OpenBilldrug price receipt

NADAC week of 2026-10-14

JANUMET XR 100-1,000 MG TABLET

FDA nonproprietary name: sitagliptin and metformin hydrochloride

For 30 tablets

Pharmacies pay

$316.68 filed

30 × $10.55592 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$365.19 filed

30 × $12.17302 per EA, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

1.2× estimated

Medicare paid 1.2× what pharmacies pay.

Part D averages every strength and form sold under “Janumet XR” / “Sitagliptin Phos/Metformin HCl” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$369.18 estimated

$316.68 + $47.50 (15%) + $5.00 fee per fill = $369.18

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

JANUMET XR 100-1,000 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as sitagliptin and metformin hydrochloride, under the trade name “JANUMET XR”.

FDA gives its dosage form as tablet, film coated, extended release and its route as oral.

The labeler, the company named on the label, is Merck Sharp & Dohme LLC.

FDA lists it under 2 Established Pharmacologic Classes: Biguanide and Dipeptidyl Peptidase 4 Inhibitor.

The NADAC file of 2026-10-14 prices it under 3 NDCs (National Drug Codes).

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $316.68 for 30 tablets (30 × $10.55592 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 1, calculated from the most recently completed pharmacy survey.

All 3 NDCs

Other strengths, forms and brands

11 other products in the NADAC file share the FDA nonproprietary name sitagliptin and metformin hydrochloride with JANUMET XR 100-1,000 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
JANUMET 50-1,000 MG TABLET
brand · tablet, film coated
$5.27929 per EA filed
eff. 2026-09-23
$8.96715 per EA filed
Part D 2024 average
JANUMET 50-500 MG TABLET
brand · tablet, film coated
$5.28403 per EA filed
eff. 2026-09-23
$8.96715 per EA filed
Part D 2024 average
JANUMET XR 50-1,000 MG TABLET
brand · tablet, film coated, extended release
$5.27807 per EA filed
eff. 2026-09-23
$12.17302 per EA filed
Part D 2024 average
JANUMET XR 50-500 MG TABLET
brand · tablet, film coated, extended release
$5.283 per EA filed
eff. 2026-09-23
$12.17302 per EA filed
Part D 2024 average
JANUMET XR 100-1,000 MG TABLET this page
brand · tablet, film coated, extended release
$10.55592 per EA filed
eff. 2026-09-23
$12.17302 per EA filed
Part D 2024 average
SITAGLIPTIN PHOSPHATE-METFORMIN 50 MG-1,000 MG TABLET
generic · tablet, film coated
$1.75986 per EA filed
eff. 2026-08-05
$3.50109 per EA filed
Part D 2024 average
SITAGLIPTIN PHOSPHATE-METFORMIN 50 MG-500 MG TABLET
generic · tablet, film coated
$1.92131 per EA filed
eff. 2026-08-05
$3.50109 per EA filed
Part D 2024 average
ZITUVIMET 50-1,000 MG TABLET
brand · tablet, film coated
$5.03055 per EA filed
eff. 2026-09-23
We don’t know yet
ZITUVIMET 50-500 MG TABLET
brand · tablet, film coated
$5.05824 per EA filed
eff. 2026-09-23
We don’t know yet
ZITUVIMET XR 50-1,000 MG TABLET
brand · tablet, film coated, extended release
$5.01928 per EA filed
eff. 2026-09-23
We don’t know yet
ZITUVIMET XR 50-500 MG TABLET
brand · tablet, film coated, extended release
$5.00957 per EA filed
eff. 2026-05-20
We don’t know yet
ZITUVIMET XR 100-1,000 MG TAB
brand · tablet, film coated, extended release
$10.07916 per EA filed
eff. 2026-09-23
We don’t know yet

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-05-20, 2026-08-05, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 3 NDCs’ NADAC prices is $10.55592 per EA filed.

Of the 71 other products in FDA’s Biguanide class priced per EA, 10 have a higher middle NADAC price and 61 a lower one. The one in the middle is SYNJARDY 12.5-1,000 MG TABLET, at $5.60127 per EA filed (eff. 2026-09-23).

Of the 43 other products in FDA’s Dipeptidyl Peptidase 4 Inhibitor class priced per EA, 7 have a higher middle NADAC price and 36 a lower one. The one in the middle is JANUMET 50-500 MG TABLET, at $5.28403 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $365.19 for 30 tablets, at an average of $12.17302 per EA in 2024 (2024-01-01 to 2024-12-31) for “Janumet XR” and “Sitagliptin Phos/Metformin HCl”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 382,969 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for JANUMET XR 100-1,000 MG TABLET labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Janumet XR / Sitagliptin Phos/Metformin HCl: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on brand name.