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Best HMG-CoA Reductase Inhibitor for coronary artery disease

Top-rated pick: Crestor — pharmaranks score 70/100, the highest of the 7 HMG-CoA Reductase Inhibitor drugs used for coronary artery disease, ranked by our independent FDA recall-safety score. Compare them with all treatments for coronary artery disease or the full HMG-CoA Reductase Inhibitor class. Not medical advice — always consult a professional.

Quick answer: Of the 7 HMG-CoA reductase inhibitor drugs we rate for coronary artery disease, all are available as lower-cost generics, and most are tablet. Our ranking reflects each drug’s FDA recall-safety record — not clinical effectiveness for coronary artery disease; the right choice depends on your situation, so confirm it with your prescriber.

Rated against independent regulatory sources·Last updated August 20, 2026·How we rate

How HMG-CoA reductase inhibitor work

Statins block HMG-CoA reductase, the key enzyme the liver uses to make cholesterol. With less cholesterol being produced, the liver pulls more LDL ("bad") cholesterol out of the blood, lowering overall blood cholesterol levels.

Source: HMG-CoA Reductase Inhibitors - StatPearls - NCBI Bookshelf

Top hmg-coa reductase inhibitor for coronary artery disease: 1. Crestor · 2. Zocor · 3. Lescol XL

Best-rated HMG-CoA Reductase Inhibitor for coronary artery disease, ranked by pharmaranks score
#DrugRatingPharmacy pays
170/100$1View →
270/100$1View →
368/100$86View →
462/100$1View →
5Not yet rated$1View →
6Not yet rated$1View →
7Not yet rated$1View →

Full ranking · 7 drugs

#2 of 9 in HMG-CoA Reductase Inhibitor

crestor

PrescriptionFDA-sourced

70/100

Crestor (Rosuvastatin Calcium) is a HMG-CoA reductase inhibitor used to treat Coronary Artery Disease, Hypercholesterolemia, Hyperlipoproteinemias, Hypertriglyceridemia.

(1 data points)
hmg-coa reductase inhibitorcoronary artery diseasehypercholesterolemia

Pharmacy pays

From ~$1.04/30· 4 forms Save up to 32% in class
View details →
ORGANON logo
#2 of 9 in HMG-CoA Reductase Inhibitor

zocor

PrescriptionFDA-sourced

70/100

Zocor (Simvastatin) is a HMG-CoA reductase inhibitor used to treat Coronary Artery Disease, Hypercholesterolemia, Hyperlipoproteinemias, Hypertriglyceridemia.

(1 data points)
hmg-coa reductase inhibitorcoronary artery diseasehypercholesterolemia

Pharmacy pays

From ~$0.84/30· 5 forms
View details →
SANDOZ logo

lescol xl

PrescriptionFDA-sourced

68/100

Lescol XL (Fluvastatin Sodium) is a HMG-CoA reductase inhibitor used to treat Coronary Artery Disease, Hypercholesterolemia, Hyperlipoproteinemias, Hypertriglyceridemia.

(23 data points)
hmg-coa reductase inhibitorcoronary artery diseasehypercholesterolemia

Pharmacy pays

From ~$75.75/30· 3 forms Save up to 99% in class
View details →

lovastatin

PrescriptionFDA-sourced

62/100

Lovastatin is a HMG-CoA reductase inhibitor used to treat Coronary Artery Disease, Hypercholesterolemia, Hyperlipoproteinemias, Hypertriglyceridemia.

(53 data points)
hmg-coa reductase inhibitorcoronary artery diseasehypercholesterolemia

Pharmacy pays

From ~$1.14/30· 3 forms Save up to 29% in class
View details →

atorvaliq

PrescriptionFDA-sourced

New

Atorvaliq (Atorvastatin Calcium) is a HMG-CoA reductase inhibitor used to treat Coronary Artery Disease, Hypercholesterolemia, Hyperlipoproteinemias, Hypertriglyceridemia.

hmg-coa reductase inhibitorcoronary artery diseasehypercholesterolemia

Pharmacy pays

From ~$0.75/30· 4 forms
View details →

flolipid

PrescriptionFDA-sourced

New

Flolipid (Simvastatin) is a HMG-CoA reductase inhibitor used to treat Coronary Artery Disease, Hypercholesterolemia, Hyperlipoproteinemias, Hypertriglyceridemia.

hmg-coa reductase inhibitorcoronary artery diseasehypercholesterolemia

Pharmacy pays

From ~$0.84/30· 5 forms
View details →
UPJOHN logo

lipitor

PrescriptionFDA-sourced

New

Lipitor (Atorvastatin Calcium) is a HMG-CoA reductase inhibitor used to treat Coronary Artery Disease, Hypercholesterolemia, Hyperlipoproteinemias, Hypertriglyceridemia.

hmg-coa reductase inhibitorcoronary artery diseasehypercholesterolemia

Pharmacy pays

From ~$0.75/30· 4 forms
View details →

Frequently asked

What is the best hmg-coa reductase inhibitor for coronary artery disease?
By our independent recall-safety rating — not an efficacy measure — crestor ranks highest among HMG-CoA Reductase Inhibitor drugs used for coronary artery disease. Always consult a professional.
Which hmg-coa reductase inhibitor drugs treat coronary artery disease?
pharmaranks lists 7 HMG-CoA Reductase Inhibitor products used for coronary artery disease, per NIH RxClass drug-classification data — each independently rated and ranked above.
How are these ranked?
By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.