{"id":629491,"date":"2024-08-19T09:00:53","date_gmt":"2024-08-19T13:00:53","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=629491"},"modified":"2026-01-02T13:03:59","modified_gmt":"2026-01-02T18:03:59","slug":"does-medicaid-cover-jardiance","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-medicaid-cover-jardiance\/","title":{"rendered":"Does Medicaid cover Jardiance?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/jardiance\/what-is\"><span style=\"font-weight: 400;\">Jardiance (empagliflozin)<\/span><\/a><span style=\"font-weight: 400;\"> is a brand-name prescription that helps adults with <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/type-2-diabetes-treatment-and-medications\"><span style=\"font-weight: 400;\">Type 2 diabetes<\/span><\/a><span style=\"font-weight: 400;\"> manage their blood sugar levels. It can also lower the risk of death from heart disease and hospitalization for adults with heart failure and reduce the risk of worsening kidney disease, end-stage kidney disease (ESKD), death due to cardiovascular disease, and hospitalization in adults with chronic kidney disease.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The cost of Jardiance can depend on several factors, such as whether you have insurance, why you need it, and where you buy it. So, does Medicaid cover Jardiance? The answer depends on your state of residence and why you need the medication.<\/span><\/p>\n<h2 id=\"how-much-does-jardiance-cost\"><span style=\"font-weight: 400;\">How much does Jardiance cost?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The average retail <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-without-insurance\/\"><span style=\"font-weight: 400;\">price of Jardiance without insurance<\/span><\/a><span style=\"font-weight: 400;\"> or discounts is $873 for 30, 25 mg tablets, which is typically a one-month supply for some people.\u201d The price can change based on the <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/jardiance\/dosage\"><span style=\"font-weight: 400;\">dosage<\/span><\/a><span style=\"font-weight: 400;\"> and which pharmacy you go to. Different pharmacies might have different prices, so it&#8217;s good to compare them to find the best deal.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For example, taking the 10 milligram (mg) dose once a day might cost less than taking a higher dose. Some online pharmacies offer slightly lower prices, but be cautious and ensure they are reputable. Your local pharmacist should be able to help you compare prices and check for any discount programs.<\/span><\/p>\n<h2 id=\"does-medicaid-cover-jardiance\"><span style=\"font-weight: 400;\">Does Medicaid cover Jardiance?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Medicaid coverage for Jardiance varies by state. Some states might cover Jardiance, while others might not. Even if it is covered, there might be rules about who can get it. For example, some states might only cover it for people with Type 2 diabetes who meet specific criteria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To determine if your state covers Jardiance, check your state&#8217;s Medicaid website or managed Medicaid plan\u2019s formulary, or call your local Medicaid office. They can tell you if Jardiance may be covered and what you need to do to get it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are a few examples:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Texas Medicaid<\/b><span style=\"font-weight: 400;\">: It may cover Jardiance if it&#8217;s prescribed for Type 2 diabetes and other treatments have not been effective.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>California Medicaid (Medi-Cal)<\/b><span style=\"font-weight: 400;\">: This could require prior authorization and proof that other medications were tried first.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>New York Medicaid<\/b><span style=\"font-weight: 400;\">: Coverage may be available but with specific requirements based on medical necessity.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some states administer their Medicaid programs through private insurance plans, each of which may have a different formulary, or list of covered medications and potential restrictions like prior approval or step therapy.<\/span><\/p>\n<h2 id=\"factors-influencing-medicaid-coverage-for-jardiance\"><span style=\"font-weight: 400;\">Factors influencing Medicaid coverage for Jardiance<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If your state&#8217;s Medicaid program covers Jardiance, there might be specific rules you need to follow. These rules can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You may need to have a diagnosis of Type 2 diabetes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You may need to show that other diabetes medications didn&#8217;t work for you. This is called <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/step-therapy\/\"><span style=\"font-weight: 400;\">step therapy.<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your healthcare provider may need to confirm that Jardiance is necessary for you. This is called <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/prior-authorization\/\"><span style=\"font-weight: 400;\">prior authorization<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other factors that influence Medicaid drug coverage include age (people with both Medicare and Medicaid may receive their medications through a Medicare Part D plan instead of Medicaid), overall health condition, and any other medications you are taking. Some states also examine your income level and how much you can afford to pay out-of-pocket.<\/span><\/p>\n<h2 id=\"how-to-get-jardiance-with-medicaid\"><span style=\"font-weight: 400;\">How to get Jardiance with Medicaid<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Here are the steps you might need to follow to get Jardiance with Medicaid:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Visit your healthcare provider<\/b><span style=\"font-weight: 400;\">: Make an appointment with your healthcare provider to discuss your condition and why Jardiance might be the proper medication. If they agree that Jardiance is suitable, they will write you a prescription.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Wait for prior authorization<\/b><span style=\"font-weight: 400;\">: Your healthcare provider might need to submit a form or additional information to your state&#8217;s Medicaid program for approval.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Take or have your healthcare provider send the approved prescription to your pharmacy.<\/b><span style=\"font-weight: 400;\"> Your pharmacist might contact your healthcare provider or Medicaid office for clarification if there&#8217;s any issue.<\/span><\/li>\n<\/ul>\n<h2 id=\"cost-of-jardiance-with-medicaid\"><span style=\"font-weight: 400;\">Cost of Jardiance with Medicaid<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The amount you&#8217;ll pay for Jardiance with Medicaid can vary by state. Medicaid can significantly lower costs, but you might still have to pay a copayment or coinsurance. Checking the costs in your state\u2019s drug formulary can help you understand what you&#8217;ll pay. For example, you may have to pay any or all of the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Copayments<\/b><span style=\"font-weight: 400;\">: Some states require you to pay a small fee each time you fill your prescription. According to the drug\u2019s manufacturer, <\/span><a href=\"https:\/\/patient.boehringer-ingelheim.com\/us\/products\/jardiance\/type-2-diabetes\/pricing\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Boehringer Ingelheim<\/span><\/a><span style=\"font-weight: 400;\">, Medicaid beneficiaries have copay costs that average $0\u2013$8 a month.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Coinsurance<\/b><span style=\"font-weight: 400;\">: You might need to pay a percentage of the medication cost, such as 10%.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Monthly premiums<\/b><span style=\"font-weight: 400;\">: Depending on your income and the rules of your state Medicaid program, you might also have to pay a monthly fee to participate in Medicaid.<\/span><\/li>\n<\/ul>\n<h2 id=\"ways-to-get-discounts-on-jardiance-without-medicaid\"><span style=\"font-weight: 400;\">Ways to get discounts on Jardiance without Medicaid<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you don&#8217;t have Medicaid or your state doesn&#8217;t cover Jardiance, you can save on the cost. One way is to use a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare prescription discount card<\/span><\/a><span style=\"font-weight: 400;\">. This card provides immediate access to digital coupons you can use for Jardiance at many pharmacies, making it more affordable. For example, with a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/jardiance#coupon-prices\"><span style=\"font-weight: 400;\">SingleCare coupon for Jardiance<\/span><\/a><span style=\"font-weight: 400;\">, you could pay $255 instead of $873 for 30, 25 mg tablets.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other discount options include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Manufacturer coupons<\/b><span style=\"font-weight: 400;\">: Sometimes, drug manufacturers offer coupons or discount programs for eligible patients. Boehringer Ingelheim offers a <\/span><a href=\"https:\/\/patient.boehringer-ingelheim.com\/us\/products\/jardiance\/type-2-diabetes\/savings\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Jardiance Savings Card<\/span><\/a><span style=\"font-weight: 400;\"> that allows eligible individuals to pay as little as $10 for a one- or three-month prescription for up to 12 months. The program isn\u2019t available to those with Medicaid.<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-copay-assistance\/\"><b>Jardiance copay assistance<\/b><\/a><b> <\/b><b><span style=\"font-weight: 400;\">\u00a0\u2502<\/span><\/b><b> <\/b><b><\/b><b><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-vs-glipizide\/\">Jardiance vs. glipizide<\/a><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Patient assistance programs:<\/b><span style=\"font-weight: 400;\"> These programs are offered by drug companies and run by nonprofit organizations. They can help you get your medication at a lower cost or even for free if you qualify. The Boehringer Ingelheim Cares Foundation offers a <\/span><a href=\"https:\/\/www.boehringer-ingelheim.us\/our-responsibility\/patient-assistance-program\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Patient Assistance Program<\/span><\/a><span style=\"font-weight: 400;\"> that provides free medication, including Jardiance, to eligible patients. You and your healthcare provider will have to <\/span><a href=\"https:\/\/www.boehringer-ingelheim.com\/sites\/default\/files\/us\/2023-02\/primary-care-pap-application-fillable-pdf.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">complete and submit the application<\/span><\/a><span style=\"font-weight: 400;\"> to determine eligibility and start getting free Jardiance.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Generic alternatives<\/b><span style=\"font-weight: 400;\">: While Jardiance itself <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-generic\/\"><span style=\"font-weight: 400;\">doesn&#8217;t have a generic version yet<\/span><\/a><span style=\"font-weight: 400;\">, your healthcare provider might know of other similar medications that are more affordable.