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Medicare Part D
Prescription Drug Coverage 2027
Is Jardiance Covered by Medicare Part D in 2027? Uses, $197 Price and Cap Math
Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated November 1, 2026
Yes, Jardiance can be covered by Medicare Part D in 2027 for type 2 diabetes, heart failure and chronic kidney disease, subject to each plan’s formulary. Its negotiated Medicare price of $197 for a 30-day supply continues from 2026, and the drug often shares a prescription list with other negotiated drugs, which changes how fast a person reaches the $2,400 cap.
2027 by the Numbers
$197
Medicare-negotiated price, 30-day Jardiance supply (CMS)
66%
discount from the $573 list price in 2023 (CMS)
November
month a Jardiance + Eliquis + Entresto user reaches the $2,400 cap in our 2027 example (our math)
Jardiance (empagliflozin) is a once-a-day SGLT2 inhibitor made by Boehringer Ingelheim. It started as a blood sugar drug and now carries FDA approvals that reach well beyond diabetes, including heart failure and chronic kidney disease. That wider label is one reason so many Medicare members take it.
The useful 2027 question is less whether Part D pays and more what a full year costs when Jardiance is one of several brand prescriptions. Below are side-by-side cost scenarios worked from CMS 2027 rules, plus the product details that can trip people up. The overall plan-year rules are on our Medicare Part D plans 2027 hub.
Key Takeaways
- Part D plans may cover Jardiance for any of its FDA-approved uses, depending on the plan’s 2027 formulary.
- The $197 negotiated price applies to Jardiance itself; combination pills such as Synjardy, Glyxambi and Trijardy XR are separate products.
- Taken alone, Jardiance costs about $1,116 for 2027 under the standard benefit in our math.
- Paired with Eliquis and Entresto, a common heart-kidney regimen, the cap is reached in November.
- No generic empagliflozin is sold in the U.S. yet; generic dapagliflozin, the Farxiga ingredient, is.
What Jardiance Is Approved to Treat
| FDA-approved use | Who it is for |
|---|---|
| Blood sugar control | Adults and children 10 and older with type 2 diabetes, with diet and exercise |
| Lower risk of cardiovascular death | Adults with type 2 diabetes and known heart disease |
| Heart failure | Adults with heart failure, to lower the risk of cardiovascular death and hospital stays |
| Chronic kidney disease | Adults with kidney disease at risk of getting worse, to slow decline |
Summary of the FDA label. A plan may set prior authorization criteria by use.
Because each of these is a medically accepted use, Part D plans are allowed to cover Jardiance for any of them. A plan may still ask your doctor to confirm the diagnosis.
Jardiance Cost Scenarios for 2027
These scenarios are our own math using the 2027 standard benefit ($700 deductible, then 25% coinsurance, $2,400 cap) and CMS-negotiated 30-day prices: Jardiance $197, Eliquis $231 and Entresto $295. Monthly premiums are not counted.
| Prescriptions | Drug cost per month | January bill | Typical later month | 2027 total |
|---|---|---|---|---|
| Jardiance only | $197 | $197.00 | $49.25 | About $1,116 |
| Jardiance + Eliquis | $428 | $428.00 | $107.00 | About $1,809 |
| Jardiance + Eliquis + Entresto | $723 | $705.75 | $180.75 | $2,400 (cap in November, $0 in December) |
Illustrative only. Plans may use tier copays, a reduced deductible or no deductible on preferred brands, which changes every figure.
Pattern in the numbers: Each added negotiated drug raises the yearly total, but the cap stops the climb. With three heart and kidney drugs, December fills cost nothing under the standard design.
Combination Pills Are Priced Separately
Covered by the $197 negotiated price
✔
Jardiance tablets, 10 mg and 25 mg
Separate products with their own pricing
✔
Synjardy and Synjardy XR (empagliflozin and metformin)
✔
Glyxambi (empagliflozin and linagliptin)
✔
Trijardy XR (empagliflozin, linagliptin and metformin)
CMS treats fixed-dose combinations as distinct drugs. That is why Janumet was chosen on its own for 2027 prices instead of sharing Januvia’s 2026 price. If you take a combination pill, the Jardiance price does not carry over, and taking two separate pills could cost a different amount depending on the plan.
