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Is Glyxambi covered by insurance? | How much does Glyxambi cost without insurance? | How to get Glyxambi without insurance
Glyxambi (empagliflozin-linagliptin) is a brand-name prescription combination drug that helps to lower blood sugar levels in people with Type 2 diabetes. It should not be used to treat those with Type 1 diabetes or diabetic ketoacidosis.
This drug works differently than many standard diabetes medications. Empagliflozin is an SGLT-2 inhibitor that lowers blood sugar by increasing the body’s elimination of glucose through the urine. Linagliptin is a DPP-4 inhibitor that prevents the body from breaking down insulin, allowing the body to remove glucose from the blood.
There are no lower-priced generic or over-the-counter equivalents to Glyxambi. Even though generic Glyxambi is not an option to save money, people with a Glyxambi prescription have some effective options to bring the cost down.
What is the generic for Glyxambi?
The active ingredients in Glyxambi are linagliptin and empagliflozin. There is no generic version of Glyxambi, linagliptin, or empagliflozin. Generic Glyxambi could be available by 2029, but this is not guaranteed.
Is Glyxambi covered by insurance?
Glyxambi is covered by some health insurance plans and Medicare Part D prescription drug plans, but not all of them. Some plans that do not cover Glyxambi as a preferred drug may cover Jardiance (empagliflozin), Tradjenta (linagliptin), or Trijardy XR (empagliflozin, linagliptin, metformin), which contain one or both of the active ingredients of Glyxambi. Insurance plans that do cover Glyxambi may impose restrictions like quantity limits or step therapy requirements. Insurance companies usually group Glyxambi in the highest drug tiers, so the prescription will have a higher copay cost than generic drugs.
RELATED: Does Medicare cover diabetic supplies?
How much does Glyxambi cost without insurance?
People without health insurance can expect to pay around $774 for 30, 25-5 mg tablets. That’s enough medicine to last 30 days, so each daily dose will cost about $25 or more. A year of Glyxambi treatment will cost more than $9,000 for people paying the full retail price.
People looking for a lower-cost alternative can ask their prescribing healthcare provider for medical advice about other combination drugs. Most Glyxambi alternatives combine a drug like linagliptin (a DPP-4 inhibitor) with metformin. At this time, all these FDA-approved alternatives are brand-name drugs without a lower-priced generic version. Lower-priced generic combination drugs for diabetes use drugs from different drug families. Therefore, they don’t work the same way as Glyxambi.
Compare Glyxambi prices to related drugs |
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|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Glyxambi | $774 per 30, 25-5 mg tablets | $434 per 30, 25-5 mg tablets of brand-name Glyxambi | See latest prices |
| Janumet | $667 per 60, 50-100 mg tablets | $335 per 60, 50-100 mg tablets of brand-name Janumet | See latest prices |
| Xigduo XR | $737 per 60, 5-1,000 mg tablets | $393 per 60, 5-1,000 mg tablets of brand-name Xigduo XR | See latest prices |
| Duetact
(glimepiride/pioglitazone) |
$379 per 30, 30-4 mg tablets | $69 for 30, 30-2 mg tablets of generic glimepiride/pioglitazone | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available. Click the link under “Savings options” to see the latest drug prices.
How to get Glyxambi without insurance
Without insurance, Glyxambi treatment can cost $9,000 per year or more at full retail price. People with a Glyxambi prescription could pay less by following a few general strategies. They could turn to the patient assistance program offered by the manufacturer, Boehringer Ingelheim. However, many people will not be able to meet the strict eligibility requirements. Manufacturer coupons and rebates aren’t very common, even for brand-name drugs like Glyxambi. Fortunately, there are other ways to save.
1. Save up to $4,000 per year with a Glyxambi coupon from SingleCare
People with a SingleCare discount card can pay as little as $434 for a 30-day supply of Glyxambi. Using this free coupon can create a savings of $340 off of the average pharmacy price. The total yearly savings can add up to $4,000. SingleCare participating pharmacies will offer different discounts for Glyxambi, so visit SingleCare’s website or app for a free Glyxambi savings card and to find the pharmacy with the best discount.
2. Look for the lowest price for Glyxambi
Many people don’t realize that pharmacies charge different prices for the same prescription drug. Real savings can be found simply by calling local pharmacies and comparing prices.
3. Ask for a free sample
The prescribing healthcare provider may have a free Glyxambi sample that may cover a week to a month of treatment. It’s not a sustainable savings method, but it does save some money if you’re in a pinch. Your doctor may offer a free sample for you to try the medication and report side effects, such as joint pain, hypoglycemia, urinary tract infections, upper respiratory tract infections, genital yeast infections, ketoacidosis, pancreatitis, kidney problems, or allergic reactions.
4. Get health insurance
Long-term chronic conditions like diabetes have regular costs that build up over time. This does not just include prescription medications, but office visits and tests as well. When everything is totaled up, the most cost-effective option may be having a health insurance policy. However, when shopping for health insurance plans, make sure to compare drug formularies. Not every insurance policy covers all of the drugs or treatments needed—like Glyxambi. Those that do may require prior authorization or charge high copays.
5. Find out if you qualify for Medicaid or Medicare
People who can’t afford health insurance may meet the eligibility requirements for Medicaid. As a government-subsidized health insurance program, premiums and out-of-pocket costs will be minimal or completely covered depending on one’s income. Unfortunately, Glyxambi may not be covered by some Medicaid plans, so make sure to check this before deciding on a plan.
A reported 20% of Medicare beneficiaries age 65 years and older have diabetes. If you’re going to be turning 65 or if you’re younger and have a qualifying disability, you may be eligible for Medicare Part D prescription drug coverage. Learn more about Medicare eligibility here.
