Medicare Part D coverage · linagliptin · RxCUI 1243033

linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto]

Per the CMS 2026 Part D formulary file, linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] is covered by 4,426 Medicare Part D plans (87.6% of enrollable products), averaging Tier 2.6, with prior authorization required on 0.3% of covering formularies.

87.6%
Plan coverage
4,426
Plans covering
T2.6
Avg tier
0.3%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto]

Per the CMS 2026 Part D formulary file, linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] (RxNorm concept RXCUI 1243033, generic name linagliptin) appears on 301 distinct formulary files spanning 4,426 Medicare Part D plan offerings - 87.6% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.6.

Real-world access to linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] depends on utilization management as much as tier placement: 0.3% of covering formularies require prior authorization. 0% require step therapy. 91.4% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 286,808 Part D beneficiaries filled linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] in 2023, with total plan-and-beneficiary spending of $1,293,567,778 and an average per-beneficiary annual cost of $4,510.22. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] today.

Coverage Details

Formularies covering
301
Plans covering
4,426
Coverage rate
87.6%
Tier range
Tier 1 – Tier 6
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0.3% of formularies
Step therapy required
0% of formularies
Quantity limits
91.4% of formularies

2023 Medicare Spending

Beneficiaries
286,808
Total spending
$1,293,567,778
Avg per beneficiary
$4,510.22

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Sentara Community Complete Select (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Sentara Community Complete (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Florida Complete Care-Duals VIP (HMO-POS D-SNP) Hpmp OF Florida, Inc. T1 No $0 FL
ElderServe MAP (HMO D-SNP) Elderserve Health, Inc. T1 No $0 NY
Cooperative Advantage (HMO D-SNP) Group Health Cooperative OF EAU Claire T1 No $0 WI
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 No $0 NJ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) Elderplan, Inc. T1 No $0 NY
Health Choice Pathway (HMO D-SNP) Health Choice Arizona, Inc. T1 No $0 AZ
Healthfirst CompleteCare (HMO D-SNP) Healthfirst Health Plan, Inc. T1 No $0 NY
IMCare Classic (HMO D-SNP) Itasca Medical Care T1 No $0 MN
Johns Hopkins Advantage MD D-SNP (HMO D-SNP) Hopkins Health Advantage, Inc. T1 No $0 MD
MetroPlus UltraCare (HMO D-SNP) Metroplus Health Plan, Inc. T1 No $0 NY
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) Upper Peninsula Health Plan, LLC T1 No $0 MI
CareSource Dual Advantage (HMO D-SNP) Caresource Georgia Co. T1 No $0 GA
Senior Whole Health SCO (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Senior Whole Health SCO NHC (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Molina One Care (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Show the next 30 plans
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP Caresource T1 No $0 MI
PruittHealth Premier D-SNP (HMO D-SNP) Pruitthealth Premier, Inc. T1 No $0 GA
Simpra Advantage Dual Care (PPO D-SNP) Simpra Advantage, Inc. T1 No $0 AL
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
Horizon NJ TotalCare (HMO D-SNP) Horizon Healthcare OF NEW Jersey, Inc. T1 No $0 NJ
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
NaviCare (HMO D-SNP) Fallon Community Health Plan T1 No $0 MA
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 No $0 NY
SeniorCare Complete (HMO D-SNP) South Country Health Alliance T1 No $0 MN
AbilityCare (HMO D-SNP) South Country Health Alliance T1 No $0 MN
Alameda Alliance Wellness (HMO D-SNP) Alameda Alliance FOR Health T1 No $0 CA
CCA One Care (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 No $0 MA
CCA Senior Care Options (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 No $0 MA
Elevate Medicare Choice (HMO D-SNP) Denver Health Medical Plan, Inc. T1 No $0 CO
AllCare Advantage Redwood Rx (HMO D-SNP) Allcare Health Plan, Inc. T1 No $0 OR
PrimeWest Senior Health Complete (HMO D-SNP) Primewest Rural MN Health Care Access Initiative T1 No $0 MN
Prime Health Complete (HMO D-SNP) Primewest Rural MN Health Care Access Initiative T1 No $0 MN
Alterwood Advantage Dual Secure (HMO D-SNP) Alterwood Advantage, Inc. T1 No $0 MD
Nascentia Dual Advantage (HMO D-SNP) Visiting Nurse Association OF Central NEW York T1 No $0 NY
Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $0 PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $0 NC
Provider Partners Indiana Community Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 No $0 IN
Provider Partners Missouri Community Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 No $0 MO
Abilis Health Community (HMO I-SNP) Signature Advantage, LLC T1 No $0 KY, TN
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) Arkansas Superior Select, Inc. T1 No $0 AR
Platino Blindao (HMO D-SNP) Triple S Advantage, Inc. T1 No $0 PR
Platino Enlace (HMO D-SNP) Triple S Advantage, Inc. T1 No $0 PR
Platino Advance (HMO D-snp) Triple S Advantage, Inc. T1 No $0 PR

Showing top 50 of 100 plans.

Frequently Asked Questions

Is linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] covered by Medicare Part D?

Yes, linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] is covered by 4,426 Medicare Part D plans (87.6% of all Part D formularies).

What tier is linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] on Medicare Part D plans?

linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] averages Tier 2.6 across Part D plans, ranging from Tier 1 to Tier 6.

Does linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] require prior authorization?

0.3% of Part D formularies require prior authorization for linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto]. Step therapy: 0%. Quantity limits: 91.4%.

How much does Medicare spend on linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto]?

In 2023, total Medicare Part D spending on linagliptin 2.5 MG / metformin hydrochloride 500 MG Oral Tablet [Jentadueto] was $1,293,567,778, covering 286,808 beneficiaries. The average spend per beneficiary was $4,510.22.

Nationwide similar Part D drugs

Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare