Repatha vs Vascepa

A side-by-side look at two cardiovascular medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

US RepathaUS Vascepa
Generic nameevolocumabicosapent ethyl
Drug classPCSK9 Inhibitor (Biologic)Omega-3 Fatty Acid (EPA)
TreatsHigh cholesterol, cardiovascular diseaseHigh triglycerides, cardiovascular risk reduction
CategoryCardiovascularCardiovascular
ManufacturerAmgenAmarin
Year approved20152012
FDA warningNo boxed warningNo boxed warning
Est. TV ad spend$120M$90M
Common side effectsInjection site reactions, Allergic reactions, Back pain, FatigueAtrial fibrillation, Bleeding risk, Joint pain, Swelling

Frequently asked questions

Is Repatha or Vascepa better?

Neither is universally "better." Repatha (evolocumab) and Vascepa (icosapent ethyl) are both used for cardiovascular, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Repatha and Vascepa?

Repatha is a PCSK9 Inhibitor (Biologic) made by Amgen, while Vascepa is a Omega-3 Fatty Acid (EPA) made by Amarin. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Repatha has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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