Januvia Medicare Coverage

Januvia is a prescription medication that contains the active ingredient Sitagliptin. Januvia is typically taken once daily and may be combined with insulin or other oral anti-diabetic medications.

Januvia is a DPP-4 inhibitor that stimulates the pancreas to secrete more insulin and stops the liver from producing sugars when blood sugar is high.

The major side effects of Januvia include headache, signs of a common cold, sore throat, stuffy nose and runny nose.

How much does Januvia cost with Medicare?

Januvia coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Januvia?

According to GoodRx, 86% of Medicare Advantage plans and Medicare Part D plans covered Januvia in 2023.¹

• Medicare Advantage plans or Part D plans that cover Januvia include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Januvia. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

Januvia should be used along with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. This medication may be given in combination with other drugs to adequately control your diabetes.

Patients who are 65 years of age and older may experience more side effects. Agents other than Januvia are considered safer in women who are pregnant and breastfeeding who require oral anti-diabetic therapy.

Patients taking Januvia sometimes experience joint pain that may occur within one day to years after starting treatment. This may be resolved by stopping Januvia therapy.

Other serious conditions such as blistered skin, heart failure and kidney problems have occurred in patients taking Januvia. Call your doctor immediately if you experience blisters or skin breakage, shortness of breath, noticeable weight gains or swelling in the arms and legs.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.