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Jardiance or Generic Dapagliflozin?
Jardiance and Farxiga belong to the same drug class. In April 2026 the FDA approved the first generic versions of dapagliflozin, the active ingredient in Farxiga. Jardiance has no U.S. generic yet, and patent protection is expected to keep it that way for several more years.
Points to raise with your prescriber
✔
Whether a generic SGLT2 drug fits your condition as well as Jardiance
✔
Whether your plan puts generic dapagliflozin on a lower tier
✔
Kidney function and heart failure type, which can steer the choice
✔
That switching is a medical decision, not only a price decision
We compare the Farxiga side on is Farxiga covered by Medicare Part D in 2027.
Plan Rules That Can Apply to Jardiance
1
Tier placement. Often a preferred brand tier, though each plan decides.
2
Step therapy. Some plans may ask you to try metformin or a generic option first for diabetes use.
3
Quantity limit. Usually one tablet a day.
4
Exceptions. Your doctor can request one if Jardiance is not listed or a step rule does not fit your case.
The full exception process and tier basics are in our Medicare Part D formulary 2027 guide.
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Smoothing the January Spike
$705.75
January bill with three negotiated drugs (our math)
$58.81
first monthly installment if that bill goes on the payment plan in January
$0
Extra Help deductible for people who qualify
The Medicare Prescription Payment Plan turns large pharmacy bills into monthly installments billed by the plan. It does not reduce the total. People with limited income may qualify for Extra Help instead, which lowers copays directly. See Medicare Prescription Payment Plan 2027 and Extra Help Medicare Part D 2027.
A Plan-Shopping Checklist for Jardiance Users
Before December 7, 2026
✔
Look up Jardiance on each 2027 formulary; not all plans cover every drug
✔
Check whether the brand tier sits behind the $700 deductible
✔
Enter Eliquis, Entresto or any other brand you take to see the combined total
✔
Compare preferred pharmacy and mail-order pricing
✔
Read the plan’s step therapy note for SGLT2 drugs
Timing: Annual Enrollment closes December 7, 2026. A plan chosen by then starts January 1, 2027, the same day the new deductible and cap apply.
The Bottom Line
The Bottom Line
Jardiance can be covered by Part D plans in 2027 for diabetes, heart failure and kidney disease at its $197 negotiated price. Alone it costs about $1,116 a year under the standard benefit in our math, while adding other negotiated heart drugs can carry a member to the $2,400 cap by November. Check the formulary, tier and step rules in each 2027 plan you consider.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048) to get information on all of your options.
Frequently Asked Questions
➤ Do I need diabetes to get Jardiance covered by Medicare?
No. Jardiance is FDA-approved for heart failure and chronic kidney disease as well, and Part D plans can cover it for those uses. A plan may ask for the diagnosis on the prescription.
➤ Is the Jardiance price different in 2027?
The negotiated price of $197 for a 30-day supply that began January 1, 2026, continues into 2027. What changes is the deductible and cap around it.
➤ Does Synjardy or Glyxambi get the Jardiance negotiated price?
No. Combination pills are separate products. Their 2027 prices come from each plan’s normal pricing.
➤ Will Jardiance alone get me to the $2,400 cap?
Not in our standard-benefit example, which totals about $1,116. Taking it with other brand drugs can bring you to the cap.
➤ Is there a generic Jardiance?
Not in the U.S. yet. Generic dapagliflozin, a related SGLT2 drug, was approved in April 2026.
➤ Can my plan make me try another drug before Jardiance?
Some plans use step therapy, especially for diabetes use. Your doctor can request an exception if the earlier step is not right for you.
➤ Does a Medicare Advantage plan cover Jardiance the same way?
Medicare Advantage plans with drug coverage follow the same Part D rules and negotiated price. Copays and tiers may differ.
➤ Why is my first Jardiance fill of 2027 more expensive?
If your plan applies the deductible to brand drugs, you pay the full negotiated price until $700 is met. Coinsurance usually starts in the spring.
ZRN Health & Financial Services, LLC, a Texas limited liability company.
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