Janumet Medicare Coverage and Co-Pay Details - GoodRx (2024)

Janumet

Janumet (Metformin/sitagliptin) is an expensive drug used to treat type 2 diabetes. This medicine lowers blood sugar. This drug is more popular than comparable drugs. A generic form of Janumet may become available in 2027. The most common version of Janumet is covered by 92% of insurance plans at a co-pay of $32.50-$57.50, however, some pharmacy coupons or cash prices may be lower. Compare gliptin / biguanide combinations.

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180 tablets

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Janumet

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    • Janumet (brand)

50mg/1000mg

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    • 50mg/500mg
    • 50mg/1000mg

180 tablets

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    • 14 tablets
    • 30 tablets
    • 60 tablets
    • 90 tablets
    • 180 tablets
  • Set

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Janumet Medicare Coverage and Co-Pay Details - GoodRx (3)

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Overview

Do Medicare prescription drug plans cover Janumet?

Yes.

85% of Medicare prescription drug planscover this drug.

If my Medicare prescription drug plan covers Janumet, how much will I pay?

It depends on which coverage stage you are in. Click on a tab below…

Deductible

Post-Deductible

Donut Hole

Post-Donut Hole

Copay Range

$7 – $9

In the Deductible stage, you may be responsible for the full cost of your drug.

After your deductible has been satisfied, you will enter the Post-Deductible(also called Initial Coverage) stage, where you pay your copay and your plancovers the rest of the drug cost.

Copay Range

$3 – $659

In the Donut Hole (also called the Coverage Gap) stage, there is a temporary limitto what Medicare will cover for your drug. Therefore, you may pay more for your drug.

Copay Range

$7 – $659

In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare shouldcover most of the cost of your drug.

Want an exact price for your co-pay?

Ways to Save on Janumet

Here are some ways that may lower the cost of yourJanumet prescription.

Janumet Medicare Coverage and Co-Pay Details - GoodRx (5)

Instead of Medicare, Use a Coupon

If your Medicare co-pay is higher than $564.95, you can save money by using a GoodRx coupon instead.

See Prices

Janumet Medicare Coverage and Co-Pay Details - GoodRx (6)

Manufacturer Coupon

Pay as little as $5 per prescription.

Learn More

Janumet Medicare Coverage and Co-Pay Details - GoodRx (7)

Patient Assistance Program from Merck

Receive your prescription at no charge if you are eligible.

Learn More

Janumet Medicare Prescription Drug Plans Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare prescription drug plans have restrictions on coverage ofJanumet that may include:

Quantity Limits

Most Medicare prescription drug plans have quantity limitsto restrict the amount of this drug that can be filled at one time.

What drug tier is Janumet typically on?

Tier 3

Medicare prescription drug plans typically list Janumet on Tier 3of their formulary. Generally,the higher the tier, the more you have to pay for the medication. Most planshave 5 tiers.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Select Your Medicare Plan

Enter your ZIP code to find your Medicare plan.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS).They are accurate as-of January 2024 and the information may be updated. If youencounter any issues, please let us know.

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Othergliptin / biguanide combinations

  • Janumet XR
  • Jentadueto
  • Jentadueto XR
  • Kazano
  • Kombiglyze XR
  • Zituvimet

OtherConditions

  • Diabetes Type 2

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Janumet Medicare Coverage and Co-Pay Details - GoodRx (2024)
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