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No sponsorships, referrals or clinic partnerships
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Cost comparison only — not medical advice
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Drug Prices

Januvia Price by Country: $113 for Medicare, €15 in France

The same diabetes tablet, sitagliptin 100 mg — priced from official databases in six places, brand and generic side by side.

November 2026 · Updated November 13, 2026 · By Wellness Vision 5 min read 13 sources

Researched with AI assistance; every figure is checked against the primary source cited on this page before publishing. How we work →

Key Takeaways

  • $113 for Medicare, $527 list in 2023. Medicare's negotiated price for a 30-day supply has applied since January 1, 2026 — 79% below the 2023 list price, the biggest cut among the first ten negotiated drugs (CMS).
  • In the US, even the generic costs pharmacies about $115 a month. US pharmacies paid $3.84929 per generic sitagliptin 100 mg tablet in late October 2026 — about $115 for 30 — and $10.55001 per brand Januvia tablet, about $317 (CMS NADAC; our calculation).
  • Europe: generics at about $3 to $40 a month, the brand at $17 to $75. Official prices for 30 tablets at ECB rates: UK generic $3, France $10 generic and $17 brand, Germany $23 generic and $75 brand (our calculation for packs of 28).
  • Germany caps what insurers pay. The statutory price ceiling (Festbetrag) for 28 tablets is €21.10; Januvia costs €62.71, so patients may have to pay the €41.61 difference on top of the co-payment.

Januvia Price by Country (November 2026)

Januvia 100 mg, one tablet a day, so 30 days = 30 tablets. Each country's own official price; where the official pack has 28 tablets or the source gives a price per tablet, we convert to 30 tablets (our calculation: pack price ÷ tablets × 30). US dollars at European Central Bank reference rates of October 30, 2026. We could not verify a current US list price from the maker, so we show the 2023 list price reported by CMS.

30 days = 30 tablets of 100 mg. US: CMS negotiated price and 2023 list price (2026 fact sheet), CMS NADAC (October 28, 2026). UK: NHS dm+d and Drug Tariff (October 2026). France: BDPM official price excluding dispensing fee (September 29, 2026). Germany: pharmacy prices in the BfArM statutory price-ceiling list (October 15, 2026). Switzerland: BAG public price. Converted at ECB rates of October 30, 2026; packs of 28 and per-tablet costs scaled to 30 tablets (our calculation).
CountryOfficial price30 days in US dollarsWhat a patient typically pays
🇺🇸 United States (Medicare)$113 negotiated price per 30-day supply, since Jan 1, 2026; 2023 list price $527 (CMS)$113Depends on the Part D plan
🇺🇸 United States (pharmacy cost)Januvia $10.55001 per tablet; generic sitagliptin $3.84929 per tablet (CMS NADAC, Oct 28, 2026)$317 · generic $115Depends on insurance
🇬🇧 United KingdomJanuvia £33.26 for 28 tablets (NHS price); generic sitagliptin £2.05 for 28 (Drug Tariff, from Oct 1, 2026)$48 · generic $2.94£9.90 per item in England; free in Scotland, Wales and Northern Ireland
🇫🇷 FranceJanuvia €15.33 for 30 tablets; generic €8.62 for 30 (official prices excluding dispensing fee)$17 · generic $9.6370% of the price unless a complementary insurer covers it (30% reimbursed)
🇩🇪 GermanyJanuvia €62.71 for 28 tablets; statutory price ceiling (Festbetrag) €21.10; generic €20.68 for 30 (pharmacy prices, list of Oct 15, 2026)$75 · generic $23Co-payment €5–€10 per pack; above the ceiling, possibly the difference (€41.61 for Januvia)
🇨🇭 SwitzerlandJanuvia CHF 44.80 for 28 tablets (public price); generics from CHF 30.95 for 28$58 · generic $4040% share for the brand, 10% for generics, after the annual deductible
🇦🇹 AustriaJanuvia not listed; generic sitagliptin (Zentiva) €7.00 for 28 tablets (social-insurance price excl. VAT)generic $8.38€7.55 prescription fee per pack; only for the listed indications
🇳🇱 NetherlandsJanuvia €17.05 for 28 tablets (average pharmacy price)$20Reimbursed under conditions; counts toward the annual deductible

We compare prices; we do not recommend where to buy medicine. Whether to take or switch a diabetes medicine is a decision for your doctor.

What the Numbers Mean

The Medicare price is a negotiated price, not everyone's price

Januvia was among the first ten drugs whose price Medicare negotiated under the Inflation Reduction Act. The $113 for a 30-day supply applies to Medicare since January 1, 2026, 79% below the 2023 list price of $527, according to CMS. CMS's price file of November 2, 2026 adjusts the price for inflation to $116.06 from January 1, 2027. Pharmacies still buy brand Januvia for about $317 per 30 tablets (NADAC); the drug maker refunds them the Medicare difference afterward (CMS).

A US generic that is not cheap

Generic sitagliptin is on the US market, but the national pharmacy-price survey puts it at $3.84929 per tablet (October 28, 2026) — about $115 for 30 tablets, slightly more than Medicare's negotiated price for the brand. In the UK's Drug Tariff the same generic costs £2.05 for 28 tablets; in France €8.62 for 30.

Germany: a price ceiling — and a gap above it

Sitagliptin has a statutory price ceiling (Festbetrag). For 28 tablets of 100 mg it is €21.10 in the list of October 15, 2026; generics sit at or below it, while Januvia and its twin Xelevia cost €62.71. Statutory insurance pays at most the ceiling (§ 31(2) SGB V), so unless the insurer has a rebate contract, patients choosing the brand may pay the €41.61 difference in addition to the co-payment of 10% (at least €5, at most €10 per pack; from 2027 €7.50 to €15).

