Key takeaways:
Trijardy XR (empagliflozin / linagliptin / metformin) is an FDA-approved prescription medication used along with diet and exercise by adults with Type 2 diabetes to help lower blood sugar. It may also reduce the risk of death from heart problems for certain adults with diabetes.
The average wholesale price for 30 tablets of Trijardy XR 10 mg/5 mg/1000 mg is about $755. But you could pay as little as $378.21 for the same dose and quantity with a GoodRx discount.
Trijardy XR is covered by most insurance plans, but prior authorization is common for Medicaid enrollees.
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Trijardy XR (empaglifozin / linagliptin / metformin) is a prescription medication used along with diet and exercise by adults with Type 2 diabetes to help lower blood sugar. It can also help lower the risk of death from heart problems in adults with Type 2 diabetes and heart disease. Trijardy XR combines three medications — empagliflozin, linagliptin, and metformin — into an extended-release formula that’s taken once daily.
Trijardy XR isn’t yet available as a generic medication, but the FDA has tentatively approved one to move forward. Trijardy XR can cost hundreds of dollars per month, but there are ways to save. You may be able to lower your cost with a GoodRx discount or through a patient assistance program if you qualify.
How much does Trijardy XR cost?
The average wholesale price for 30 tablets of Trijardy XR 10 mg / 5 mg / 1000 mg is $755.32 as of July 20, 2025. This price is often described as a medication’s “sticker price” and serves as a benchmark used by wholesalers. It doesn’t include discounts or rebates and is usually not the final price you pay at the pharmacy.
Without insurance or discounts, 30 tablets of Trijardy XR 10 mg / 5 mg /1000 mg cost about $378.21. Your actual out-of-pocket price can vary depending on the pharmacy, your insurance plan, and other factors.
Here’s what typical retail prices look like at different pharmacies:
Trijardy XR quantity and form | Dose | Average retail price |
|---|---|---|
60 tablets | 5 mg/ 2.5 mg/ 1000 mg | |
180 tablets | 5 mg/ 2.5 mg/ 1000 mg | |
30 tablets | 10 mg/ 5 mg/ 1000 mg | |
90 tablets | 10 mg/ 5 mg/ 1000 mg | |
60 tablets | 12.5 mg/ 2.5 mg/ 1000 mg | |
180 tablets | 12.5 mg/ 2.5 mg/ 1000 mg | |
30 tablets | 25 mg/ 5 mg/ 1000 mg | |
90 tablets | 25 mg/ 5 mg/ 1000 mg |
Which factors affect the cost of Trijardy XR?
Several factors can influence how much you’ll pay for Trijardy XR, such as:
Location: Prescription prices can vary by region. GoodRx research shows that prescriptions cost more in cities like New Orleans and New York, whereas Houston and Denver often have lower prices.
Pharmacy: Retail pharmacies may charge different prices for the same medication — even those located near each other. GoodRx helps you compare pharmacies in your area to find the best price.
Insurance: Many insurance plans cover Trijardy XR, but you may still have out-of-pocket costs such as deductibles, copays, or coinsurance.
Dose: Trijardy XR comes in multiple doses. Higher-dose tablets generally cost more, which may increase your out-of-pocket expenses.
Discounts: You may be able to lower your cost for Trijardy XR with a GoodRx discount, or, if you’re eligible, a financial assistance program.
Does insurance cover Trijardy XR?
Trijardy XR is widely covered across most insurance plans. According to data from Managed Markets Insight & Technology, more than 9 in 10 people with Medicare, Medicaid, and commercial insurance have coverage for this medication. About 3 in 4 people with Affordable Care Act (ACA) marketplace plans are also covered.
Prior authorization (approval from your insurer before you get the medication) is commonly required for Medicaid enrollees, while step therapy rules affect about 1 in 3 people with commercial or Medicaid insurance. Step therapy is a process in which you must try other — usually lower-cost medications — first.
To understand what your plan covers and what you’ll pay, review your health plan’s formulary or contact your insurer directly.
How different insurance plans cover Trijardy XR
The table below details how various insurance types cover Trijardy XR, plus whether prior authorization or step therapy is required.
Insurance type | Percentage of enrollees covered for Trijardy XR 10 mg/5mg/1,000mg and 25 mg/5mg/1,000 mg | Percentage of enrollees required to get prior authorization | Percentage of enrollees required to do step therapy |
|---|---|---|---|
73.7% | 12.8% | 15.5% | |
Commercial plans (excluding ACA plans) | 95.7% | 9.5% | 32.7% |
Medicare (Medicare Advantage and Part D plans) | 90.9% | 0% | 0% |
Medicaid, including state-run and managed care plans | 99.9% | 61.2% | 29.0% |
Source: Managed Markets Insight & Technology, LLC, as of December 6, 2025. (See methodology below.)
If Trijardy XR isn’t covered by your plan, you can:
Check if you qualify for financial assistance through the manufacturer’s patient assistance program. (See below for more details.)
Discuss other medication options, such as Synjardy (empagliflozin / metformin) or Farxiga (dapagliflozin), with your prescriber. These alternatives may be covered by your plan or have lower out-of-pocket costs.