<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-alternatives\/\"><b>Jardiance alternatives<\/b><\/a><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medicare and Medicare Extra Help:<\/b><span style=\"font-weight: 400;\"> If you have both Medicare and Medicaid, you are considered dually eligible, meaning <\/span><a href=\"https:\/\/www.medicare.gov\/basics\/costs\/help\/medicaid\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">you can use Medicaid to pay for certain things that Medicare won\u2019t<\/span><\/a><span style=\"font-weight: 400;\">. Although <\/span><a href=\"https:\/\/www.medicare.gov\/publications\/11022-medicare-coverage-of-diabetes-supplies-services-and-prevention-programs.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Medicare Part D plans may cover a variety of anti-diabetes drugs<\/span><\/a><span style=\"font-weight: 400;\">, they may require prior authorization for Jardiance or may not cover it at all. But, starting in 2026, <\/span><a href=\"https:\/\/www.medicare.gov\/about-us\/prescription-drug-law\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Medicare will be able to negotiate directly with manufacturers<\/span><\/a><span style=\"font-weight: 400;\"> for the price of certain Medicare Part B and Part D drugs that don\u2019t have competition, including Jardiance. Until then, if you struggle to afford Jardiance with Medicare Part D, you can apply for the Part D Low-Income Subsidy (LIS) program, also known as <\/span><a href=\"https:\/\/www.medicare.gov\/basics\/costs\/help\/drug-costs\"><span style=\"font-weight: 400;\">Extra Help<\/span><\/a><span style=\"font-weight: 400;\">. If eligible, you\u2019ll pay no more than $12.65 for each Jardiance prescription. If you have both Medicare and Medicaid, you will be enrolled in Extra Help automatically.<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-cost-with-medicare\/\"><b>Jardiance cost with Medicare<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">By following this guide, you can better understand how to manage the cost of Jardiance, whether you have Medicaid or are looking for other ways to save.<\/span><\/p>\n<p><small><em> The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Jan. 2, 2026. Prices vary by pharmacy. Visit our <a href=\"https:\/\/www.singlecare.com\/prescription\/jardiance\">Jardiance coupon page<\/a> for updated Jardiance prices near you.<\/em><small><\/small><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jardiance (empagliflozin) is a brand-name prescription that helps adults with Type 2 diabetes manage their blood sugar levels. It can also lower the risk of death from heart disease and hospitalization for adults with heart failure and reduce the risk of worsening kidney disease, end-stage kidney disease (ESKD), death due to cardiovascular disease, and hospitalization [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":629492,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[15103,16],"coauthors":[21032],"class_list":["post-629491","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-pricing","tag-medicaid","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does Medicaid cover Jardiance?<\/title>\n<meta name=\"description\" content=\"Depending on which state you live in, Medicaid may cover Jardiance if your healthcare provider determines it is medically necessary. SingleCare can help you save.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/does-medicaid-cover-jardiance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Does Medicaid cover Jardiance?\" \/>\n<meta property=\"og:description\" content=\"Depending on which state you live in, Medicaid may cover Jardiance if your healthcare provider determines it is medically necessary. SingleCare can help you save.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/does-medicaid-cover-jardiance\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2024-08-19T13:00:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-02T18:03:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/08\/does-medicaid-cover-jardiance.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Goldina Erowele, Pharm.D.\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Goldina Erowele, Pharm.D.\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/does-medicaid-cover-jardiance\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/does-medicaid-cover-jardiance\\\/\"},\"author\":{\"name\":\"Angie Long\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/b0beb2600e980db5e6c110b8e3b9386e\"},\"headline\":\"Does Medicaid cover Jardiance?\",\"datePublished\":\"2024-08-19T13:00:53+00:00\",\"dateModified\":\"2026-01-02T18:03:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/does-medicaid-cover-jardiance\\\/\"},\"wordCount\":1219,\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/does-medicaid-cover-jardiance\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/does-medicaid-cover-jardiance.png\",\"keywords\":[\"Drug pricing\",\"Medicaid\"],\"articleSection\":[\"Drug Info\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/does-medicaid-cover-jardiance\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/does-medicaid-cover-jardiance\\\/\",\"name\":\"Does Medicaid cover Jardiance?\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/does-medicaid-cover-jardiance\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/does-medicaid-cover-jardiance\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/does-medicaid-cover-jardiance.png\",\"datePublished\":\"2024-08-19T13:00:53+00:00\",\"dateModified\":\"2026-01-02T18:03:59+00:00\",\"description\":\"Depending on which state you live in, Medicaid may cover Jardiance if your healthcare provider determines it is medically necessary. 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