OpenBilldrug price receipt

NADAC week of 2026-10-14

ZITUVIMET XR 50-500 MG TABLET

FDA nonproprietary name: sitagliptin and metformin hydrochloride

For 30 tablets

Pharmacies pay

$150.29 filed

30 × $5.00957 per EA

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

Medicare

We don’t know yet

No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.


The spread

We don’t know yet

There is no Medicare figure to compare with, so there is no spread.

Cost-plus estimate

$177.83 estimated

$150.29 + $22.54 (15%) + $5.00 fee per fill = $177.83

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. 2026-05-20 (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

ZITUVIMET XR 50-500 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 “ZITUVIMET 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 Zydus Pharmaceuticals USA Inc.

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

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 70710-1804-06.

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 $150.29 for 30 tablets (30 × $5.00957 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-05-20. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 4, carried forward from the previous file.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-05-20. The file is new; the price is not.

The NDC

Other strengths, forms and brands

11 other products in the NADAC file share the FDA nonproprietary name sitagliptin and metformin hydrochloride with ZITUVIMET XR 50-500 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
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 this page
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

Its NADAC price is $5.00957 per EA filed.

Of the 71 other products in FDA’s Biguanide class priced per EA, 46 have a higher middle NADAC price and 25 a lower one. The one in the middle is SYNJARDY XR 5-1,000 MG TABLET, at $5.61111 per EA filed (eff. 2026-09-23).

Of the 43 other products in FDA’s Dipeptidyl Peptidase 4 Inhibitor class priced per EA, 30 have a higher middle NADAC price and 13 a lower one. The one in the middle is TRIJARDY XR 12.5-2.5-1,000 MG, at $5.62766 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. 2026-05-20, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

We don’t know yet; the card above says why.

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.