Request a formulary exception to get Trijardy XR covered. Your prescriber may need to submit a letter of medical necessity along with supporting documentation explaining why Trijardy XR is recommended.
File an appeal if the exception request gets denied to have the insurer reconsider the decision.
Review and compare insurance plan options during the next open enrollment period to see which ones offer the best coverage for the medications you need.
Paying too much for prescriptions? Here are some tips that may help you save.
Make the most of your tax-advantaged accounts: Here’s how your HSA can help cover the cost of Trijardy XR and other qualifying medical expenses.
Curious about Trijardy XR side effects? From upper respiratory infections to diarrhea and joint pain, here’s what you need to watch out for with Trijardy and when to contact your healthcare professional.
Ways to save on Trijardy XR
Trijardy XR can cost hundreds of dollars per month if you’re paying entirely out of pocket. But here are some ways to save on your prescription medication.
1. Use a GoodRx discount
A free GoodRx discount could help lower the cost of your Trijardy XR prescription. The table below shows what you might expect to pay using GoodRx at some pharmacies.
Trijardy XR quantity | Dose | GoodRx discount (as low as) |
60 tablets | 5 mg/ 2.5 mg/ 1000 mg | |
180 tablets | 5 mg/ 2.5 mg/ 1000 mg | |
30 tablets | 10 mg/ 5 mg/ 1000 mg | |
90 tablets | 10 mg/ 5 mg/ 1000 mg | |
60 tablets | 12.5 mg/ 2.5 mg/ 1000 mg | |
180 tablets | 12.5 mg/ 2.5 mg/ 1000 mg | |
30 tablets | 25 mg/ 5 mg/ 1000 mg | |
90 tablets | 25 mg/ 5 mg/ 1000 mg |
To get your discount:
Visit the GoodRx website or download the GoodRx mobile app.
Search for “Trijardy XR” and select “Find the lowest prices.”
Choose your prescribed dose and quantity.
Decide how you want to receive the coupon — by text, email, or printed copy. If you’re using the app, have the coupon ready on your phone or saved to your digital wallet.
Let the pharmacist know you’re using a GoodRx discount before they ring up your prescription to help prevent delays.
2. See if you qualify for the manufacturer's patient assistance program
If you qualify for the manufacturer’s patient assistance program, you may be able to get Trijardy XR for free. The Boehringer Ingelheim Cares Foundation Patient Assistance Program helps eligible people who can’t afford their medication. For more information, contact 1-800-556-8317 to speak with a representative.
To qualify, you generally must:
Live in the U.S. or a U.S. territory
Be uninsured or have Medicare Part D coverage
Meet household income requirements based on federal poverty guidelines
If approved, you can typically receive Trijardy XR at no cost for up to 12 months, with the option to reapply if needed.
3. Try the PAN Foundation
The Patient Access Network (PAN) Foundation offers copay assistance for people taking Trijardy XR for Type 2 diabetes. When funding is available, you may qualify for an initial $2,100 grant, with up to $4,000 total per year to help cover out-of-pocket costs.
To qualify, you must meet the program’s income, residency, and insurance requirements. If approved, you may be eligible for the copay assistance grant.
PAN funding opens and closes throughout the year. If the fund is closed, you can join the waitlist or sign up for alerts when funding becomes available.
4. Ask about lower-cost alternatives
A generic version of Trijardy XR is not currently on the market. However, lower-cost alternatives may be available. Your prescriber may be able to recommend other combination pills for Type 2 diabetes with similar ingredients, or individual medications from the same medication classes as those in Trijardy XR.
5. Use tax-advantaged health accounts
If you have a health savings account (HSA), flexible spending account (FSA), or health reimbursement arrangement (HRA), you can use those funds to pay for Trijardy XR. These pre-tax dollars can help lower the cost of prescription medications and other eligible healthcare expenses.
FSA funds typically expire at the end of the plan year unless your employer offers a grace period or carryover. HSA funds roll over from year to year and can be used for future healthcare costs. HRA rules may vary based on the structure of your employer’s plan.
The bottom line
Without insurance or discounts, 30 tablets of Trijardy XR 10 mg/ 5 mg/ 1000 mg can cost about $378.21. What you pay will vary depending on the pharmacy you choose, your dosage, and your location. There are many ways to save money, including using a GoodRx discount, checking your insurance coverage, and looking into financial assistance programs.
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 December 2025.
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
Boehringer Ingelheim. (2025). Information for Vermont prescribers of prescription drugs.
Drugs@FDA. (2024). Abbreviated new drug application: empagliflozin; linagliptin; metformin hydrochloride. U.S. Food and Drug Administration.
Gencarelli, D. (2002). Average wholesale price for prescription drugs: Is there a more appropriate pricing mechanism? National Health Policy Forum.
Healthcare.gov. (n.d.). Appealing a health plan decision. U.S. Centers for Medicare and Medicaid Services.
Medicaid.gov. (n.d.). Managed care. U.S. Centers for Medicare and Medicaid Services.
PAN Foundation. (n.d.). Copay assistance for Type 2 diabetes medications.