OpenBilldrug price receipt

NADAC week of 2026-10-14

TRIJARDY XR 12.5-2.5-1,000 MG

FDA nonproprietary name: empagliflozin, linagliptin, metformin hydrochloride

For 30 tablets

Pharmacies pay

$168.83 filed

30 × $5.62766 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

$424.65 filed

30 × $14.15485 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

2.5× estimated

Medicare paid 2.5× what pharmacies pay.

Part D averages every strength and form sold under “Trijardy XR” / “Empaglifloz/Linaglip/Metformin” 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

$199.15 estimated

$168.83 + $25.32 (15%) + $5.00 fee per fill = $199.15

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

TRIJARDY XR 12.5-2.5-1,000 MG is how the CMS NADAC file names this product. The FDA NDC Directory lists it as empagliflozin, linagliptin, metformin hydrochloride, under the trade name “Trijardy XR”.

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

The labeler, the company named on the label, is Boehringer Ingelheim Pharmaceuticals, Inc.

FDA lists it under 3 Established Pharmacologic Classes: Biguanide, Dipeptidyl Peptidase 4 Inhibitor and Sodium-Glucose Cotransporter 2 Inhibitor.

The NADAC file of 2026-10-14 prices it under 2 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 $168.83 for 30 tablets (30 × $5.62766 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 2 NDCs

Other strengths, forms and brands

3 other products in the NADAC file share the FDA nonproprietary name empagliflozin, linagliptin, metformin hydrochloride with TRIJARDY XR 12.5-2.5-1,000 MG.

ProductPharmacies pay per unitMedicare per unit
TRIJARDY XR 5-2.5-1,000 MG TAB
brand · tablet, extended release
$5.66862 per EA filed
eff. 2026-09-23
$14.15485 per EA filed
Part D 2024 average
TRIJARDY XR 10-5-1,000 MG TAB
brand · tablet, extended release
$11.2774 per EA filed
eff. 2026-09-23
$14.15485 per EA filed
Part D 2024 average
TRIJARDY XR 12.5-2.5-1,000 MG this page
brand · tablet, extended release
$5.62766 per EA filed
eff. 2026-09-23
$14.15485 per EA filed
Part D 2024 average
TRIJARDY XR 25-5-1,000 MG TAB
brand · tablet, extended release
$11.23864 per EA filed
eff. 2026-09-23
$14.15485 per EA filed
Part D 2024 average

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. 2026-09-23 · 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 2 NDCs’ NADAC prices is $5.62766 per EA filed.

Of the 71 other products in FDA’s Biguanide class priced per EA, 32 have a higher middle NADAC price and 39 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, 21 have a higher middle NADAC price and 22 a lower one. The one in the middle is JANUMET 50-500 MG TABLET, at $5.28403 per EA filed (eff. 2026-09-23).

Of the 39 other products in FDA’s Sodium-Glucose Cotransporter 2 Inhibitor class priced per EA, 27 have a higher middle NADAC price and 12 a lower one. The one in the middle is XIGDUO XR 2.5 MG-1,000 MG TAB, at $9.60825 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 $424.65 for 30 tablets, at an average of $14.15485 per EA in 2024 (2024-01-01 to 2024-12-31) for “Trijardy XR” and “Empaglifloz/Linaglip/Metformin”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 112,533 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 TRIJARDY XR 12.5-2.5-1,000 MG 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 Trijardy XR / Empaglifloz/Linaglip/Metformin: 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.