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Will Medicare Cover My Jardiance Prescription?

3 mins read
Our goal is to give you the tools and confidence you need to improve your health and finances. Although we may receive compensation from our partner insurance companies, whom we will always identify, all opinions are our own. CoverRight Inc. and CoverRight Insurance Services Inc. (NPN: 19724057) are collectively referred to here as "CoverRight".

Selecting the right Medicare plan is crucial for managing healthcare costs, especially when it comes to prescription drugs. With the myriad of options available, making an informed decision can significantly impact your expenses over time. 

This is particularly relevant for Jardiance users, given its importance in managing Type 2 Diabetes, a condition prevalent among older adults. Understanding how Medicare coverage works for Jardiance and the potential cost variations across plans is essential to ensure effective and affordable treatment. 

Let’s delve into the specifics to navigate Medicare coverage for Jardiance.

What is Jardiance?

Jardiance, also known by its generic name Empagliflozin, is a medication commonly prescribed to manage Type 2 Diabetes. This chronic condition occurs when the body becomes resistant to insulin or fails to produce enough insulin to regulate blood sugar levels effectively. Individuals with Type 2 Diabetes often experience symptoms such as increased thirst, frequent urination, fatigue, and blurred vision.

Jardiance works by targeting a specific protein in the kidneys responsible for reabsorbing sugar back into the bloodstream. By inhibiting this process, it helps lower blood sugar levels and promotes the excretion of excess sugar through urine. Jardiance also reduces the risk of cardiovascular events such as heart attacks and strokes in individuals with Type 2 Diabetes.

This medication is typically prescribed as a once-daily oral tablet, making it convenient for patients to incorporate into their daily routine. The standard dosage of Jardiance may vary depending on individual factors such as age, medical history, and other medications the individual is taking.

Without insurance coverage, the cost of Jardiance can amount to hundreds of dollars per month. Exact prices may vary depending on factors such as pharmacy location, dosage strength, and available discounts or savings programs.

Patients can obtain Jardiance with a prescription from a healthcare provider and can find it at most pharmacies nationwide. It is essential for individuals considering Jardiance to consult with their healthcare provider to determine the appropriate dosage and monitor for any potential side effects or interactions with other medications.

Does Medicare Cover Insurance?

Yes, Medicare does cover Jardiance and other prescription drugs through its Part D prescription drug plans. The exact cost of Jardiance under Medicare, however, can vary significantly depending on the specific plan you choose.

Medicare Part D plans come with different premiums, deductibles, copayments, and coinsurance, all of which affect how much you pay for medications like Jardiance. It’s important to carefully review the details of each plan to understand its coverage and costs before making a decision. 

For Jardiance, the monthly premium varies depending on your drug plan, while the deductible can vary but typically cannot exceed $545. Copayments or coinsurance for Jardiance typically range from $0 to $20.

Studies show that 95% of Medicare Part D beneficiaries are not enrolled in the most cost-effective plan for their prescription drug needs. This is where tools like CoverRight’s proprietary platform can be invaluable. 

With CoverRight, consumers can compare Part D plans side by side to find the one that offers the best coverage and lowest costs for their specific medications. This can potentially lead to saving them hundreds of dollars each year.

For example, let’s consider the difference in Jardiance costs between the most expensive and least expensive Part D plans in the same zip code (10009). In this scenario, the price variation for Jardiance could be as much as $269.23 per month, or $3,231 per year. This stark difference underlines the importance of selecting the right Medicare plan to ensure affordable access to necessary medications.

CoverRight is here to empower you in making informed decisions about your Medicare coverage and ensure you find the most cost-effective plan for your prescription drug needs. 


Is there a generic version available for me?

While Jardiance is currently available only as a brand-name medication, there may be generic alternatives or other cost-saving options worth exploring. CoverRight offers a proprietary CostGuard™ Tool that provides users with access to potential drug cost savings from partners like Mark Cuban Cost Plus Drugs and GoodRx. Individuals can use this tool to compare prices and explore alternatives to ensure they’re getting the most affordable options for their prescription needs.

How can I check out if my Medicare plan is giving me the best deal on Jardiance?

To determine if your Medicare plan is offering you the best deal on Jardiance, it’s crucial to assess your coverage and compare it with other available options. 

CoverRight’s platform offers a convenient solution for evaluating Medicare plans and their respective prescription drug coverage. By using CoverRight, individuals can easily navigate through different plan options, review costs, and ensure they’re enrolled in the most suitable plan for their medication needs. It’s essential to place yourself in a plan that offers comprehensive coverage and affordability. CoverRight simplifies this process and empowers you to make informed decisions about your healthcare coverage.

Connor Wilson

Connor is a Content Writer at CoverRight focused on editing and publishing Medicare and health insurance-related information. He also serves the team as a Business Operations Lead, working to expand the business and enhance its strategy. Prior to joining CoverRight, Connor was able to hone his knowledge of the financial services industry through his work in investment banking. Additionally, he is a self-published author of a mystery novel.

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