pain, despite absolutely nothing happening to it. I've been on a bunch of CoQ10 the entire time, it obviously didn't help. I only kept taking it because I was hoping things would improve, but it got worse and worse. I've been off for 3 days now, but haven't had any improvement in my knees. From what I've read, it could take weeks. Looks like I'm going to need a pcsk9 inhibitor like Repatha or something, statins apparently aren't for me. Might try ezetimibe as well.

I'm definitely not trying to turn anyone away from Pitavastatin, it's literally the best option in its class (statins) and most people tolerate it well. 2mg/day was enough to ruin my knees and make leg workouts impossible for several weeks (at least), and upper body pushing exercises for 2 weeks so far. I don't want to contribute to anyone's nocebo effects, but be aware it is possible your body might not agree with it.
Do you think going slightly lower dosing on the pitavastatin would’ve helped or just across the board was the experience ?
 
I see the pitavastatin discussion and figured I'd share my experience. I was on it for about 5 weeks. Everything started okay, but then my knees starting killing me. It got to the point now where I'm walking down stairs like a 90 year old, one at a time, holding the railing. I can barely get up from seated positions. My elbow also started hurting randomly, with no explanation, to the point where I couldn't use my arm for normal around the house stuff. Then my left pec felt like it tore with significant, sharp pain, despite absolutely nothing happening to it. I've been on a bunch of CoQ10 the entire time, it obviously didn't help. I only kept taking it because I was hoping things would improve, but it got worse and worse. I've been off for 3 days now, but haven't had any improvement in my knees. From what I've read, it could take weeks. Looks like I'm going to need a pcsk9 inhibitor like Repatha or something, statins apparently aren't for me. Might try ezetimibe as well.

I'm definitely not trying to turn anyone away from Pitavastatin, it's literally the best option in its class (statins) and most people tolerate it well. 2mg/day was enough to ruin my knees and make leg workouts impossible for several weeks (at least), and upper body pushing exercises for 2 weeks so far. I don't want to contribute to anyone's nocebo effects, but be aware it is possible your body might not agree with it.
Did you try any other statins before pita? Did you feel any of this while on them?

These symptoms are what I'm hoping to avoid.

I've used atorvastatin and rosuvastatin and get sore hamstrings and glutes, then eventually quads and my legs feel like they are cramping and sore. Not like workout sore, almost like the muscle feels bruised.
 
Do you think going slightly lower dosing on the pitavastatin would’ve helped or just across the board was the experience ?
I don't think 1mg is particularly efficacious, and judging from the severity of what I've experienced, I don't imagine it would significantly reduce the negative effects. C'est la vie
 
I see the pitavastatin discussion and figured I'd share my experience. I was on it for about 5 weeks. Everything started okay, but then my knees starting killing me. It got to the point now where I'm walking down stairs like a 90 year old, one at a time, holding the railing. I can barely get up from seated positions. My elbow also started hurting randomly, with no explanation, to the point where I couldn't use my arm for normal around the house stuff. Then my left pec felt like it tore with significant, sharp pain, despite absolutely nothing happening to it. I've been on a bunch of CoQ10 the entire time, it obviously didn't help. I only kept taking it because I was hoping things would improve, but it got worse and worse. I've been off for 3 days now, but haven't had any improvement in my knees. From what I've read, it could take weeks. Looks like I'm going to need a pcsk9 inhibitor like Repatha or something, statins apparently aren't for me. Might try ezetimibe as well.

I'm definitely not trying to turn anyone away from Pitavastatin, it's literally the best option in its class (statins) and most people tolerate it well. 2mg/day was enough to ruin my knees and make leg workouts impossible for several weeks (at least), and upper body pushing exercises for 2 weeks so far. I don't want to contribute to anyone's nocebo effects, but be aware it is possible your body might not agree with it.

It sucks, but to put this in perspective, out of 20,000 patients taking it daily for 2 years, muscle weakness was reported in 0.18%. That's 1 in 555. The majority of those were mild. not affecting physical function at all. Some of those reports were undoubtedly imagined side effects, which are especially common with statins. Your crippling reaction must be 1 in several thousand or less.

Pitavastatin doesn't enter muscles like other statins, and its doses are minuscule by comparison, which is why it has such a low rate of side effects.

Hope Repatha works out for you. Even without statin, combined with Eze you'll still get 60-70% reduction.

 
Did you try any other statins before pita? Did you feel any of this while on them?

These symptoms are what I'm hoping to avoid.

I've used atorvastatin and rosuvastatin and get sore hamstrings and glutes, then eventually quads and my legs feel like they are cramping and sore. Not like workout sore, almost like the muscle feels bruised.
My first and only statin experience thus far. Judging from the safety profiles of the others, I don't want to even try them. I really don't want to go through this again.

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