Switzerland: the brand costs patients more

Switzerland lists Januvia at CHF 44.80 for 28 tablets and generics from CHF 30.95. Insured patients pay a 40% share for the brand but 10% for generics, after their deductible.

Frequently Asked Questions

How much does Januvia cost in the US compared with other countries?

Medicare has paid a negotiated $113 for a 30-day supply of Januvia since January 1, 2026; the 2023 list price was $527 (CMS). US pharmacies pay about $317 for 30 brand tablets and about $115 for 30 generic sitagliptin tablets (CMS NADAC, October 28, 2026). Official prices for brand Januvia elsewhere: €15.33 for 30 tablets in France, £33.26 for 28 in the UK, CHF 44.80 for 28 in Switzerland and €62.71 for 28 in Germany — roughly $17 to $75 for 30 tablets at ECB rates.

Is there a generic Januvia (sitagliptin)?

Yes. Generic sitagliptin 100 mg is listed at £2.05 for 28 tablets in the UK's Drug Tariff (from October 1, 2026), €8.62 for 30 in France, €20.68 for 30 in Germany and from CHF 30.95 for 28 in Switzerland. In the US the national pharmacy-price survey lists it at $3.84929 per tablet, about $115 for 30 (NADAC, October 28, 2026).

Why is Medicare's price lower than what pharmacies pay?

The $113 is Medicare's negotiated price for a 30-day supply. NADAC (about $317 for 30 brand tablets) measures what pharmacies pay to acquire the drug; under the negotiation program the drug maker refunds pharmacies the difference afterwards (CMS), so the two numbers measure different things.

What do patients pay for Januvia in Germany?

Sitagliptin has a statutory price ceiling: €21.10 for 28 tablets of 100 mg (list of October 15, 2026). Statutory insurance pays up to that amount. Januvia costs €62.71 for 28 tablets, so unless the insurer has a rebate contract, patients may pay the €41.61 difference plus the co-payment of 10%, at least €5 and at most €10 per pack. Generics at or below the ceiling cost only the co-payment.

What do patients pay elsewhere?

In England each prescription item costs £9.90. France reimburses 30% of the official price of sitagliptin. In Switzerland insured patients pay a 40% share for Januvia and 10% for generics, after their deductible. In the US it depends on the insurance plan.

Sources

  1. CMS — Negotiated prices for initial price applicability year 2026 (fact sheet): Januvia $113 negotiated price, $527 list price (2023), 30-day supply, 79% lower
  2. CMS — Selected drug list and maximum fair price data file (November 2, 2026): Januvia $113 per 30-day supply in 2026, $116.06 from January 1, 2027 (inflation adjustment)
  3. CMS — Medicare Drug Price Negotiation Program: final guidance and effectuation of the negotiated price (refunds from drug makers to pharmacies)
  4. CMS — NADAC (National Average Drug Acquisition Cost), as of October 28, 2026: Januvia 100 mg $10.55001 per tablet; sitagliptin phosphate 100 mg (generic) $3.84929
  5. NHS dm+d — Januvia 100 mg tablets, 28: NHS indicative price £33.26 (since April 20, 2007)
  6. NHS dm+d — Sitagliptin 100 mg tablets, 28: Drug Tariff price £2.05 (from October 1, 2026)
  7. NHS Business Services Authority — prescription charge £9.90 per item (England)
  8. Base de données publique des médicaments — Januvia 100 mg, 30 tablets: €15.33 excluding dispensing fee, 30% reimbursed (updated September 29, 2026)
  9. Base de données publique des médicaments — Sitagliptine EG 100 mg, 30 tablets: €8.62 excluding dispensing fee, 30% reimbursed
  10. BfArM / GKV-Spitzenverband — Festbetrag list as of October 15, 2026: sitagliptin 100 mg, 28 tablets, ceiling €21.10, Januvia €62.71; 30 tablets, ceiling €21.44, Sitagliptin Micro €20.68
  11. Social Code Book V, § 31(2): statutory insurance pays up to the Festbetrag, minus the patient's co-payment
  12. Zorginstituut Nederland — Medicijnkosten.nl: Januvia 100 mg (EU/1/07/383/014 = 28 tablets, EMA product information), average price €17.05 per pack (updated to November 1, 2026)
  13. Federal Office of Public Health (BAG) — Spezialitätenliste: Januvia 100 mg, 28 tablets, CHF 44.80, cost share 40%; generic sitagliptin 100 mg, 28 tablets, CHF 30.95 (Sitagliptin Devatis, since September 1, 2026) to CHF 31.75, cost share 10% (retrieved November 5, 2026)
  14. Austrian social insurance (Dachverband) — Erstattungskodex monthly data, Nov 2026: Sitagliptin "Zentiva" 100 mg Filmtabl. €7.00 (social-insurance price excl. VAT; green box, listed indications (IND))
  15. oesterreich.gv.at — prescription fee (Rezeptgebühr) €7.55 per pack since January 1, 2026
  16. European Central Bank — reference rates, October 30, 2026 (1 US dollar = €0.89509 = £0.74633 = CHF 0.82295)

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Wellness Vision Editorial Policy

Wellness Vision does not sell medicine, recommend pharmacies or suppliers, or take payments from drug makers. Every price above comes from the official source cited; conversions and per-30-tablet figures are our own calculations, shown with their formula. This is a cost comparison, not medical advice.

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