What Your Prescriptions Cost
How much does Jardiance cost with Medicare in 2026?
Last reviewed: · Big Sioux Benefits Data Desk
Jardiance has a Medicare-negotiated price of $197 for a 30-day supply as of January 1, 2026, down from a list price of $573, a 66% reduction (CMS, Negotiated Prices for Initial Price Applicability Year 2026). Nearly 1.9 million Medicare beneficiaries used it in 2023, and it accounted for $8.8 billion in Part D gross covered drug costs, the second-largest total among the ten negotiated drugs.
The qualifier: Jardiance is prescribed for three different conditions, type 2 diabetes, heart failure, and chronic kidney disease, which is part of why so many people take it. The negotiated price applies regardless of which condition it was prescribed for. What varies is your plan's tier placement and cost share, and whether you are still working through your deductible when you fill it.
What a year on Jardiance looks like
| Step | Illustration under the standard 2026 benefit |
|---|---|
| Drug cost for the year at the negotiated price | About $2,364 |
| You pay during the deductible | Up to $615 |
| You pay after the deductible | 25% of the remaining cost, about $437 |
| Approximate out-of-pocket for the year | About $1,052, under the $2,100 cap |
How this illustration is built: the 2026 standard Part D benefit, meaning a full $615 deductible, then 25% coinsurance, then $0 once your out-of-pocket total reaches $2,100. Your plan may use copays instead of coinsurance, may charge a smaller deductible or none, and may place the drug on a different tier, so treat this as the shape of the year rather than a quote. We are not showing plan-specific copays because we will not publish a number we cannot source.
Two things make this drug worth a closer look than most. Because it treats diabetes, heart failure, and kidney disease, people often take it alongside other cardiac or diabetes medications, and it is the combination that determines whether you reach the annual cap. And because it was one of the largest drugs in Part D by spending, its negotiated price is one of the biggest single contributors to the program's projected savings, covered in how much negotiated prices save you.
Sources
- CMS — Medicare Drug Price Negotiation Program: Negotiated Prices for Initial Price Applicability Year 2026 — prices effective January 1, 2026; accessed 2026-08-21
- CMS — Medicare Part D Spending by Drug — CY2025 full year and CY2026 Q1 files; accessed 2026-08-21
- CMS — Announcement of Calendar Year 2026 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies (Part D benefit parameters) — CY2026 parameters; accessed 2026-08-21
Related questions
Does the negotiated Jardiance price apply if I take it for heart failure rather than diabetes?
Yes. The maximum fair price attaches to the drug, not to the diagnosis it was prescribed for. Whether your plan covers it for a particular use, and whether prior authorization applies, is a separate question set by your plan's formulary rules.
Is Farxiga the same thing as Jardiance?
They are different drugs in the same class, and both were selected for the first negotiation cycle. Farxiga's negotiated price is $178.50 for a 30-day supply against a $556 list price. Which one is right for you is a clinical question for your prescriber, not a cost question, though the cost difference is worth raising with them.
Drug costs turn on your specific prescriptions, so the arithmetic is worth doing once, properly: book a free, no-pressure conversation, see your county's South Dakota plan lineup, or browse all answers. SHIINE, the state's free counseling program, is at 1-800-536-8197 and sells nothing.
Big Sioux Benefits is a licensed insurance agency, not affiliated with or endorsed by the U.S. government or the federal Medicare program. We do not offer every plan available in your area. Contact Medicare.gov, 1-800-MEDICARE, or SHIINE (South Dakota's SHIP) for all of your options.