Sitagliptin with metformin now has generics on both sides of the Atlantic. Here is what 60 tablets — 30 days — of brand and generic cost in eight places.
Researched with AI assistance; every figure is checked against the primary source cited on this page before publishing. How we work →
Janumet 50 mg/1000 mg combines sitagliptin and metformin and is taken twice a day with meals (FDA label) — so 30 days = 60 tablets. French and Austrian packs hold 60 tablets; British, Swiss, Dutch and German packs hold 56, which we scale to 60 (our calculation: pack price ÷ 56 × 60). Where a generic is listed, we show it as well. US dollars at European Central Bank reference rates of November 6, 2026. The price types differ — list price, negotiated price, pharmacy acquisition cost, retail price — and are labelled.
JANUMET (SITAGLIPTIN/METFORMIN) 50/1000 MG · 30 DAYS = 60 TABLETS
Price by country, November 2026
Packs of 56 scaled to 60 tablets (our calculation). Brand Janumet unless marked generic.
| Country | Official price | 30 days in US dollars | What a patient typically pays |
|---|---|---|---|
| 🇺🇸 United States (pharmacy cost) | Janumet $5.27879 per tablet; generic $2.50948 (CMS NADAC, Nov 4, 2026) | $317 (generic $151) | — |
| 🇺🇸 United States (list, 2024) | Janumet $526 for a 30-day supply (CMS, 2024) | $526 | — |
| 🇺🇸 United States (Medicare, 2027) | Janumet $80 negotiated price per 30-day supply, from Jan 1, 2027 (CMS); $1.452034 per tablet | $87 | Depends on the Part D plan and coverage phase |
| 🇬🇧 United Kingdom | Janumet £33.26 for 56 tablets (NHS price, since Mar 14, 2013); generic £3.51 for 56 (Drug Tariff, from Oct 1, 2026) | $48 (generic $5) | £9.90 per item in England; free in Scotland, Wales and Northern Ireland |
| 🇫🇷 France | Janumet €15.33 for 60 tablets; generic €8.62 (official prices excluding dispensing fee) | $17 (generic $10) | 70% of the price unless a complementary insurer covers it (30% reimbursed) |
| 🇨🇭 Switzerland | Janumet CHF 41.30 for 56 tablets; generic CHF 26.75 (public prices) | $54 (generic $35) | 40% share for Janumet, 10% for the generic, after the annual deductible |
| 🇦🇹 Austria | Janumet not listed; generic €7.85 for 60 tablets (social-insurance price excl. VAT) | generic $9 | €7.55 prescription fee per pack; for specified uses |
| 🇳🇱 Netherlands | Janumet €20.39 for 56 tablets (average pharmacy price) | $24 | Fully reimbursed under conditions; counts toward the annual deductible |
| 🇩🇪 Germany | Janumet €47.75 for 56 tablets (pharmacy price); statutory price ceiling (Festbetrag) €25.31 | $57 (ceiling $30) | Co-payment €5–€10 per pack, plus the €22.44 above the ceiling for Janumet |
We compare prices; we do not recommend where to buy medicine. Whether to switch between brand and generic diabetes medicines is a decision for your doctor and pharmacist.
The $80 is the price Medicare negotiated for Janumet and Janumet XR under the Inflation Reduction Act, effective January 1, 2027. CMS’s data file sets $1.452034 per Janumet 50/1000 tablet — $87 for 60 tablets, which is 58% of the $151 that US pharmacies now pay for 60 generic tablets (our calculation: $87 ÷ $151). In 2024 about 239,000 people with Medicare Part D used Janumet, and Part D spent $1.07 billion on it before rebates (CMS).
France, the Netherlands, the UK, Switzerland and Germany publish a price for Janumet 50/1000 — about $17 to $57 for 60 tablets at ECB rates, or 5% to 18% of what US pharmacies pay for the brand (our calculation: $17 ÷ $317 and $57 ÷ $317). Generics are cheaper still: the NHS pays £3.51 for 56 tablets (Drug Tariff), Austria lists one at €7.85 for 60, and France at €8.62.
Statutory health insurance pays up to the Festbetrag of €25.31 for 56 tablets. Janumet’s pharmacy price is €47.75, so patients pay the €22.44 difference plus the usual co-payment of €5–€10 per pack; generics listed at €24.60 to €25.31 stay within the ceiling (Festbetrag list, November 1, 2026). From January 1, 2027 the co-payment range rises to €7.50–€15 (Federal Law Gazette). The Joint Federal Committee found no proven added benefit in 2016.
US pharmacies paid about $317 for 60 tablets of Janumet 50/1000 and $151 for the generic in November 2026 (CMS NADAC). Medicare’s negotiated price from January 1, 2027 is $80 for a 30-day supply (CMS). In Europe, Janumet costs £33.26 for 56 tablets in the UK, €15.33 for 60 in France, €20.39 for 56 in the Netherlands, CHF 41.30 for 56 in Switzerland and €47.75 for 56 in Germany — about $17 to $57 for 60 tablets at ECB rates.
Yes. The US pharmacy price survey lists generic sitagliptin/metformin 50/1000 at $2.50948 per tablet (NADAC, November 4, 2026); the NHS Drug Tariff pays £3.51 for 56 tablets; France lists generics at €8.62 for 60 and Switzerland at CHF 26.75 for 56. The Medicare negotiated price applies to Janumet and Janumet XR.
From January 1, 2027 Medicare’s price for Janumet is $1.452034 per tablet (CMS) — $87 for 60, while US pharmacies paid $2.50948 per generic tablet in November 2026, or $151 for 60 (NADAC, our calculation). The negotiated price applies only to the brand.
Up to the Festbetrag of €25.31 for 56 tablets, statutory insurance pays. For Janumet at €47.75 patients pay the €22.44 difference plus the co-payment of €5–€10 (from 2027: €7.50–€15). Generics listed at or below the ceiling cost only the co-payment.
The NHS price of Janumet 50mg/1000mg is £33.26 for 56 tablets (since March 14, 2013); the Drug Tariff pays £3.51 for 56 generic tablets from October 1, 2026. Patients in England pay £9.90 per prescription item either way.
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; currency conversions and 30-day figures are our own calculations, shown with their formula. This is a cost comparison, not medical advice.
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