Key takeawaysMost Medicare Part D plans offer coverage for Jardiance, a drug used to treat heart failure and type 2 diabetes. That said, coverage depends on whether the drug is included in the specific plan’s formulary.The out-of-pocket cost for Jardiance can be around $600 for 30 tablets, but a person can reduce this amount through financial assistance programs like Medicaid, Extra Help, and State Pharmaceutical Assistance Programs (SPAPs).While there is no generic version of Jardiance ailable, the Inflation Reduction Act of 2022 has allowed for price negotiations that aim to make the drug more affordable for Medicare enrollees.
Jardiance is a medication doctors prescribe to treat heart failure and type 2 diabetes. Most Medicare Part D prescription drug plans include coverage for Jardiance. Part C plans with drug coverage should also cover it, but with Part C and Part D, this depends on the plan.
From June 2022 to May 2023, Medicare spent $7 billion on Jardiance, with enrollees eraging $290 out of pocket in 2022.
Every Medicare drug has a formulary, a list of covered medications. To get coverage, a person must enroll in a prescription drug plan that lists Jardiance in its formulary.