Breaking Down Jardiance's Cost and Coverage with Medicare Part C and D
Get the Scoop:
- Medicare Part D: Most of these plans cover Jardiance, but the out-of-pocket cost isn't one-size-fits-all, thanks to each plan's unique formulary and tier placement. In 2025, Part D's deductible won't surpass $590, and a $2,000 annual cap exists before catastrophic coverage kicks in1.
- Medicare Part C: Plans that offer drug coverage typically cover Jardiance, although specifics depend on the plan.
Cough up the Cash:
- Enrollees shelled out an average of $290 in 2022.
- A single batch of 30 Jardiance tablets might set you back $600 at your local pharmacy1.
Lending a Helping Hand:
Medicare Coverage for Jardiance: A Review
Several financial aid programs are at your disposal:
- Medicare Extra Help: A fantastic option for lower-income seniors who struggle with prescription costs.
- Manufacturer Assistance: Boehringer Ingelheim and Eli Lilly are among the companies offering assistance for Jardiance patients.
- Non-Profit Aid: Organizations such as the Patient Access Network Foundation and the HealthWell Foundation help patients who find themselves in a financial bind when it comes to medication.
Looking for a Budget-Friendly Alternative?
Though generic Jardiance (empagliflozin) is unavailable, alternatives from the same class—SGLT2 inhibitors—might be worth considering. However, remember that efficacy and side effects could differ from Jardiance:
- Farxiga (dapagliflozin): Yet another SGLT2 inhibitor used for type 2 diabetes and heart failure.
- Invokana (canagliflozin): Useful for type 2 diabetes, and it also has a heart failure indication.
Be certain to consult your healthcare provider before making any changes to your treatment plan.
Important Reminders:
- Prior Authorization: Depending on the plan's specific requirements, some plans may demand authorization before covering certain drugs2.
- Quantity Limits: Keep in mind that certain plans may put a cap on the amount of medication you can receive at one time2.
- The health system's Medicare Part D coverage for Jardiance varies depending on the plan's unique formulary and tier placement, with an average out-of-pocket cost of $290 in 2022.
- Science continues to uncover the benefits of Jardiance in managing chronic diseases like type-2 diabetes, but its cost remains a concern for many patients, with a single batch of 30 tablets costing around $600.
- For those facing financial difficulties, uncategorized solutions such as Medicare Extra Help, manufacturer assistance, and non-profit aid programs like the Patient Access Network Foundation and the HealthWell Foundation can provide essential support.
- In the quest for an affordable alternative, medical-conditions like type-2 diabetes and heart failure can be managed with similar therapies and treatments, such as Farxiga (dapagliflozin) and Invokana (canagliflozin), which are also SGLT2 inhibitors.
- When exploring alternative treatments, it's crucial to follow the guidance provided by health-and-wellness professionals, as the efficacy and side effects of these options may differ from Jardiance.
