Key takeaways:
Steglatro (ertugliflozin) is a brand-name-only medication. The average cost of 30 tablets of Steglatro 15 mg without insurance is $430.58.
Many insurance plans, including Medicaid, commercial, and Affordable Care Act (ACA) plans, cover Steglatro. But it’s common for insurance providers to require prior authorization or step therapy (trying other medications first). Medicare coverage for Steglatro is quite limited.
You may be able to save on Steglatro by using a GoodRx coupon. Filling a 3-month supply may help lower your monthly costs over time. And paying for your prescription with a tax-advantaged account, such as a flexible spending account (FSA), can reduce costs through tax savings.
Save on related medications
Sodium-glucose cotransporter-2 (SGLT2) inhibitors are a class of oral diabetes medications. They’re often prescribed together with metformin, another diabetes treatment. Steglatro (ertugliflozin) is one of several SGLT2 inhibitors on the market.
If you’re just starting Steglatro, it’s common to have questions about it. And top of mind may be how much Steglatro costs without insurance. Below are details about the medication’s price and ways you can save on your prescription.
How much does Steglatro cost without insurance?
Steglatro comes as 5 mg and 15 mg oral tablets that are taken once a day. There is no generic version available. The table below shows the average retail cost without insurance for different quantities of each dose.
What factors affect the cost of Steglatro?
Many factors affect the cost of Steglatro, such as:
Location: Where you fill your prescription can affect the price you pay. For instance, people living in New Orleans tend to pay more overall for prescription medications than people living in Atlanta.
Pharmacy: Different pharmacies may charge different prices for medications — even within the same city. Consider using GoodRx to compare prices before filling your prescription.
Dose and quantity: Steglatro 5 mg and 15 mg tablets may have slightly different prices. The number of tablets you fill at one time also affects your total costs.
Insurance and discounts: Using insurance (if you have it) or applying discounts can help you lower your prescription costs.
Does insurance cover Steglatro?
Insurance coverage for Steglatro varies across plans. Almost all Medicaid plans cover Steglatro. But over 80% require enrollees to complete a prior authorization request first. And nearly 70% require enrollees to do step therapy (trying other medications first).
More than 60% of Affordable Care Act (ACA) marketplace plans cover Steglatro. But about half of ACA plans require prior authorization for coverage. And about 60% have step therapy requirements.
Only about 40% of commercial plans not sold through the ACA marketplace cover Steglatro. Around 25% require prior authorization. And about 30% require the completion of step therapy.
Less than 10% of Medicare plans cover Steglatro. But less than 5% ask for prior authorization or step therapy.
Before filling your prescription, consider checking your plan’s formulary (list of covered medications) and summary of benefits and coverage. This can help you determine if your plan covers Steglatro. You can also call the member services number on your prescription insurance card for more details.
How different insurance plans cover Steglatro
The table below highlights the likelihood of having coverage for both doses of Steglatro. It also shows how often different plans require enrollees to get prior authorization or complete step therapy.
Insurance type | Enrollees covered for Steglatro 5 mg and 15 mg | Enrollees required to get prior authorization | Enrollees required to do step therapy |
|---|---|---|---|
63.9% | 48.3% | 60.1% | |
Commercial plans (excluding ACA plans) | 44.5% | 24.4% | 30.5% |
Medicare (Medicare Advantage and Part D plans) | 6.2% | 1.2% | 4.3% |
Medicaid, including state-run and managed care plans | 99.9% | 83.9% | 69.7% |
Source: Managed Markets Insight & Technology, LLC™, as of January 10, 2026. (See methodology below.)
If your insurance doesn’t cover Steglatro, try these options:
Use a GoodRx coupon to help lower the cost of your prescription.
Request a formulary exception from your insurance company. If your request is denied, you have the right to appeal the decision to seek coverage.
Ask your prescriber about alternatives. There are several other SGLT2 inhibitors available that your insurance plan may offer better coverage for.
When it’s time for open enrollment, compare different health insurance plans to find one that provides better coverage for what you need.
Ways to save on Steglatro
Here are three ways you may be able to save on Steglatro with or without insurance.
1. Use a GoodRx coupon
GoodRx could help you save roughly 20% off the retail cost of Steglatro. GoodRx provides free coupons that you can use at many pharmacies to save on Steglatro. You can also use the GoodRx website or app to compare costs at different pharmacies.
To get a coupon, visit the GoodRx website or download the GoodRx app. GoodRx prices for different quantities of Steglatro 5 mg and 15 mg tablets are listed in the chart below.
2. Ask about 90-day supplies
Some pharmacies and insurance providers offer a discount when you purchase a 3-month supply instead of a 1-month supply. This may lower your monthly Steglatro costs over time. Plus, it reduces the number of trips you need to make to the pharmacy.
What’s more, insurance providers may charge a lower copay or coinsurance amount if you use a preferred mail-order pharmacy to fill a 3-month supply.
3. Tap into your HSA, FSA, or HRA
Consider using a health savings account (HSA), a flexible spending account (FSA), or a health reimbursement arrangement (HRA) to purchase Steglatro. These accounts let you use pretax dollars to pay for qualified medical expenses, including prescription medications. This can help you lower your spending through tax savings.
Be sure to review the details for using your HSA, FSA, or HRA funds. FSA funds have an expiration date. But HSA and HRA funds typically roll over and can be saved for later use.
The bottom line
Steglatro (ertugliflozin) is a brand-name-only medication. The average cost of 30 tablets of Steglatro 15 mg without insurance is $430.58.
Nearly all Medicaid plans cover Steglatro, as do many commercial plans and Affordable Care Act (ACA) plans. But it’s common for insurance providers to require prior authorization or completion of step therapy before covering it. Medicare coverage for Steglatro is very limited.
You could save on Steglatro by using a GoodRx coupon. Other savings strategies include filling a 3-month supply and using a tax-advantaged account, such as a flexible spending account (FSA), to pay for your prescription.
Why trust our experts?
Methodology
We obtained national prescription coverage data for each medication from Managed Markets Insight & Technology (MMIT). The data reflects health insurance coverage as of January 2026.
We calculated the percentage of enrollees in plans that cover each medication by dividing the number of enrollees covered for the medication within a specific insurance channel (e.g., ACA, Medicare, Medicaid) by the total number of enrollees in all plans within that channel.
We determined the percentage of enrollees in plans with a prior authorization requirement by calculating the proportion of enrollees in plans that required prior authorization for the medication within each channel.
Finally, we measured the percentage of enrollees in plans with a step therapy requirement by calculating the proportion of enrollees in plans that imposed step therapy requirements for the medication in each channel.
These estimates, derived from national MMIT coverage data, provide insight into health insurance coverage for each medication. They take into account restrictions such as prior authorization, step therapy, and quantity limits. The percentages are expressed relative to the total number of enrollees covered by various insurance channels, including ACA plans, commercial (excluding ACA) plans, Medicare, and Medicaid (both state-run and managed care plans).
References
Medicaid.gov. (n.d.). Managed care.
Merck Sharp & Dohme. (2024). Steglatro - ertugliflozin tablet, film coated [package insert].
