Preval Health
Telehealth · Cash practice
Prescription cholesterol treatment.
Be there for the good years.
Licensed clinicians help you lower your LDL far enough to slow plaque buildup, and for many people, shrink it.
$99 a month, labs included. Joining the waitlist costs nothing.
Inside your arteries
Plaque starts forming in your twenties
and grows every year your LDL stays high.
Lower LDL means fewer heart attacks and strokes
We bring your LDL down and keep it there.
Join the waitlistHow it works
We continue to follow you before and after you reach goal.
- 1
Sign up
Give your state, name and email. When care opens, a quick eligibility check comes before you pay. Preval covers prescription lipid management only.
- 2
Clinician visit
A licensed clinician meets with you by video, takes your history, confirms Preval is a good fit and orders your labs.
- 3
Labs
A lipid panel, ApoB and Lp(a) at a lab near you, or recent results you already have. Your clinician sets your goal from them.
- 4
Treatment and follow-up
Your clinician can prescribe anything from a generic statin to a PCSK9 inhibitor, and we recheck your labs every quarter to reach goal and keep you there.
How lower LDL protects your arteries
Your arteries keep a running total of your LDL cholesterol (LDL-C), year after year. The lower your LDL and the sooner it comes down, the slower plaque builds.
One artery, three lifetimes
When you start changes how it ends
Lower
22%
fewer heart attacks and strokes for each 39 mg/dL drop in LDL-C.
26 trials, about 170,000 people
Earlier
55%
lower coronary risk for the same drop when LDL is low from early in life.
Genetic studies, 312,321 people
Longer
Every year
with LDL kept low adds to the benefit. Treatment slows new plaque and can shrink some of it.
European Atherosclerosis Society consensus
The artery drawing illustrates the cumulative LDL-C exposure concept and assumes an untreated LDL-C of 160 mg/dL, lowered to 55 mg/dL once treated. Your own result can differ. Sources: Cholesterol Treatment Trialists' Collaboration, The Lancet, 2010; Ference et al., Journal of the American College of Cardiology, 2012; Ference et al., European Atherosclerosis Society consensus statement, European Heart Journal, 2017.
From our founder
Why I started Preval Health
You probably know someone who was considered low risk for a heart attack and still had one. Many heart attacks happen in people whose risk score looked low or moderate. I meet people like that quite often, and when I look back at their records, I usually find untreated high LDL cholesterol. We have excellent treatments that lower the risk of a heart attack, and many more people could benefit from them. I started Preval Health to make these medicines easy to get.
Kaustubh Dabhadkar, MD, MPH, FACC
Founder. Board-certified preventive cardiologist.
What each option can do
Typical drop in LDL-C
Ezetimibe
15–25%Bempedoic acid
17–21%Moderate-intensity statin
30–49%High-intensity statin
50%+Inclisiran
Leqvio
~50%PCSK9 inhibitors
Repatha, Praluent, Lerochol, Lipfendra
55–60%
HowBlocks cholesterol absorption in the gut
Example: adding medicines, LDL-C in mg/dL
- 0No treatment
- 0−50%High-intensity statin
- 0−22%+ ezetimibe
- 0−58%+ PCSK9 inhibitor
LDL-C lowering seen in clinical trials, alone or added to a statin. Medicines combine, so two together lower LDL-C further than either one. Your response can differ. Sources: ACC/AHA cholesterol guideline; FDA labels and pivotal trials.
Start with the medicine that fits your LDL.
Licensed clinicians prescribe FDA-approved medicines, from generic statins and ezetimibe to bempedoic acid and PCSK9 inhibitors. Medicines combine, so two together lower LDL further than either alone.
Insurance plans usually require a statin first. Paying cash skips that step, so you and your clinician can start with a PCSK9 inhibitor if your clinician thinks it fits.
If statins gave you side effects, see your options. For background on each medicine, read our guides.
$99 a month, with every price listed.
One monthly fee covers your care. You pay in cash, so you skip insurance.
$99 / month
Nothing to pay while you're on the waitlist.
Join the waitlistIncluded every quarter
Medicines, paid at cash prices
- Generic statins and ezetimibeabout $10–20 / month
- PCSK9 inhibitors (Lerochol, Repatha, Praluent, Lipfendra)about $199–356 / month
Prices as of October 2026. You pay the pharmacy or the manufacturer's program directly.
Who it's for
Adults ready to treat high LDL or ApoB with prescription medicine.
Heart disease runs in your family
A parent or grandparent had a heart attack or a stent. You want your numbers lower than the lab's normal range.
You have labs and no plan
Function, Superpower or a physical flagged your LDL or ApoB. You want someone to act on it and follow up.
Your LDL runs a little high
Your risk score says you're fine, but your LDL has sat above goal for years. We aim for under 55; your clinician sets your final goal.
Statins aren't for you
You had side effects or would rather not take one. A PCSK9 inhibitor or another non-statin medicine can be your first medicine.
Licensed clinicians prescribe, and Preval works alongside your own doctors. See who we're not a fit for.
Early Access
Join the waitlist
We're opening state by state, and you pay nothing until we open in yours. Not ready? Start in under a minute.